6 Degrees Health
This plan allows your employer to manage the ballooning cost of healthcare while still continuing to provide quality benefits to employees and their families.
What is a balance bill?
A balance bill is when a provider bills a member for the difference between what the health plan allows for a medical service versus what the provider chooses to charge. In essence, it is when the provider charges more than what the Explanation of Benefits (EOB) indicates is patient responsibility. Example: Your hospital charges are $100 and the plan allowable at 140% of Medicare is $70. If the 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.
This web site is not a legal document. This web site is not a guarantee of coverage, eligibility, or provider status and is designed for informational illustration only. Benefits outlined on this web site are subject to change at any time. Please consult your benefit plan provider(s) or administrator(s) for legal documents regarding your plan and to check coverage and/or eligibility