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What resources are available for privately insured patients who get surprise balance bills?

(By Krutika Amin, Kaye Pestaina, and Cynthia Cox for The Kaiser Family Foundation Published: Mar 19, 2024)

For privately insured patients, surprise medical bills can arise from either having to pay a high deductible, or from “balance billing.” Typically, health plans negotiate payments to in-network providers. Out-of-network providers may directly bill privately insured patients the difference between the typical in-network health plan payment and the full charge, also known as “balance bills”. In these cases, patients can be liable for the balance bill in addition to any deductible, coinsurance, or copay under the health plan. Continue reading here…

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