NO SURPRISE MEDICAL BILL DISCLOSURE
The care you deserve, no surprises
Effective January 1, 2022, when you receive emergency care or services by an out-of-network provider at an in-network hospital, you are protected from surprise billing or balance billing. You should not be charged more than your plan’s copayments, coinsurance, and/or deductible.
What is “Balance Billing”?
If you see a provider or visit a healthcare facility outside of your health plan’s network, you may have additional expenses or have to pay the entire bill. An out-of-network provider may bill for the difference between what your insurance plan has agreed to pay and the full amount of service charges. This is called “balance billing”.
What is “Surprise Billing”?
Grady makes understanding and paying your medical bills as easy as possible. To that end, we accept cash, checks, traveler’s checks, money orders, Discover, Visa, MasterCard, and American Express for payment.
New Protections from Surprise Billing or Balance Billing
Emergency Services
If you have a medical emergency and receive emergency services from an out-of-network provider or facility, the most you can be billed is your plan’s in-network cost-sharing amount (such as copayments, visit payments, coinsurance, and deductibles).
Certain Services at an In-network Hospital
When you receive services from an in-network hospital, certain providers may be out-of-network. In this case, the most those providers can bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
Help for inaccurate billing
Think you have been wrongly billed? You may contact:
- Grady Customer Service at (404) 616-2991, press #2, and/or your health plan for clarification.
- The No Surprises Help Desk (NSHD) at 1-800-985-3059 or contact the United States Department of Health and Human Services for more information on your protections under federal law.
- The Georgia Office of the Commissioner of Insurance and Fire Safety through their website or by calling (404) 656-2070 regarding the Georgia law. You can also visit the Georgia Hospital Association Health Care Finance site for more information about your rights under Georgia House Bill 888.