Category: Insurers

An Anesthesiology Practice’s Busy Day in Court Collecting on Surprise Bills

Legislative crackdowns on out-of-network bills haven’t kept specialists from hitting patients with unexpected charges running into thousands of dollars.

Stranded by the Pandemic, He Had Only Travel Insurance. It Left Him With a $38,000 Bill.

Although it’s possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don’t apply to travel insurance.

KHN’s ‘What the Health?’: Why Health Care Is So Expensive, Chapter $22K

Congress is making slow progress toward completing its ambitious social spending bill, although its Thanksgiving deadline looks optimistic. Meanwhile, a new survey finds the average cost of an employer-provided family plan has risen to more than $22,000. That’s about the cost of a new Toyota Corolla. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Rebecca Love, a nurse academic and entrepreneur, about the impending crisis in nursing.

Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap

TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.

New Health Plans Offer Twists on Existing Options, With a Dose of ‘Buyer Beware’

Fueled by consumer frustration with high premiums and deductibles, two new offerings promise a means for consumers to take control of their health care costs. But experts say they pose risks.

California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.

Jaw Surgery Takes a $27,119 Bite out of One Man’s Budget

A Seattle patient discovers the hard way that you can still hit a lifetime limit for certain types of care. And health plans can vary a lot from one job to the next, even if the insurer is the same.

Analysis: Don’t Want a Vaccine? Be Prepared to Pay More for Insurance.

Health insurers could do more to encourage vaccination, including letting the unvaccinated foot their bills.

Diabetes Drug’s New Weight Loss Formula Fuels Cost-Benefit Debate

Health plans’ coverage of the medication, branded as Wegovy — which has a $1,300-a-month price tag — is not a sure thing.

Contraception Is Free to Women, Except When It’s Not

The landmark federal health law required most commercial health plans to cover a comprehensive list of birth control methods approved by the Food and Drug Administration free of charge to female patients. But health plans don’t have to cover every option, and newer methods are not included in the federal list of covered services.