How to expect the unexpected

The cost of healthcare in the United States continues to grow, straining the budgets of families, businesses and taxpayers alike. While lowering costs and increasing transparency are top of mind for consumers, some organizations are taking advantage of the general public by taking part in a practice known broadly as surprise billing.

What is a surprise bill?

A surprise bill is when a person with health insurance receives medical services, reasonably assumes all services provided are in-network or fully-covered, and receives a bill with expenses they didn’t expect.

Imagine a patient has an emergency situation and heads to their local hospital. Even if the hospital is in-network, it is possible that individual doctors, anesthesiologists or other specialists are out-of-network. Although most people would assume they are covered for going to an in-network facility, they may receive a surprise bill that costs hundreds to thousands of dollars.

Priority Health is working to protect members by being a resource to learn more about surprise billing, dispute unethical charges and work with industry leaders and politicians to end this practice and make the cost of care more transparent.

Here’s a look at how surprise billing is affecting people (and their spending)

  • 57% of American adults have experienced surprise billing.

  • 20% of those surprise billed were a result of an out-of-network doctor.

Other sources of surprise billing include laboratory tests, facility charges, imaging and prescription drugs.

Help create the change

If you want your politicians to know change is necessary, we have a form you can easily personalize, sign and share with representatives. Just follow the link below to print or email a form which allows you to share your thoughts on how to end surprise billing practices.

To find your house or senate representative, and how to contact them, please go here for House representatives and here for Senate representatives.

Download form

If you are a Priority Health member and believe recent health care charges you’ve received are a result of surprise billing, we’d like to help you determine your costs. Please call our customer service department at the number on the back of your member ID card.

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