Surprise Medical Bills

  • The Real Truth About Surprise Bills

    Cover of new white paper  

    Health insurance companies' use of narrow networks and unexpected limits on how they pay for services out of network are leaving Texans with medical bills they didn't expect. A new TMA white paper explores, "How Health Insurance Company Practices Leave You Without the Coverage You Thought You Bought." Written for the layperson, journalist, and policymaker, this easy-to-follow guide connects the dots between insurance company business practices and patients' surprise bills.

    Download the White Paper  
  • TMA Video: Why Did I Get That Bill?

    Are your patients frustrated to have health insurance coverage but still receive unexpected medical bills. Share this video to help them earn about Stanley and the surprise medical bills he received… and learn why he received them.

  • Talk to Your Lawmakers About Surprise Billing

    States around the country have been passing laws limiting physicians' rights to bill for the services they provide. TMA is determined not to let that happen in Texas. Meet with your state senators and representatives now to educate them about the real causes of surprise billing and to secure their support for TMA's even-handed solutions.:

  • No More Surprises

    Keith Bourgeois, MD, chair of TMA Balance Billing Task Force  

    TMA research shows how narrow networks and other health plan practices — not physician billing — are bearing down on patients in the form of unexpected, out-of-network balance bills. Texas Medicine explores the findings of TMA's extensive research and the association's plans to fix a growing problem for Texas patients.

    Read the Texas Medicine Story  
  • TMA Advocacy and Communications


    Warning: No Balance Billing for Dual Eligibles (Action – July 15, 2016)


    TMA's Plan Preserves Physicians' Billing Rights (Action – March 15, 2016)


    Improving Network Adequacy and Out-of-Network Billing Policy - Report of the TMA Board of Trustees (TMA House of Delegates 2016 Annual Meeting)


    TMA Calls Out Insurance Companies Over Balance Billing (Action – Nov. 2, 2015)


    Balance-Billing Ban Back in 2015 Legislature: TMA Strikes at the Heart of the Issue: Inadequate Health Plan Networks and Benefit Designs (Texas Medicine – May 2015)


    Lifting the Veil: Price Transparency Efforts Target Physicians (Texas Medicine – July 2014)

  • TMA White Papers

    Check out these TMA research papers on charges, insurance company contracting, and insurance company networks.

    Physician Charges Do Have Meaning

    How to Appeal Being Dropped From a Network MembersOnlyRed

    Physician Prices, Fee Schedules, and Managed Care Contract Offer and Acceptance MembersOnlyRed

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    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?

  • Out-of-Network, Balance Billing Laws in Texas