Brokerfish

Understanding Balance Billing in Health Insurance

What is Balance Billing and How Does it Affect You?

Balancing billing refers to the practice where a healthcare provider bills you for the difference between their charge for a medical service and the amount that is covered by your insurance. If the provider’s charge for a service is $100, but your insurance plan has determined that the “allowed amount” for that service is only $70, the provider may bill you for the remaining $30. However, if the provider is a “preferred provider” in your insurance network, which is unusual to have in International Private Medical Insurance as you have free choice of hospitals, they may not be allowed to balance bill you for covered services.