How to prevent medical bills? How to fight a medical bill & how to deal with the collection agencies - - vimore.org

How to prevent medical bills? How to fight a medical bill & how to deal with the collection agencies

How to prevent medical bills? How to fight a medical bill & how to deal with the collection agencies

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please subscribe to our channel for more videos! https://www.youtube.com/channel/UCUT2dLC-nsm36IzOkemXRbA Obviously if you don’t have health insurance and you get sick your expectation is that some type of bill will arrive to you shortly thereafter you received medical care. However, you can receive a medical bill even if you have insurance. See, insurance doesn’t cover everything. Nor it should, otherwise it would be very, very expensive. The idea of having health insurance is that you can transfer some of the risk to the insurance company while being responsible for some of the cost. Despite the complex billing codes that appear on medical bills, the process itself is relatively simple. Once a patient receives care, the hospital or medical provider generally charges the patient's insurance provider. Any remaining balance is the customer's responsibility, and is often called co-insurance. So, let’s look at his issue through an example: O.k. so you have health insurance. Let’s say your copayments, coinsurance, deductible are as follows: Doctor Visit- $30 copay Co-insurance- 20% Deductible - $2,000 Now, it is very important to understand these terms and know when and what you pay. For example the deductible might not apply to regular doctor visits; or the emergency room visit could end up being very expensive if you have to pay the deductible and so on. When you sign up for health insurance - you are entering into a contract with the insurance carrier. It is very important to know what your health insurance covers and what is your responsibility, in order to avoid paying excessively for you medical bills. It is worth to mention that medical bills sometimes contain errors. If you know your coverage you will be able to spot those errors easily. Also, it makes sense to request an itemized bill in case the invoice does not clearly states for what you are being charged. Besides, you want to make sure you actually got all the services you're being charged for. When it comes to medical costs, you have virtually no say in what hospitals and doctors will charge. It's not like going into a store where you can choose to buy shoes from Nordstrom, Amazon or from Wal-Mart. Hospitals and doctors charge whatever they want and rarely if ever explain what the costs are ahead of time. Especially if it's an emergency or necessary procedure. However, you definitely want to make sure your doctor/provider, clinic, lab etc. is in network before scheduling a visit (even if you have a PPO plan) Most health plans have a “network,” a group of doctors, hospitals and other healthcare providers who agree to take your insurer’s rate. Some plans may not cover any services you get from providers who are not in the network. • What to do when you receive the first bill. When you receive that first jaw-dropping, heart attack provoking bill from the hospital or doctor, you can do the following: • If you have insurance, immediately give the bill to your insurance company. • If you do not have insurance, immediately send a letter disputing the bill. • If you receive a notice to pay a large balance after your insurance has paid a small portion of the bill, send a letter disputing the bill as excessive and enclose a copy of the bill that they sent you. It is very important to act quickly. The reason this is so important is it stops the hospital, doctor and subsequent collection agencies who may buy the debt from claiming what is called an "account stated." An account stated means that you were provided with one or more bills and did not dispute them. It is one of those very rare times in law that silence is deemed to be consent. In other words if you do not dispute it, a court may automatically hold for the doctor or hospital based solely on the fact that you did not dispute it. In addition, consider Negotiating your medical bill with the hospital or provider. O.k. so you got that bill. You’ve verified that all the charges are legit. So now you have to pay it. Not so fast. You can still negotiate and ask for a discount. Hospital billing departments are often eager to collect something and get the charges off their books, rather than deal with a lengthy collection process. You may say ask to pay a part of the bill immediately, for example 40% of the bill and ask the provider to write off the rest. This is a great strategy. Even if your offer is rejected, the hospital may counter offer let’s say a 50/50 deal, which is still better than paying the bill in full. • What to do if the billing department won't negotiate your bill. If you can’t reach an agreement with the provider, consider hiring a professional. There are a few nonprofit organizations or professional patient’s advocates that can bargain for you. They typically charge a percentage of the reduction they negotiate. Here are some organizations that can help: - Medical Billing Advocates of America : 1 (855) 203-7058 - Patient Advocate Foundation - Phone: (800) 532-5274



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