Your health insurer will review your complaint and should tell the provider to stop billing you. If you received a surprise bill for medical services provided after Jand already paid more than your in-network cost share (co-pay, co-insurance or deductible) file a complaint with your health insurer with a copy of the bill. What if I received a surprise bill? And what if I already paid it? Facilities include hospitals, ambulatory surgery centers or other outpatient settings, laboratories, and radiology and imaging centers.Ĭonsumers following their health insurer's requirements are protected from having their credit hurt, wages garnished, or liens placed on their primary residence. Medical providers are prohibited from sending consumers out-of-network bills when the consumer followed their health insurer's requirements and received non-emergency services in an in-network facility. In this case, the law states that consumers only have to pay their in-network cost sharing. Consumers can only be billed for their in-network cost-sharing (co-pays, co-insurance or deductible), when they use an in-network facility for non-emergency care.īeginning July 1, 2017, California law protects consumers from surprise medical bills when they get non-emergency services, go to an in-network health facility and receive care from an out-of-network provider without their consent. No more surprise medical bills:Consumers are no longer put in the middle of billing disputes between health insurers and out-of-network providers when seeking non-emergency services. That doctor then bills the consumer for their services creating a surprise bill.
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