FAQs

If you are denied access to care due to a facility or provider not accepting your insurance, contact My Health and we will work with you and the provider to come to a solution.

My Health’s services are provided free of charge to benefitted employees/in-network members.

A balance bill is when a provider bills a member for the difference between what the health insurance allows for a medical service versus what the provider chooses to charge. In essence, it’s when the provider charges more than what the Explanation of Benefit (EOB) indicates is patient responsibility.

Example: Your hospital charges are $100 and the plan allowable at 150% of Medicare is $70.00.

If the facility provider bills you the $30 difference between the charged amount and the plan allowable, they are balance billing.

Deductibles, copays, and coinsurance are not examples of balance billing and you are still responsible for these cost sharing items.

If you receive a bill from a hospital or other medical facility, you need to compare it to the EOB.

If you are asked to pay more money than what is shown as patient responsibility on your EOB, you need to call My Health at 855-819-3336.

Do not pay anything other than your copay up front. Please refer the billing department to My Health to assist/reconcile.

If the facility will not perform treatment without additional funds outside of your normal copay, contact My Health immediately.