Air ambulance services have enabled rural Kentuckians to get advanced emergency care more quickly, but there's a catch.
"Increasingly, the service also can mean the difference between getting well at a price you can afford or at a price that could push you over a financial cliff," Trudy Lieberman writes for Rural Health News Service. "Air ambulances have become the centerpiece of a nationwide dispute over balance billing, a practice that requires unsuspecting families, even those with good insurance, to pay a large part of the bill."
On Wednesday, March 16, the state House Banking and Insurance Committee approved a bill calling for a study of air-ambulance charges. House Bill 273 was sponsored by Rep. Tom McKee, D-Cynthiana, "after a constituent of McKee�s was transported to the hospital via air ambulance after a fall, but it was an unexpected bill for thousands of dollars not covered by insurance which really knocked him off his feet," Don Weber reports for cn|2's "Pure Politics."
"McKee says having more information about emergency care transportation may have allowed the individual to avoid the high cost," Weber reports, quoting him: �I have learned in looking at it that certain air-ambulance companies provide a subscription service for perhaps as little as $50 a year, that you can have coverage to know if you need to be transported, the full cost would be paid. As we move forward, I think we�re going to learn a lot more to at least inform people.�
McKee said the charges, which can run well into five figures, may seem huge �but those air-ambulance companies have to keep people on duty and have to have a full crew ready to go at a moment�s notice. But, I think as citizens, we all need to know where we are in regard to being transported and things like we�ve learned, a subscription service could be available.�
Some committee members said they want to see if the charges are justified. �It�s nice to know what the cost is, $40,000, but if it only costs them $8,000 to do it,� said Rep. Steve Riggs, D-Louisville. �So we have to learn more than just what the average retail cost is, we have to also learn more about what the profit margin is.�
Lieberman reports that your air-ambulance bill may not be covered "because the provider is not in your insurer�s network," but "Sometimes it�s impossible to tell if a provider belongs to a network or not. When you are wheeled into the operating room, are you going to ask the anesthesiologist if he or she belongs to the hospital�s network? How many accident victims suffering from trauma are going to direct EMS workers to check if the air service is in or out of network before they�re lifted to a hospital? You can also get stuck even if the ambulance company is in the network. An insurance payment may not come close to covering the cost.
�Rates ambulance companies charge private patients are much more than they are charging to Medicare or Medicaid,� whose rates are too low to suit the companies. Consumers Union Programs Director Chuck Bell told Lieberman. �The air ambulance industry has grown rapidly, and prices have shot up a lot with some companies trying to make a quick buck.�
"Increasingly, the service also can mean the difference between getting well at a price you can afford or at a price that could push you over a financial cliff," Trudy Lieberman writes for Rural Health News Service. "Air ambulances have become the centerpiece of a nationwide dispute over balance billing, a practice that requires unsuspecting families, even those with good insurance, to pay a large part of the bill."
On Wednesday, March 16, the state House Banking and Insurance Committee approved a bill calling for a study of air-ambulance charges. House Bill 273 was sponsored by Rep. Tom McKee, D-Cynthiana, "after a constituent of McKee�s was transported to the hospital via air ambulance after a fall, but it was an unexpected bill for thousands of dollars not covered by insurance which really knocked him off his feet," Don Weber reports for cn|2's "Pure Politics."
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Rep. Tom McKee |
McKee said the charges, which can run well into five figures, may seem huge �but those air-ambulance companies have to keep people on duty and have to have a full crew ready to go at a moment�s notice. But, I think as citizens, we all need to know where we are in regard to being transported and things like we�ve learned, a subscription service could be available.�
Some committee members said they want to see if the charges are justified. �It�s nice to know what the cost is, $40,000, but if it only costs them $8,000 to do it,� said Rep. Steve Riggs, D-Louisville. �So we have to learn more than just what the average retail cost is, we have to also learn more about what the profit margin is.�
Lieberman reports that your air-ambulance bill may not be covered "because the provider is not in your insurer�s network," but "Sometimes it�s impossible to tell if a provider belongs to a network or not. When you are wheeled into the operating room, are you going to ask the anesthesiologist if he or she belongs to the hospital�s network? How many accident victims suffering from trauma are going to direct EMS workers to check if the air service is in or out of network before they�re lifted to a hospital? You can also get stuck even if the ambulance company is in the network. An insurance payment may not come close to covering the cost.
�Rates ambulance companies charge private patients are much more than they are charging to Medicare or Medicaid,� whose rates are too low to suit the companies. Consumers Union Programs Director Chuck Bell told Lieberman. �The air ambulance industry has grown rapidly, and prices have shot up a lot with some companies trying to make a quick buck.�
Princess Health and Patients may be liable for big bills from air ambulances; state House panel approves bill calling for study of companies' charges. Princessiccia
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