# N.J. Stat. § 26:2SS-8: Coverage for inadvertent out-of-network emergency services

> New Jersey · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-8

## Section

- **Citation:** N.J. Stat. § 26:2SS-8
- **Heading:** Coverage for inadvertent out-of-network emergency services
- **Jurisdiction:** New Jersey
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** NJ Code / Title 26 / Chapter 2SS / Section 2SS-8

## Text

8. a. If a covered person receives inadvertent out-of-network services or medically necessary services at an in-network or out-of-network health care facility on an emergency or urgent basis as defined by the Emergency Medical Treatment and Active Labor Act, 42 U.S.C. s.1395dd et seq. and section 14 of P.L.1992, c.160 (C.26:2H-18.64), the health care professional performing those services shall: (1) in the case of inadvertent out-of-network services, not bill the covered person in excess of any deductible, copayment, or coinsurance amount; and (2) in the case of emergency and urgent services, not bill the covered person in excess of any deductible, copayment, or coinsurance amount, applicable to in-network services pursuant to the covered person's health benefits plan. b. If the carrier and the professional cannot agree on a reimbursement rate for the services provided pursuant to subsection a. of this section, pursuant to section 9 of this act the carrier, professional, or covered person, as applicable, may initiate binding arbitration pursuant to section 10 or 11 of this act. c. This section shall only apply to providers providing services to members of entities providing or administering a self-funded health benefits plan and its plan members if the entity elects to be subject to section 9 of this act pursuant to subsection d. of that section. L.2018, c.32, s.8.

## Nearby sections

- [N.J. Stat. § 26:2SS-1 Short title.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-1.md)
- [N.J. Stat. § 26:2SS-2 Findings, declarations relative to out-of-network health care charges.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-2.md)
- [N.J. Stat. § 26:2SS-3 Definitions relative to out-of-network health care charges.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-3.md)
- [N.J. Stat. § 26:2SS-4 Disclosures by health care facility.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-4.md)
- [N.J. Stat. § 26:2SS-5 Disclosures by health care professional relative to participation in health benefits plans.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-5.md)
- [N.J. Stat. § 26:2SS-6 Website updates of addition, deletion of provider from carrier's network.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-6.md)
- [N.J. Stat. § 26:2SS-7 Billing for emergency, urgent care.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-7.md)
- [N.J. Stat. § 26:2SS-8 Coverage for inadvertent out-of-network emergency services.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-8.md)
- [N.J. Stat. § 26:2SS-9 Responsibilities of carrier relative to inadvertent out-of-network services.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-9.md)
- [N.J. Stat. § 26:2SS-10 Payment disputes, binding arbitration.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-10.md)
- [N.J. Stat. § 26:2SS-11 Payment disputes for member of self-funded plan, binding arbitration.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-11.md)
- [N.J. Stat. § 26:2SS-12 Listing of arbitrations on website.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-12.md)
- [N.J. Stat. § 26:2SS-13 Notice of protections provided.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-13.md)
- [N.J. Stat. § 26:2SS-14 Calculation of savings; reports.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-8. Check the current official text before relying on it. Not legal advice.