Reference Based Pricing
- Balance/Surprise Billing
- Occurs when out-of-network providers bill you for the difference between what your plan pays and the full amount charged for a service. This bill is usually higher than in-network services. May not count toward your maximum out-of-pocket
- Your Rights and Protections Against Surprise/Balance Billing
- Emergency Services
- You cannot be balance billed for emergency services. Providers/facilities can only bill your in-network cost-sharing (co-insurance/co-payment).
- Services at an In-Network Hospital or Ambulatory Surgery Center
- Some providers at these facilities may be out-of-network. The most they may bill you is your plan’s in-network cost-sharing amount.
- They cannot balance bill you unless you provide written consent giving up these protections.
- You are never required to give up your protections.
- Emergency Services
- The above information is for educational purposes only and does not have the force of law.
- If you believe you were wrongly billed:
- Email: Outreach@blackhawktpa.com
- Member Services: 866-910-6166
- Submit a complaint online: CMS No Surprises Complaint Portal