If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most we will bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You will
not be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization
CERTAIN SERVICES AT AN IN-NETWORK HOSPITAL OR AMBULATORY SURGICAL CENTER
When you get services from an in-network hospital or ambulatory surgical center, it is possible some providers may be out-of-network. In these cases, the most these out-of-network providers will bill you is your plan’s in-network cost-sharing amount.
This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your
protections not to be balance billed.
If you get other types of services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
We'll never require you to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network.