A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
Speak with a licensed insurance agent 866-553-3223
Speak with a licensed insurance agent 866-553-3223
A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
Featured
Will you receive an ACA premium subsidy?
See if you're eligible for the Affordable Care Act's premium tax credits (premium subsidies), how subsidies are calculated, and why they are more robust through 2025.
Featured
Federal poverty guidelines for 2025
The federal poverty level (FPL) - also referred to as the federal poverty guidelines – is used to determine eligibility for Medicaid and CHIP, and for premium subsidies and cost-sharing reductions in the health insurance marketplace.

admitting privilege

admitting privilege infographic

What is admitting privilege?

Admitting privilege is the right granted to a doctor to admit patients to a particular hospital. The issue of admitting privilege can become a tricky situation if a patient is seeing an in-network doctor and plans to continue to see that doctor for an inpatient treatment, but the doctor only has admitting privileges at hospitals that aren't in the patient's insurance network. If you're planning an inpatient procedure, you'll want to ensure that the hospital, and any doctors who will treat you, are all in your insurance plan's network.

However, as a result of the No Surprises Act, patients cannot be sent surprise balance bills from out-of-network providers who treat them at an in-network hospital, unless the patient has waived their rights under the No Surprises Act. This protects patients from, for example, selecting an in-network hospital for a scheduled surgery, receiving care from an out-of-network anesthesiologist while at the hospital (often without the patient being aware of the provider's out-of-network status), and then getting an unexpected out-of-network bill from the anesthesiologist. Your rights under the No Surprises Act should be explained to you before the procedure, so that you know what to expect.

Get your free quote now through licensed agency partners!

sticky-bottom-cta
close
image image

Discuss your coverage needs with our agency partners.

Call 866-553-3223