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.

A surprise bill is when a person with health insurance receives medical services, reasonably assumes all of the services provided are either in-network or fully-covered, and receives a bill with expenses they didn’t expect to receive. Let’s imagine a patient has an emergency situation and heads to their local hospital. Even if the hospital is in the patient’s insurer’s 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.