I got a surprise bill from a doctor that I thought was covered. What should I do?

MetroPlusHealth wants you to know your rights and protections against surprise medical bills. 

When you get emergency care or are treated by an out-of-network doctor or specialist at an in-network hospital or ambulatory surgical center, you are protected from “balance billing” (sometimes called “surprise billing”). In these cases, you shouldn’t be charged more than your plan’s in-network copayments, coinsurance, and/or deductible.

You’re protected from balance billing for:

  • Emergency services
  • Certain services at an in-network hospital or ambulatory surgical center
  • Services referred by your in-network doctor

Visit surprise bills for a comprehensive overview of your rights and protections.

last updated: December 13, 2022

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