As an AmeriHealth Caritas Pennsylvania member, you are not responsible for paying for medically needed, covered services. You may, however, be responsible for co-payments.
You can be billed for health care services if one of these situations happens to you:
- A service is provided without prior authorization in cases when prior authorization is required.
- A service is provided by a provider who is not in the AmeriHealth Caritas Pennsylvania network and prior authorization was not given to see the provider.
- A service provided is not covered by AmeriHealth Caritas Pennsylvania and your health care provider told you before you received the service.
Your health care provider can also bill you for co-pays that were not paid at the time you received the service.
If you get a bill from a health care provider, you should call the health care provider listed on the bill and make sure they have all your insurance information. If you still feel you were billed in error, you should call AmeriHealth Caritas Pennsylvania Member Services.
