Participating Insurance Companies
  • Aetna (all products)      
  • AmeriHealth Administrators
  • AmeriHealth Caritas
  • Auto Insurances
  • Blue Shield/Highmark
    • Access Care II
      Alliance Flex Blue
      Classic Blue
      Direct Blue
      Freedom Blue
      Freedom Blue PPO of West Virginia
      Highmark Blue Shield (PAR) Network
      Independence Administrators
      My Direct Blue Lehigh Valley EPO: In Lehigh, Northampton & Schuylkill counties
      My Direct Blue EPO: In Berks, Cumberland, Dauphin, Franklin, Lancaster, Perry counties
      PPO Blue
      PPO Plus
      Premier Blue Shield Network
      Select Blue
      Special Care
  • Blue Cross/Blue Shield
  • Capital Blue Cross
    • Traditional
      PPO
      POS
      Keystone Health Plan Central
      Blue Journey HMO
      Blue Journey Select PPO
  • Central PA Teamsters
  • ChampVA
  • Cigna/ASH
  • Cigna Medicare Access PFFS
  • Coventry Health Plan of Delaware
  • Erie
  • Gateway (Highmark Wholecare)
      Gateway Medicare Assured
  •  

  • GEHA
  • Geisinger *
    • Geisinger Gold
      Geisinger Gold Open
      * out-of-network with PEBTF Custom HMO (Northumberland and Snyder County only)
  • Humana
    • Gold Plus HMO
      Gold Choice
      Choice PPO
  • Independence Blue Cross
      Personal Choice
  • Medicare
      Railroad Medicare
  • Meritain
  • Secure Horizon Direct
  • Today's Options PFFS
  • TriCare Select
      TriCare for Life (2nd to Medicare)
    • Trustmark
    • UPMC (all products)
    • UniCare - Security Choice Products
    • United Healthcare 
    • United Healthcare Medicare Advantage PPO Plan
    • United Healthcare Community Plan (CHIP)
    • VA Community Care Option
    • Vibra
    • WellSpan Population Health Services
      • Aetna Signature
        South Central Preferred 
    • Workers' Comp


     

    You have the right to receive a “Good Faith Estimate”
    explaining how much your medical care will cost

    Under the law, healthcare providers need to offer patients who don’t have insurance or
    who are not using insurance an estimate of the bill for medical items and services.


    •  You have the right to receive, upon request, a Good Faith Estimate for the total expected cost 
    of any non-emergency items or services. This includes related costs like medical tests, 
    prescription drugs, equipment and hospital fees.

    •  Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one 
    business day before your medical service or item. You can also ask your healthcare provider, and 
    any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    •  If you receive a bill that is at least $400.00 more than your Good Faith Estimate, you can 
    dispute the bill.

    •  Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a
    Good Faith Estimate, visit www.cms.gov/nosurprises
    or call (800) 985-3059


     

    $PAT