Out of Network Insurance Billing Can Lead to Surprise Medical Bills

Have you recently gotten a medical bill that you weren’t expecting? More consumers are reporting issues with out of network insurance billing and costly medical expenses linked to it after they had a procedure. Many didn’t realize they’d get a massive bill after the fact.

Those consumers who have experienced unexpected out of network insurance billing could be coping with costly medical bills they never anticipated.

The practice of out of network insurance billing has garnered criticism from numerous consumers and advocates in the industry who argue that patients are never informed about this practice until they receive a medical bill after the fact. Unfortunately, out of network insurance billing has also become more common.

This can lead someone to experience out of control and costly medical bills. If you have ever received a catastrophic medical bill even though you have health insurance, you may be eligible to participate in legal action due to the practice of out of network insurance billing.

One history teacher and swim coach from Texas was hit with an enormous surprise bill after he had a heart attack at his home. In April 2017, he was rushed to an area medical center where he was informed by physicians that he needed emergency stents to open clogged arteries. Immediately, the patient asked whether or not his health insurance would cover the surgery.

The patient at that time stated that the medical center he was at was out of network for a school district’s health plan. However, he was informed by the hospital in question that he was indeed covered, and the surgery was performed. Ultimately, however, the patient was billed more than $108,000 due to out of network insurance billing.

Out of network insurance billing is particularly associated with a practice known as balance billing. This occurs when the insurance company and the out of network hospital disagreed on a reasonable price for care. When the insurance company paid what they believed to be their fair portion, they demanded that the patient pay the rest.

Balance billing is controlled, limited, or prohibited to certain conditions in particular states, but there can be exceptions. Whether or not your employer fits with the rules in your states that apply to the health insurance companies, it is of critical importance when it comes to lodging complaints or lawsuits associated with out of network insurance billing.

If you have received a large balance bill, despite the fact that you have health insurance and are curious about what you need to do next, you may be eligible to participate in an out of network insurance billing class action lawsuit investigation. Your eligibility to recover compensation may rely on the specifics of your individual state, and getting insight regarding a pending investigation can be extremely helpful for your future.

Join a Free Surprise Medical Bill Class Action Lawsuit Investigation

If you were hit with a surprise medical bill from an out-of-network doctor at an in-network hospital, you may be entitled to compensation.

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