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What you need to know about balance billing
South Carolina Public Employee Benefit Authority
South Carolina Public Employee Benefit Authority
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.
Issue Date
2021-12-20
Keywords
Government employees' health insurance--South Carolina, Medical care, Cost of--South Carolina
Type
Text
Rights
Copyright status determined to be in the public domain on April 27, 2020 by United States Supreme Court ruling (Georgia et al., Petitioners v. Public.Resource.Org, Inc. : 590 U.S.__(2020))
Digitization Specifications
This South Carolina State Document was either saved from a document available publicly online in PDF format or converted to PDF using Adobe Acrobat DC.