The Road Home for Health Care & Medical Benefit Solutions

The law is on your side!!  Prohibitions on balance billing that have been enacted in 

many states are very supportive of consumers and will stop medical debt 

collectors. 

TeamGail can help you!!! 

Health Claim - Balance Billing Prohibited: 

A contracted or non-contracted Florida licensed medical provider or facility

can not bill a subscriber if the HMO fails to pay a claim for a covered service.  

Florida Law prohibits providers from billing members

for covered services except for applicable co-payments, co-insurance or 

deductibles.  The medical provider or facility may bill the subscriber for 

services received that are not covered by the HMO contract. 

HMO (Individual and Group):  Statute 641.3154
Standard & Basic (HMO & Insurance): Statute 641.3154

Florida Statues: Balance Billing