Maryland Balance Billing
If you are treated by a Maryland-licensed provider in an emergency room, Maryland law may protect you. If you and a hospital-based physician or an on-call physician agree to an assignment of benefits, then your health plan pays the doctor directly. In this case, the physician will be paid based on state law and you cannot be balance billed. These protections apply to emergency services provided by out-of-network professionals, facilities, and ambulance providers; and to non-emergency services provided by out-of-network professionals at in-network facilities.
If you have questions about medical bills you have received, call the customer service number on the back of your insurance card.
Delaware Balance Billing
When emergency care services are performed by non-network providers, the MCO shall make acceptable service arrangements with the provider and enrollee, and shall prohibit balance billing. In those cases where the MCO and the provider cannot agree upon the appropriate charge, the provider may petition the Department for arbitration.
If you have questions about medical bills you have received, call the customer service number on the back of your insurance card.
