![]() ![]() This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. You can’t be balance billed for these emergency services. If you have an emergency medical condition and get emergency services from an out-of- network provider or facility, the most the provider or facility may bill you is your plan’s in- network cost-sharing amount (such as copayments and coinsurance). You are protected from balance billing for: This can happen when you can’t control who is involved in your care-like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. “Surprise billing” is an unexpected balance bill. ” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. ![]() What is “balance billing” (sometimes called “surprise billing”)? When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Baylor Scott & White Texas Spine & Joint Hospital Surgery Center.Sports Medicine and Therapy Services Palestine.Sports Medicine and Therapy Services Tyler.Outpatient Therapy Services Grande Boulevard. ![]()
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