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.