Virginia Balance Billing
Virginia balance billing effective 1/1/21
For a non-participating provider, the member is responsible for any applicable deductible, copayment or coinsurance amounts stated in the member’s contract. For the following services you may not be balanced billed by the provider.
EMERGENCY SERVICES: from an out-of-network hospital, or an out-of-network doctor or other medical provider at a hospital.
NON-EMERGENCY SURGICAL OR ANCILLARY SERVICES: from an out-of-network lab or health care professional at an in-network hospital, ambulatory surgical center or other health care facility.
Additional information regarding your consumer rights can be found here.