Even when patients double-check that their care is covered by insurance, health providers may send them bills as they haggle with insurers over reimbursement. It's stressful and annoying — but legal.
Agreeing to an out-of-network doctor's financial policy, which protects their ability to get paid and may be littered with confusing jargon, can create a binding contract that leaves a patient owing.
There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn't medically necessary.
A frugal Tennessee resident opted out of Medicare Part B, which carries $175 monthly premiums. Now her heirs face a huge bill for an air-ambulance ride.
Health providers may bill however they choose, including in ways that could leave patients with unexpected bills for "free" care. Preventive care left an Illinois couple with "surgical tray" charges.
Convenient as it may be, beware of getting your blood drawn at a hospital. The cost could be much higher than at an independent lab, and your insurance might not cover it all.
Completing a routine depression screening questionnaire during an annual checkup is cost-free under federal law. But, as one woman discovered, answering a doctor's follow-up questions might not be.
A breast cancer patient who received similar treatments in two states saw significant differences in cost, illuminating how care in remote areas can come with a stiffer price tag.
Medicare was supposed to cover the entire cost of his procedure. But the anesthesia provider failed to file its claims in a timely manner and billed the patient instead.
One North Carolina family's six-figure medical bill came from a state hospital. The attorney general, who is running for governor and says he's against high medical costs, tried to collect the debt.
After emergency gallbladder surgery, a Tennessee woman said she spent months without a permanent mailing address and never got a bill from the hospital. She ended up in court a few years later.