Surprise Hospital Billy
Hi friends. I need advice.
My parent had their pacemaker replaced with an in-network physician, but we have a hospital bill for ~10k. After checking with insurance (Medicare part C / advantage plan), they informed us that the hospital is out of network. So we are responsible for the negotiated allowance of ~10k (minus small out of network coverage).
We never knew the hospital was out of network, nor did we ever think to check given the physician was in network. Neither the physician’s office nor the hospital out patient check in services informed us the hospital was out of network. As an aside, I think my parent was on a different health care plan (pre-Medicare) when the pacemaker was installed at the same hospital
What’s my best option to reduce this bill? Talk to physician ? Talk to hospital patient advocate? Ask insurance to reprocess ? No surprises act claim (I’m in PA)?
Sincerely,
A kid trying to help his parent.
submitted by /u/PersonalitySubject75
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