Free Assistance* from Licensed Agents
Marketplace America.org Health Insurance

Balance Billing

What is Balance Billing?

Balance Billing occurs when a healthcare provider invoices you for an excess amount beyond what your insurance company covers. For instance, if the provider charges $200 and your insurance only covers $150, you may be billed for the remaining $50. A Preferred Provider cannot bill you for covered services.

Key Points:

  • Balance billing is when you’re billed for the difference between the provider’s charge and what your insurance covers.
  • In-network providers usually cannot balance bill for covered services.

“Glossary.” HealthCare.gov, www.healthcare.gov/glossary/.

Find the best health insurance coverage in your state.

Get up-to-date plans and prices for individual & family health insurance.