Patient Information Documents

BALANCE BILLING PROTECTION FOR OUT-OF-NETWORK SERVICES

Starting January 1, 2021, Virginia state law may protect you from “balance billing” when you get:
• EMERGENCY SERVICES from an out-of-network hospital, or an out-of-network doctor or other medical provider at a hospital; or
• NON-EMERGENCY SURGICAL OR ANCILLARY SERVICES from an out-of-network lab or health care professional at an in-network hospital, ambulatory surgical center or other health care facility.

Download the details in PDF format:

PARTICIPATING PROVIDERS

Aetna

Anthem Blue Cross Blue Shield

Anthem Healthkeepers

Cigna

Humana Medicare

Railroad Medicare

Virginia Medicare

Magellan

Optima Health

United Healthcare

Optima Health

Tricare

Virginia Medicaid

VALLEY HEALTH PLANS
These carriers fall under VHP:

Academic Health Plans (JMU student Ins)

Everence Financial (Formally Mennonite Mutual Aid)

Gateway Health Alliance

Optima Commercial Plans

Optima Family Care (Medicaid HMO)

Piedmont Community Healthcare

Today’s Options (Medicare Advantage)