Is A Participating Provider In A Managed Care Plan Allowed To Charge Me Amounts Greater That The Company Allows?

No. Participating provider agreements prohibit the providers from collecting any amount other than those contractually agreed upon by the health plan. Provider contracts usually inform providers and facilities that willful collecting or attempting to collect an amount from a covered person may constitute a felony under state law.

The information on this page is meant to provide a general overview of the law. The laws in your state and/or city may deviate significantly from those described here. If you have specific questions related to your situation you should speak with a local attorney.

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