Your Rights and Protections Against Surprise Medical Bills

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Your Rights and Protections Against Surprise Medical Bills

An ASC must ensure that you are protected from surprise or balance billing. Surprise billing is when you receive services at an in-network facility but an out-of-network provider is used without your knowledge. The out-of-network provider then bills you at the out-of-network rate.

Balance Billing is the difference between the practice charge (Billed) and the amount the insurance allows (Covered or Allowed Amount). You are always responsible for your co-pay, co-insurance and/or deductible but you are not responsible to pay the difference between the original charge and the amount allowed by your insurance company. Surgery Center of the Village will never balance bill you. If you receive services at Surgery Center of the Village and an out-of-network provider is used, you will only be billed the amount equal to your in-network benefits. If you are uninsured or self-pay Surgery Center of the Village will provide you with a statement of expected charges prior to your procedure.

Surgery Center of the Village expects that you pay for your services prior to any procedure and therefore will anticipate all expenses prior to performing the procedure. However, should there be a conflict between expected costs and the final actual bill you have the right to file a complaint. You may file a complaint with Health and Human Services or your state Department of Insurance.