Edit: State: California
About 6 weeks ago, I was involved in a hit-and-run while out on my bicycle. I ended up pretty messed up, was unconscious when the ambulance showed up, took an ambulance ride to the hospital and had several procedures done. The bills are slowly starting to trickle in.
Unsurprisingly, the ambulance bill showed up first. Based on my explanation of benefits from my insurance, the ambulance company was out-of-network, billed my insurance about ~4000, my insurance explanation of benefits said that there was a “Plan discount” of about ~3400, they paid ~580, leaving me on the hook for about 65 bucks. Today I received an actual bill from the ambulance company. The ambulance bill does not factor in this ‘plan discount’ at all, and is billing me for the whole 3465 left unpaid by the insurance company. It seems like I am stuck in an actuarial pissing contest between these two.
Do I have any way to get the ambulance co to honor the ‘plan discount’ part of the bill as shown on my insurance company’s EOB? I just saw the bill tonight, so I will give the insurance company a call in the morning, but was wondering if anyone had any advice for me to get this resolved quickly, and where to start. I do not have any experience navigating our nightmare labyrinthine medical system.
Links to relevant docs: https://imgur.com/a/9XVTVcL
submitted by /u/pangoen
[link] [comments]
Edit: State: California About 6 weeks ago, I was involved in a hit-and-run while out on my bicycle. I ended up pretty messed up, was unconscious when the ambulance showed up, took an ambulance ride to the hospital and had several procedures done. The bills are slowly starting to trickle in. Unsurprisingly, the ambulance bill showed up first. Based on my explanation of benefits from my insurance, the ambulance company was out-of-network, billed my insurance about ~4000, my insurance explanation of benefits said that there was a “Plan discount” of about ~3400, they paid ~580, leaving me on the hook for about 65 bucks. Today I received an actual bill from the ambulance company. The ambulance bill does not factor in this ‘plan discount’ at all, and is billing me for the whole 3465 left unpaid by the insurance company. It seems like I am stuck in an actuarial pissing contest between these two. Do I have any way to get the ambulance co to honor the ‘plan discount’ part of the bill as shown on my insurance company’s EOB? I just saw the bill tonight, so I will give the insurance company a call in the morning, but was wondering if anyone had any advice for me to get this resolved quickly, and where to start. I do not have any experience navigating our nightmare labyrinthine medical system. Links to relevant docs: https://imgur.com/a/9XVTVcL
submitted by /u/pangoen [link] [comments]Read Morer/HealthInsurance