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What should I do if I receive a bill I don’t understand or agree with?
General Questions

If you've received a bill from your ACA health insurance plan that you don't understand or agree with, here are some steps you can take:

Review Your Bill Carefully

  • Check the details: Verify the dates of services, the providers involved, and the charges listed.

  • Compare with your plan: Ensure that the services are covered under your specific plan.

  • Look for any errors: Mistakes can happen. Check for incorrect amounts or information.

Contact Our Member Concierge Team

  • Call our customer service: Explain the issue clearly - we can help direct you to an explanation.

Consult with Your Healthcare Provider

  • Verify the services: Confirm that the services provided were necessary and accurately billed.

  • Discuss any billing questions: Ask your provider if they can clarify any concerns.

Understand Your Rights

  • Research your state's consumer protection laws: These laws may provide additional protections for healthcare consumers.

  • Consider mediation or arbitration: If you're unable to resolve the issue directly, these options may be available.

File a Complaint

  • Contact your state's insurance department: They can investigate your complaint and take action if necessary.

  • Report the issue to the federal government: The Centers for Medicare & Medicaid Services (CMS) also handles consumer complaints.

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