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What you need to know about balance billing
South Carolina Public Employee Benefit Authority
South Carolina Public Employee Benefit Authority
Issue Date
2023-12-05
Type
Keywords
Government employees' health insurance--South Carolina, Medical care, Cost of--South Carolina
Abstract
Network providers agree to accept the State Health Plan’s negotiated rate, or allowed amount, as their total fee. It is better to stay in network if possible. If you choose to use an out-of-network provider, he may bill you the difference in its cost and the allowed amount.1 This is known as a balance bill. A balance bill does not count toward your annual deductible or coinsurance maximum, and will increase your out-of-pocket expenses. Outof- network payments go directly to the participant and not the provider.
Rights
Records, documents, and information made available by the agencies of the South Carolina state government or its subdivisions are the property of the people of the state of South Carolina. Therefore, according to U.S. copyright law, the South Carolina State Library considers these items to be in the public domain (see Title 17, U.S.C.).