Category: out of pocket costs

California’s Expanded Health Coverage for Immigrants Collides With Medicaid Reviews

A state policy to extend Medi-Cal to qualified Californians without legal residency is running up against a federal requirement to resume eligibility checks. The redetermination process is causing many Latinos, who make up a majority of Medi-Cal beneficiaries, to be disenrolled.

When Copay Assistance Backfires on Patients

Drugmakers offer copay assistance programs to patients, but insurers are tapping into those funds, not counting the amounts toward patient deductibles. That leads to unexpected charges. But the practice is under growing scrutiny.

If You’re Poor, Fertility Treatment Can Be Out of Reach

For low-income people who are on Medicaid or whose employer health plan is skimpy, help for infertility seems unattainable.

Out for Blood? For Routine Lab Work, the Hospital Billed Her $2,400

Convenient as it may be, beware of getting your blood drawn at a hospital. The cost could be much higher than at an independent lab, and your insurance might not cover it all.

New California Law Offers Fresh Protection From Steep Ambulance Bills

The law, which takes effect Jan. 1, prohibits out-of-network ground ambulance operators from billing patients more than they would pay for in-network rides. It also caps how much the uninsured must pay.

CDC Faces Dilemma Over Recommending New Covid Booster for All

Chances are, if you aren’t older, chronically ill, or obese, you don’t need a forthcoming covid vaccine to stay out of the hospital. But it probably wouldn’t hurt.

His Anesthesia Provider Billed Medicare Late. He Got Sent to Collections for the $3,000 Tab.

Medicare was supposed to cover the entire cost of his procedure. But after the anesthesia provider failed to file its claims in a timely manner, it billed the patient instead.

New Weight Loss Drugs Carry High Price Tags and Lots of Questions for Seniors

Although nearly 40% of Americans 60 and older are obese, Medicare doesn’t cover weight loss medications. Meanwhile, studies haven’t thoroughly examined new drugs’ impact on older adults.

Once the New Over-the-Counter Birth Control Pill Is Available, What About Cost and Coverage?

The Food and Drug Administration’s approval is viewed as groundbreaking, but many details still must be figured out.

A $229,000 Medical Bill Goes to Court

In 2014, Lisa French had spinal surgery. Before the operation, she was told she would have to pay $1,337 in out-of-pocket costs and that her insurance would cover the rest. However, the hospital ended up sending French a bill for $229,000. When she didn’t pay, it sued her. The case went all the way to […]