General Discussion
In reply to the discussion: People Don't Understand What Losing Obamacare Will Do To All Healthcare Plans [View all]NameAlreadyTaken
(2,140 posts)If it is an emergency, the airlift company can only bill the in-network price, even if they are not in the patient's network. This has been in effect since January 1, 2022, a result of the No Surprises Act.
What the patient pays is determined by the cost-sharing terms of the patient's insurance plan, but in many plans transportation is covered at 100% for emergencies.
"Balance billing" is no longer allowed per the No Surprises Act.
We live in rural Nevada and my husband recently took a 30-minute helicopter flight to a hospital. The bill submitted to the insurance company was about $51,000. I'm not sure how much the insurance company paid them. But he didn't have to pay any of it because he has already reached his out-of-pocket maximum for the year.
Emergency situations include injury resulting from an accident, or illness with acute symptoms like hemorrhage, shock, chest pain, respiratory distress, etc. Or oxygen administration due to hypoxemia, syncope, airway obstruction, or chest pain.