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Your Rights and Protections Against Surprise Medical Bills
Under federal law, you have the right to receive a notice of these protections and to not be balance billed for covered services.
When you receive emergency care or are treated by an out-of-network provider at an in-network facility, you are protected under federal law from surprise medical bills. These protections are part of the No Surprises Act, which went into effect on January 1, 2022.
This notice explains your rights and how they apply to services provided by our practice.
What Is “Balance Billing”?
Balance billing happens when an out-of-network provider bills you for the difference between their charge and the amount your health plan pays. Under the No Surprises Act, you are protected from balance billing in certain situations.
When You Are Protected From Balance Billing
You cannot be balance billed for:
Emergency Services
If you receive emergency medical care, you are protected even if the provider or facility is out-of-network. This includes services received after you are stabilized, unless you give written consent to waive your protections.
Certain Services at In-Network Facilities
If you receive care at an in-network hospital or ambulatory surgical center, you are protected from balance billing for services provided by out-of-network clinicians, including but not limited to:
- Anesthesiology
- Pathology
- Radiology
- Neonatology
- Assistant surgeons
- Hospitalists or intensivists
You are only responsible for your in-network cost-sharing (copay, coinsurance, or deductible).
What You Are Still Responsible For
You are responsible for:
- Your normal in-network copay, coinsurance, or deductible
- Any services that you voluntarily receive from an out-of-network provider, after signing a written consent acknowledging that you are giving up your protections (when allowed by law)
Your health plan must calculate your cost-sharing based on what it would pay an in-network provider.
Good Faith Estimates for Self-Pay Patients
If you are uninsured or choosing not to use insurance, you have the right to receive a Good Faith Estimate of expected charges before receiving care.
This estimate will include:
- Expected costs for the primary service
- Related services reasonably expected to be provided
If your final bill is $400 or more above the Good Faith Estimate, you may have the right to dispute the charges.
How to Get Help or File a Complaint
If you believe you were wrongly billed or your rights under the No Surprises Act were violated, you can contact:
U.S. Department of Health and Human Services
Phone: 1-800-985-3059
Website: www.cms.gov/nosurprises
Questions About Your Care or Billing
If you have questions about your treatment, insurance coverage, or billing, please contact our office directly. We are committed to transparency and will help you understand your options before care is provided.
Last updated: 2026