OhioHealth Patient Protections in Medical Billing
What to know about your medical billing rights
From receiving emergency care to navigating in-network and out-of-network services, it's important that you understand your rights and protections as a patient. Your experience is our top priority, and we're committed to supporting you every step of the way.
Overview of your patient rights
Right to a clear and understandable bill
You have the right to receive a bill that is easy to read and understand, with clear explanations of the charges and services provided.
Right to contest billing errors
If you believe there is an error on your bill, you have the right to dispute it and request a review or correction.
Right to financial assistance
You have the right to inquire about and apply for financial assistance programs that can help reduce your medical expenses based on your financial situation.
Right to a good faith estimate
You are entitled to receive an estimate of the expected costs for your medical care before receiving treatment, helping you plan and manage your healthcare expenses.
Protection from surprise billing
You are protected from unexpected charges when receiving emergency care or when treated by an out-of-network provider at an in-network facility. You should not be billed more than your in-network cost-sharing amount.
Right to privacy and confidentiality
Your billing information and medical records are handled with strict confidentiality and privacy, ensuring your personal information is protected.
Right to appeal insurance decisions
If your insurance company denies coverage for a service or treatment, you have the right to appeal the decision and request a review.
Right to information about insurance coverage
You have the right to receive detailed information about what your insurance plan covers, including benefits, limitations and out-of-pocket costs.
Right to access medical records
You have the right to access your medical records and obtain copies, allowing you to review your health information and ensure its accuracy.
Right to assistance and support
You have the right to request assistance and support services, such as interpreter services or financial counseling, to help you understand and manage your medical billing and healthcare needs.
Additional resources
- Centers for Medicare & Medicaid Services (CMS) provides information on patient rights and protections against surprise medical bills.
- HealthCare.gov explains health insurance rights and protections, including coverage details and avoiding surprise bills.
- No Surprises Act Resources help patients understand protections against unexpected medical bills and how to resolve billing disputes.
- U.S. Office of Personnel Management (OPM) provides information on patient rights, privacy, and appealing insurance decisions for federal employees.
Need help paying for your care?
If you're uninsured, underinsured or experiencing financial difficulties, the OhioHealth Financial Assistance Program offers various options to help you handle your medical costs.