I received a bill after an appointment with my provider, but I thought my One Care plan was going to cover it. What should I do?

One Care members never have to pay any co-pays or fees to get care, but sometimes providers may send bills by mistake. In rare circumstances, a member may get a bill if One Care doesn’t cover the service they received, if Medicare was billed rather than your plan, or if the care required approval before getting it. You might also get a bill if the care was from an out-of-network provider (though there may be exceptions to this).  If you receive a bill, contact your One Care plan right away to find out why and what you can do. 

To help avoid these situations, it is a good idea to check with your plan before you get a service to make sure it will be covered. If you need help with a billing issue, contact your One Care plan or feel free to reach out to My Ombudsman for guidance.