Consumer Protections
Medical Billing Protections in Florida
In addition to federal protections like the No Surprises Act, Florida has its own consumer protection laws that may apply to your medical billing dispute. Here is an overview of the protections available to you.
Key Facts: Florida Medical Billing Protections
Dispute Window
180 days from Explanation of Benefits (EOB) for insurance appeals
Applicable Statute
Consumer Protections
Florida has state-level surprise billing protections for emergency and certain non-emergency services
Surprise Billing Protection
Yes — state-level surprise billing law
Balance Billing Restrictions
Yes — state restrictions on balance billing
Key Consumer Protections in Florida
- Florida prohibits balance billing for emergency services by out-of-network providers.
- Non-emergency services at in-network facilities by out-of-network providers are also protected.
- The federal No Surprises Act provides additional protections.
- Patients have the right to request an itemized bill from any healthcare provider.
- Florida law requires hospitals to provide financial assistance information to patients.
- Consumers can file complaints with the Florida Office of Insurance Regulation.
Read the full statute: Fla. Stat. § 395.003; § 627.64194
Disclaimer: This information is for general informational purposes only and does not constitute legal or professional advice. Laws and regulations may change. Consult a licensed attorney or certified medical billing advocate for advice specific to your situation.