Our commercials · Ask Your Insurer · Spot J

Who sends the bill, the insurer or the hospital?

The real answer

An Explanation of Benefits is your plan’s statement of what it allowed and paid on a claim; the bill, if any, comes from the provider. For care the No Surprises Act protects, the provider may not bill you more than the in-network share the statement shows.

What is an allowed amount? — answered from the law

Spot J, the porch: Billy, at the door, and his little son.
Spot J, the porch: Billy, at the door, and his little son. · Standard Healthcare presents · Provern Productions

The words on screen

The spot, :30

Billy
Hey! You had a child six weeks ago, right? You owe $30,000.
You
What? You mean right now?
Billy
No, just eventually. You see, my little son Billy that I just gave you actually says it right on his forehead: ‘not Billy.’

The fine print, in full

Standard Healthcare is a parody. No real company is depicted. Billy makes house calls. Your doctor does not. Billy’s little son is an Explanation of Benefits; he is not a bill. Payment is due eventually.

ASK YOUR INSURER* *if OxiPlan® is right for Billy.

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