New York Notice That You May Be Responsible For Medical Costs is a notice that is issued to patients by their health care provider to inform them that they may be responsible for medical costs incurred, even if the costs are covered by insurance. This notice is typically used to inform patients of their potential financial responsibility for services rendered. It is also used to identify any other potential charges, such as co-payments, deductibles, coinsurance, or out-of-pocket expenses. There are two different types of New York Notice That You May Be Responsible For Medical Costs: an “Explanation of Benefits” notice and “Notice of Medical Costs”. The Explanation of Benefits notice explains what portion of the medical costs were covered by insurance, and what portion the patient may be responsible for. The Notice of Medical Costs informs the patient of any additional charges that they may be responsible for.