HNS Policy 

Revised June 2022

Discounts to members whose healthcare plan contracts with HNS:

• Physicians contracted with HNS cannot reduce or discount (or offer to reduce or discount fees for any service which is covered by a healthcare or managed care plan contracted with HNS. All covered services must be provided at the physician's usual and customary fee.

   

• Physicians contracted with HNS are contractually required to comply with all federal and state laws and regulations, HNS Compliance and Business Policies, and the policies of HNS and those of the healthcare plans contracted with HNS. (HNS Business Policies should not be followed if compliance to those policies would adversely affect the health or safety of a patient.)
  

   

  This policy includes but is not limited to compliance to any law or regulation regarding discounting fees.

This policy applies regardless of whether a patient has signed an HNS Election Not to File Form.

Discounting or reducing fees for any covered services may result in the immediate termination of the physician's participation in the HNS Network.

Discounts to 'Cash' Patients: 

• Except that contracted physicians must comply with all applicable federal and state laws and regulations, HNS Compliance and Business Policies, and the policies of HNS and those of the healthcare plans contracted with HNS, HNS has no position regarding discounts to 'cash' patients.

   

  (HNS defines 'cash' patients as patients who have no healthcare coverage or patients who have healthcare coverage, but the treatment/services recommended are not covered by the patient's healthcare plan (e.g., non-covered services).