Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

Are HMO members responsible for bills sent to them by providers (doctors, hospitals, etc.)?

April 26, 2017bills doctors hmo hospitals members responsible sent

0

Posted

Are HMO members responsible for bills sent to them by providers (doctors, hospitals, etc.)?

1 Answer

0

Posted

Generally, no. The law prohibits providers from billing members for covered services (except for the co-payment, and possible coinsurance and deductibles). They may, however, bill members for uncovered services (those services that are not listed in the contract).