Avoiding Surprise Medical Bills

The AHA believes patients and their families should be protected from the financial burdens of unexpected medical bills. Health insurance and health care billing are complex, and it can be difficult for patients to understand their coverage and obligations. Although insurers are in the best position to help patients understand what is considered in network or out of network, everyone providing health care services has a role to play in helping consumers navigate the complicated health care delivery system.

That is why we have partnered with the Healthcare Financial Management Association and America’s Health Insurance Plans on a new guide to help patients understand the questions they can ask to help avoid paying more than expected for health care services. Available in both English and Spanish, many of the suggestions in this guide are designed for situations where patients can schedule care in advance. The guide will also help them understand what they can do to lessen the chances of an unexpected balance bill in an emergency.

Please click below to download the guide in both English and Spanish.

Additional patient-friendly information on hospital pricing and how hospitals are serving their communities can be found in the AHA's Understanding Healthcare Prices: A Consumer Guide.

Related Resources

Advisory
Public
The departments of Health and Human Services (HHS), Labor, and Treasury, along with the Office of Personnel Management, July 1 released “Part 1” of regulations…
Special Bulletin
Public
The Office of Personnel Management, along with the departments of Health and Human Services (HHS), Labor, and Treasury July 1 released “Part 1” of…
Letter/Comment
Public
Letter the AHA sent to Senators Grassley and Durbin in support of S. 2304, Drug-Price Transparency for Consumers Act of 2021. The bill will allow HHS to…
Letter/Comment
Public
The American Hospital Association looks forward to working with CMS on implementing the good faith estimates and advanced explanation of benefits (EOB)…
Advisory
Member
The hospital price transparency rule took effect Jan. 1, 2021. CMS verified for the AHA that the agency has begun proactive audits of hospital websites and a…
Letter/Comment
Member
The AHA offers initial recommendations to the departments of Health and Human Services, Treasury and Labor as they develop guidance to implement the No…