; and (D) in paragraph (3)(B), as so redesignated— (i) clause (i), by inserting , including ambulance services provided by ground or air transportation before , and at the end; and (ii) in clause (ii), by striking the period at the end and inserting , including ambulance services provided by ground or air transportation. ; and (2) by adding at the end the following: (e) Coverage of services by out-of-Network providers based on plan or issuer error (1) In general A group health plan or health insurance issuer offering group or individual health insurance coverage shall provide coverage of a service provided by an out-of-network provider to an individual who is a participant, beneficiary, or enrollee of such plan or coverage if— (A) the plan or issuer would have provided coverage of the service if the service was provided by an in-network provider; and (B) in choosing such provider, the individual reasonably relied on a materially inaccurate, incomplete, or misleading statement of information contained in a directory of in-network providers compiled by the plan or issuer. (2) Cost-sharing A group health plan or health insurance issuer that provides coverage of a service provided by an out-of-network provider under paragraph (1) shall provide such coverage with the same cost-sharing requirement that would apply if the services were provided in-network. (f) Coverage for enrollees in active course of treatment (1) In general A group health plan or health insurance issuer offering group or individual health insurance coverage shall, at the request of an individual who is a participant, beneficiary, or enrollee of such plan or coverage and in accordance with paragraphs (4) and (5), provide to such individual coverage of services for an active course of treatment provided by a provider that is an out-of-network provider with respect to such plan or coverage if— (A) coverage of such services would be provided under the group health plan or health insurance coverage if the services were provided by an in-network provider