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Under certain circumstances established in Michigan's surprise medical billing law, out-of-network providers are not allowed to bill you for an amount greater than your applicable in-network coinsurance, copay, or deductible.
(d) That a health professional and facility must bill a qualified health plan within 1 year after the date of service or date of discharge from the health facility.
A surprise medical bill is an unexpected bill, often for services received from a health care provider or facility that you did not know was out-of-network until you were billed.
The No Surprises Act (NSA) establishes federal prohibitions against certain surprise medical bills. This may happen, for instance, when patients receive emergency care from an out-of-network provider or facility or from an out-of-network provider at an in-network facility.
Your account may be sent to a collections agency, subjecting you to endless harassment and phone calls. Some healthcare providers will even take you to court and sue you for unpaid debt.
Individuals are protected from surprise medical bills under both Michigan and federal law. Emergency Services: In general, an out-of-network provider may not balance bill a participant, beneficiary, or enrollee (?Member?) for emergency services.
You will be liable if your spouse stops making payments. In some states, under what is called the ?doctrine of necessities? one spouse can be compelled to pay for the medical care of another. In Michigan, this is considered unconstitutional.