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The "balance billing" insurance scam = ambulance-based kidnapping for ransom


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2021 Mar 17, 5:17pm   1,250 views  23 comments

by Patrick   ➕follow (56)   💰tip   ignore  

Say you have great insurance, but there is an emergency and you get medical care using an "out of network" hospital or ambulance.

The other hospital or ambulance company can then refuse to accept your insurer's payment as full payment, and jack up the price to INFINITY for you.

Say your insurance paid $1,000 for the ambulance ride, but the ambulance company says "Thanks, but we want an additional $50,000 for your ambulance ride."

In most states, you are legally on the hook for that. Literally whatever they fuck they decide to charge, with no way to know in advance or negotiate. They don't publish their prices, and hey, it's an emergency anyway. Are you going to try to shop around for an ambulance?

Obamacare does nothing about this scam.

A few states say no to that scam, called "balance billing" (as if they are billing you for the balance that your insurance company did not pay).

California is actually one of the better states in this regard.

https://www.capphysicians.com/articles/five-things-know-about-balance-billing-law

Comments 1 - 23 of 23        Search these comments

1   Booger   2021 Mar 17, 5:23pm  

What are the other states?
2   RWSGFY   2021 Mar 17, 5:41pm  

This is exactly what happened to me once: got charged $8K for a half-hour ambulance ride. My ins co paid the ambulance co $700 and instructed me to never pay the rest and if billed directly forward the bill to them and they will instruct the ambulance guys how to properly fuck themselves.
3   Patrick   2021 Mar 17, 5:49pm  

Booger says
What are the other states?


I don't know. If anyone figures that out, please post it here.

FuckCCP89 says
This is exactly what happened to me once: got charged $8K for a half-hour ambulance ride. My ins co paid the ambulance co $700 and instructed me to never pay the rest and if billed directly forward the bill to them and they will instruct the ambulance guys how to properly fuck themselves.


Ah, was that in California? One nice thing about insurance companies is that they do know the law, unlike most people.

Most people get a crazy bill and think "Oh well, I have to pay this." The ambulance companies count on enough people doing that to make the fake billing worthwhile.

There should also be a law against sending fake bills.
4   RWSGFY   2021 Mar 17, 5:53pm  

Patrick says
Ah, was that in California?


Yep.
5   🎂 Automan Empire   2021 Mar 17, 5:55pm  

Patrick says
Obamacare does nothing about this scam.


If Obama had done what the right accused him of and unilaterally "shoved Obamacare down America's throat," we would have had a PUBLIC OPTION to buy in to the Medicare risk pool, and reforms of secret billing practices and drug pricing.

Instead, he constitutionally put it through Congress and the Senate, whose oligarch patrons in the Pharma, hospital, and insurance industries changed it into the FUCK YOU PAY ME system we ended up with.

My Dad had a slow advancing case of MS and was given 3-5 years the last 25 years of his life by doctors. His disability insurance, which was part of his compensation for working long hours away from the family and giving the company the best years of his life, continuously tried to dump him along with the company that bought out my Dad's company. My parents spent decades fighting the likes of Aetna, lawyers and court hearings the whole nine. My Mom who was a liberal balance to my Dad's conservative stance really bought in to the Fox/Limbaugh version of conservatism, and not too long after my Dad had finally passed, was red-face shouting about Obama trying to ruin medicine. More than once she unironically said "Keep government hands off my Medicare!" I asked her calmly how she could think that especially given our family's history? She responded with honest lack of understanding the connection I was trying to make. "What do you mean by THAT?" with wide-eyed childish innocence. I just dropped the topic because I didn't want the turkey to end up in her lap a few sentences later. Our relationship was strained for many of the Obama years.
6   Patrick   2021 Mar 17, 6:06pm  

Booger says
What are the other states?


Found them:

Only six states—California, Connecticut, Florida, Illinois, Maryland, and New York—have a comprehensive approach to protecting consumers.


https://www.verywellhealth.com/balance-billing-what-it-is-how-it-works-1738460
7   🎂 Automan Empire   2021 Mar 17, 7:55pm  

HunterTits says
So, O-Care has nothing to do with the GOP.


The GOP partisanized, strawmanned, and obstructed Obamacare in every way they could, with some even openly stating they intended to make it "Obama's Waterloo." This was instrumental in the aforementioned oligarchs reworking it into the piece of shit we got in the end, with a few kernels of the original still there like preexisting conditions. Don't try to bullshit people that the GOP was hands-off on this topic.

Pricing transparancy and reform was one of the elements of the original plan, that's what this "screed" has to do with the topic of balance billing.
8   AmericanKulak   2021 Mar 17, 7:56pm  

Including the massive deductibles and the still hidden prices?
9   Hircus   2021 Mar 17, 9:23pm  

My friends mom needed to be airlifted 50mi to a hospital in CA after a bad car wreck. The helicopter company tried to bill the auto insurance, but insurance was balking at the price and wasn't paying the full thing. At the 1 yr mark the heli company sent a letter to my friend asking for around $70k!!!

He freaked because the bill basically said that was the unpaid balance after insurances contribution. He called his insurance and they told him to ignore it and not worry because they were still working on it, and he luckily never heard from them again.

Can you imagine that? 70k?
10   mell   2021 Mar 17, 9:48pm  

Hircus says
My friends mom needed to be airlifted 50mi to a hospital in CA after a bad car wreck. The helicopter company tried to bill the auto insurance, but insurance was balking at the price and wasn't paying the full thing. At the 1 yr mark the heli company sent a letter to my friend asking for around $70k!!!

He freaked because the bill basically said that was the unpaid balance after insurances contribution. He called his insurance and they told him to ignore it and not worry because they were still working on it, and he luckily never heard from them again.

Can you imagine that? 70k?


These prices seem exorbitant and mostly are but rest assured, the insurances could pay all of those bills and still be a million times wealthier than those on the receiving end. The problem is on both sides.
11   Hircus   2021 Mar 18, 10:18am  

I think I read something about those prices being that way due to weird regulation and laws that make it so the company loses money in some scenarios, so they try to make up for it in others.
12   mell   2021 Mar 18, 11:56am  

Hircus says
I think I read something about those prices being that way due to weird regulation and laws that make it so the company loses money in some scenarios, so they try to make up for it in others.


Yeah one is that they are bound to treat illegals and hobos who can't pay anyways so they jack up the prices for the rest. A lot of fraud in the system.
13   Booger   2021 Nov 1, 2:44pm  

https://www.fox5atlanta.com/news/woman-billed-700-after-sitting-in-er-waiting-room-for-7-hours-leaving-without-treatment

Woman billed $700 after sitting in ER waiting room for 7 hours, leaving without treatment
14   Blue   2021 Nov 1, 3:10pm  

Booger says
Woman billed $700 after sitting in ER waiting room for 7 hours, leaving without treatment

This is exactly happen to my friend's wife who left after the stomachache gone after few hours waiting but received about $1200 in soCal.
15   Patrick   2021 Nov 1, 9:05pm  

It's organized crime.
17   PeopleUnited   2023 Mar 15, 5:24am  

Patrick says

It's organized crime.

It’s institutionalized crime. Basically fascism as it is sanctioned by the “authorities “
18   Patrick   2023 May 5, 3:17pm  

Old guy across the street from met needs an ambulance right now.

Now that I know that most ambulances are a kidnap-for-ransom scheme, I feel sorrier for him about the ambulance than about whatever his medical condition is.
19   mell   2023 May 5, 3:32pm  

Could you offer to drive him? But then again, if something happens his family will sue you
20   Patrick   2023 May 5, 3:59pm  

I didn't know there was a problem until the fire department showed up, then later the ambulance and also his son.

With his son there, I don't think I need to do anything.
21   Patrick   2023 Jun 4, 8:00pm  

Turns out he fell and broke his hip, but his girlfriend is there with him, and she's younger. No real tragedy.
22   GNL   2023 Jun 4, 8:05pm  

Maybe he tripped over his booster shot.
23   WookieMan   2023 Jun 5, 4:43am  

Patrick says

Found them:

Only six states—California, Connecticut, Florida, Illinois, Maryland, and New York—have a comprehensive approach to protecting consumers.

IL doesn't bill if it's your municipal EMT/Ambulance because it's baked into our property taxes. Obviously that doesn't help if in an accident in another area. It's the private side that jacks it up to be honest. If two incidences happen at one time, our town only has one ambulance. So they'd dispatch to private and that's where you get jacked bigly. Rare and almost impossible in my town (leave cities.....)

Also, private is usually used for transport to another hospital, and that's when you get whacked.

It sucks either way. Depending on the injury, that crew are the people that can save your life if they're good. If it costs $70k at least you're not dead and you don't have to pay it legally. They just ding your credit score. We looked the other way on tenant verification for credit score if defaults were ONLY medical. Cell phone, cars, student loans, etc were no go's. Time dependent as well. If you had collections on a cell phone 5 years ago and nothing else, whatever.

You don't have the ability to sign a contract in an emergency situation. I know I didn't. They assume you're suckers and will set up a payment plan. Most people don't like owing money. It's business. Our government can't pay its bills practically.

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