Illinois Billing Rights

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Additional State-Law Protections for Patients with State-Regulated Health Plans

Nonparticipating providers may not bill enrollees for any amount beyond cost-sharing:

  • When an enrollee utilizes a participating health care facility and, due to any reason, covered ancillary services are provided by a nonparticipating provider during or resulting from the visit
  • When an enrollee receives emergency services from a nonparticipating provider or a nonparticipating emergency facility

Filing a Complaint

You may file a complaint with the federal government through the U.S. Department of Health and Human Services at www.cms.gov/nosurprises/consumers or by calling 800-985-3059.

State Agency Contact Information

Illinois Department of Insurance

Phone: 877-527-9431
Website: https://idoi.illinois.gov/aboutus/contactus.html

Additional Information

Visit www.cms.gov/nosurprises/consumers or call 800-985-3059 for more information about your rights under federal law.