What is Balance Billing (Health Care) and How Does It Impact You?

Definition & Meaning

Balance billing occurs when a healthcare provider bills a patient for the difference between the total charges for a medical service and the amount covered by the patient's insurance plan. This practice usually happens when the provider believes that the insurance reimbursement does not fully cover the costs of the service rendered, often because the charges exceed the usual and customary rates for that service.

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Real-world examples

Here are a couple of examples of abatement:

Example 1: A patient receives treatment from a specialist who is not in their insurance network. The insurance pays $1,000 of the $2,500 billed. The specialist sends a bill to the patient for the remaining $1,500.

Example 2: A patient undergoing surgery at a hospital is billed for additional charges that their insurance does not cover, leading to a balance bill for the patient. (hypothetical example)

State-by-state differences

State Balance Billing Regulations
California Prohibits balance billing for emergency services and non-contracted providers in certain situations.
Texas Has specific laws protecting patients from balance billing in emergency care and certain non-network situations.
New York Limits balance billing for out-of-network providers in emergency situations and requires consent for non-emergency services.

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition
Co-payment A fixed amount a patient pays for a covered service, typically at the time of service.
Deductible The amount a patient must pay out-of-pocket before insurance coverage begins.
Out-of-pocket maximum The maximum amount a patient will pay for covered services in a plan year, after which insurance pays 100%.

What to do if this term applies to you

If you receive a balance bill, first review your insurance policy to understand your coverage. Contact your insurance provider for clarification on what was covered and why. You may also wish to negotiate with the provider or seek assistance from a legal professional if the charges seem unreasonable. US Legal Forms offers templates that can help you draft letters or forms to address balance billing disputes effectively.

Quick facts

  • Typical fees: Varies widely based on service and provider.
  • Jurisdiction: Healthcare laws vary by state.
  • Possible penalties: Providers may face fines for improper balance billing practices.

Key takeaways

Frequently asked questions

Yes, but only if they are out-of-network and the charges exceed what your insurance covers.