Consider this: If you need a medical procedure done, do your due diligence to ensure the doctor and facility are in-network. You move forward with the procedure thinking all is okay. Weeks later the bill arrives indicating you owe thousands of dollars more than you initially thought.
This scenario happened because one of the people who provided care to you – like the anesthesiologist, the x-ray tech or someone else – was not an in-network provider. You unfortunately had no say in selecting each of the providers at the time of your procedure.
This situation is called balance billing. As a result of balance billing, the patient is now responsible for paying the difference between the amount the health care provider charges and the amount the health plan allows for that medical service.
No Surprises Act – Effective January 1, 2022, the Act protects patients from balance billing; meaning patients are NOT financially responsible for these unexpected bills.
- Patients are no longer liable for out-of-network costs in situations where they do not have the ability to choose an in-network provider.
Surprise Billing Protection Form – This document provides details about your protections from unexpected bills, and explains what happens if you want to give up those protections. If a physician asks you to complete this form, please do not sign it. The provider or facility may not be in-network and they are asking you to wave your protection so you can be balance-billed. Instead, please reach out to WebTPA for healthcare needs:
Customer service: 844-380-4552
Member portal: webtpa.com