Maryland Billing Rights

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

• If you are in a Health Maintenance Organization (HMO) governed by Maryland law, you may not be balance billed for services covered by your plan, including ground ambulance services.
• If you are in a PPO or EPO governed by Maryland law, hospital-based or on-call physicians paid directly by your PPO or EPO (assignment of benefits) may not balance bill you for services covered under your plan and can’t ask you to waive your balance billing protections.
• If you use ground ambulance services operated by a local government provider who accepts an assignment of benefits from a plan governed by Maryland law, the provider may not balance bill you.

Filing a Complaint

If you believe you’ve been wrongly billed, call or email the Health Education and Advocacy Unit (HEAU) of Maryland’s Consumer Protection Division for more information, or file a complaint, visit www.marylandattorneygeneral.gov/Pages/CPD/HEAU: