Legal

Patient Rights & Notices

Posted August 3, 2026

This page collects the notices Cherry Tree Surgical, LLC provides to patients and visitors: our nondiscrimination policy, free language-assistance services, your federal protections against surprise medical bills, and your right to a Good Faith Estimate of costs. Questions about any of them? Call 717-510-1318.

Notice of Nondiscrimination

Cherry Tree Surgical, LLC complies with applicable federal civil rights laws and does not discriminate against, exclude, or treat people differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics).

Cherry Tree Surgical provides, free of charge:

If you need these services, call 717-510-1318.

If you believe Cherry Tree Surgical has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with us in person, by mail, or by phone: Cherry Tree Surgical, LLC, 795 Cherry Tree Ct, Suite 1, Hanover, PA 17331, 717-510-1318. We can help you file a grievance.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights: electronically through the OCR Complaint Portal; by mail at U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, D.C. 20201; or by phone at 1-800-368-1019 (TDD: 1-800-537-7697). Complaint forms are available at hhs.gov/ocr/complaints.

Language Assistance Services

ATTENTION: If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 717-510-1318 or speak to your provider.

The in-language notices above are the U.S. Department of Health and Human Services’ sample notices under 45 CFR §92.11, localized only with our telephone number.

Your Rights and Protections Against Surprise Medical Bills

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care — like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services. If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center. When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

If you believe you’ve been wrongly billed, you may contact the federal No Surprises Help Desk at 1-800-985-3059 or visit cms.gov/nosurprises for more information about your rights under federal law. You may also contact the Pennsylvania Insurance Department’s consumer services at 1-877-881-6388 or insurance.pa.gov.

Your Right to a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance, or who are not using insurance, an estimate of the bill for medical items and services.

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059. To request a Good Faith Estimate from Cherry Tree Surgical, call 717-510-1318.

See also our Notice of Privacy Practices, Privacy Policy, Terms of Use, and Accessibility Statement.