California residents will stop receiving "surprise bills" from doctors - ForumDaily
The article has been automatically translated into English by Google Translate from Russian and has not been edited.
Переклад цього матеріалу українською мовою з російської було автоматично здійснено сервісом Google Translate, без подальшого редагування тексту.
Bu məqalə Google Translate servisi vasitəsi ilə avtomatik olaraq rus dilindən azərbaycan dilinə tərcümə olunmuşdur. Bundan sonra mətn redaktə edilməmişdir.

Californians will stop receiving “surprise bills” from doctors

Photo

С 1 июля жители Калифорнии могут посещать больницы по страховому полису, не опасаясь, что им придет «счет-сюрприз» на оплату медицинский услуг.

Until now, there have been frequent cases when, after going to the hospital, the patient was provided with a doctor who did not cooperate with the company that covered the patient’s insurance policy, and at the end of the treatment the patient received a bill for a large amount. Many California hospitals used this scheme in the hope of earning more.

Эта практика, известная как «счет по оплате остаточного баланса» или «счет-сюрприз», запрещена в Калифорнии с 1 июля.

Now all medical institutions have to accept payments from the patient’s insurance company, regardless of whether an agreement has been concluded between the doctor and a certain insurance company or not.

Previously, this situation often occurred in emergency departments, when a patient is served by several health workers at once, for example, surgeons, anesthesiologists, assistants, and not every doctor who provides services has contracted a patient's insurance company. Accordingly, the patient unconsciously found himself in a situation when he received medical services that were not covered by his insurance.

When patients go to hospitals, they often think that the doctors who provide them with services signed a contract with the insurance company, but in fact, after the services were provided, the doctor could blame the patient for not paying the cost. And the patient was forced to reimburse the demands of the doctor.

Now, all medical staff who provide services that are not members of the insurance network will have to accept as payment for their services either the amount that the insurer usually pays under the contract for this or that type of service, or the amount of 125% of the rate Medicare.

Согласно закону Калифорнийского фонда здравоохранения, новый закон распространяется на калифорнийцев с частными планами медицинского страхования, которые регулируются Департаментом по контролю за состоянием здоровья и Департаментом страхования — примерно 70% государственного страхового рынка штата.

The new law also obliges insurers to have sufficient staff of specialists to provide all necessary services. In addition, this measure allows doctors who work outside the insurance network to appeal against payment disputes with insurers through arbitration.

However, there is one exception to the law. The patient can pay for the services of a doctor who works outside the insurance network, if this is the voluntary desire of the patient, and no later than 24 hours after the provision of assistance. To do this, the patient must complete a form in which the cost of payment and the cost of this service provided by the insurance policy.

If the patient inadvertently paid for the services of an outside doctor, then the payment must be returned within 30 days. Note that California has become the 21 state in which the new law applies.

Read also on ForumDaily:

15 of states where auto insurance after a fine will rise in price most

Republican senators unveiled a proposal to replace Obamacare

How a medical savings account helps pay less bills from hospitals

6 medical insurance facts that every New York State resident would like to know

Miscellanea In the U.S. медицина law California belaying
Subscribe to ForumDaily on Google News

Do you want more important and interesting news about life in the USA and immigration to America? — support us donate! Also subscribe to our page Facebook. Select the “Priority in display” option and read us first. Also, don't forget to subscribe to our РєР ° РЅР ° Р »РІ Telegram  and Instagram- there is a lot of interesting things there. And join thousands of readers ForumDaily New York — there you will find a lot of interesting and positive information about life in the metropolis. 



 
1083 requests in 1,137 seconds.