Why Taking Time Out for Medical Bills is Worth It (2024)

Why Taking Time Out for
Medical Bills is Worth It

Medical bills. UGH! Such a pain in the ass. You see them in the mail, roll your eyes and wonder what it is this time. Dealing with them can often leave you feeling overwhelmed and frustrated. They are not made to be easy to understand. The more complex, the more likely you are to just pay it. I was guilty of it myself recently, which is how this story came about.

When dealing with an acute illness such as ALS, you can bet there’s going to be a bill every time you turn around. The key is keeping up with them while also ensuring you are not overpaying or paying for something you did not get.

As much as it sucks, time should be carved out to deal with these. This story is for a small amount owed, but consider this amount multiplied by many, and at larger amounts. Also consider that there are many charges that are not accurate due to coding errors and that often get dropped or reduced.

It’s up to you to take the time out to review these things carefully, and follow up when something doesn’t seem right.

Here’s how we got money back from an invoice that showed we had a balanced owed.

One Phone Call Can Make the Difference

Why Taking Time Out for Medical Bills is Worth It (1)

Last year Brian was having an issue with his big toenails. Somehow, both big toes managed to get infected all of the sudden. As hard as I tried with cleaning and peroxide, cutting and filing, they just wouldn’t heal.

Our hospice nurse recommended we take Brian to the podiatrist to get the nail beds cut out and removed for good. It would solve the problem once and for all. (Note: Hospice is typically for those preparing for the end, yet many ALS patients are on it for the services it provides. Brian was on hospice at that time.)

The last thing Brian needs is an infection so we went to see the doctor. As always, getting out is a tedious affair and one that ends up taking all day.

We went and the doctor was cool and he told us yeah, no problem, he could take care of it that day. He did mini surgery on Brian’s toes, first pouring a freezing liquid on each toe, then digging in to cut some of the nail bed out. It was painful watching as Brian winced. I hated watching him suffer when he already did so much.

We left there paying nothing. As we were leaving I pulled out my wallet to pay and the front desk told me nothing was due that day, that Brian was on Medicare. Whatever, we were ready to get back home so great, thank you, we hauled all our crap outta there and headed home.

A few weeks later I received a bill from the doctor’s office for some $636. Ummmmm…what?!? We had been billed full price for the procedure. Here we go again.

I called and told them we had Medicare. They said that it was denied. I called Medicare and was told that the claim was denied due to Brian being on hospice. As a gesture of good faith I went ahead and paid $213 of it, as I felt sure sure the claim would be denied. Note: don’t assume anything! (I knew better.)

Being on hospice meant that he could no longer receive anything considered a treatment. That includes routine care. It’s ridiculous! Once on hospice, it can feel like ‘hurry up and die’. Brian’s toes were infected. Were we supposed to just let them rot off?

The appointment was less than an hour all together. I then wrote a letter to Medicare, filing a dispute. It took me time, thought and energy writing the letter when I could have been spending that time focused on Brian.

So I sent the letter off and didn’t hear anything for months. The next communication was in February when I received an updated bill from the doctor.

It had been run through Medicare again and the charges had been adjusted. The bill showed that we owed $37.46. Here’s where it could have gone a couple of different ways.

My first, quick reaction was that it had been adjusted and that’s what balance was owed.

Instead, I looked closer. The invoice also showed that we’d made a payment of $31.48.

Here’s the thing. We’d made no such payment. AND the $213 was nowhere on the bill! If I had not looked and really crunched the numbers I might have just paid it and moved on.

Why Taking Time Out for Medical Bills is Worth It (2)

I couldn’t figure out where their payment amount was coming from so I called.

The receptionist tried to quickly explain that yep, we made that payment and yep, that was the balance and yep, we can pay this way or…..

Hold up! I politely but firmly told her we’d made already made a payment of $213 and asked where that was on the bill, and told her the numbers weren’t adding up and asked that she explain it to me in detail.

I could feel her panic as she tried to think of something and said, “Uhhhh’. She asked to put me on hold. After some time another woman came on and said she was so and so and that yes, I was correct, that we did not owe them a balance.

Pause. Waiting. Waiting.

Finally I said, “Right, but you actually owe me money back. Riiiight?” Then she was very quick to say oh yes, yes, uh huh.

Pause.

“And you will just mail me a check, or…..?”

She said yes and verified our address. That was last week. We shall see!

This is one story of so many that are the same in that they bring our frustration levels up and stress us out when we’re already dealing with ASSHOLE ALS!

Pay attention to your medical bills, people. Heck, pay attention to ALL your bills! Be sure you’re not being overcharged anywhere. It takes time and energy, but taking time out for medical bills is worth it!

See our five point checklist to complete before paying another medical bill here.

Good luck to those of you dealing with insurance and medical bills! Feel free to share your stories and tips in the comments.

Why Taking Time Out for Medical Bills is Worth It (3)

Hi there! We’re Brian and Jen

Here we share our journey with Brian’s ALS diagnosis, along with stuff we find interesting. We just started beekeeping and love to teach what we learn as we go. Life’s crazy, best to buckle up and enjoy the ride!

CHECK OUT BRIAN’S ART

HERE

Why Taking Time Out for Medical Bills is Worth It (4)

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Why Taking Time Out for Medical Bills is Worth It (2024)

FAQs

How to negotiate past due medical bills? ›

Ask for a lower bill

In the case that there are no errors but you still can't pay your bills, ask your health care provider if they can lower the charges. Contact their billing department and let them know your position. Be sure to be patient and polite as this process can take some time.

Why is it so important to read through your medical bills? ›

When you get a bill from your provider or facility, compare it with the Explanation of Benefits to make sure you were billed for the correct services and supplies. Also, compare the amount on your medical bill to the amount the Explanation of Benefits says you owe to make sure the amount is correct.

Why should you ask for an itemized bill? ›

Transparency: An itemized bill provides a clear and detailed breakdown of all the individual charges associated with a patient's medical care. This transparency helps patients understand the specific costs of their treatment and allows them to review and verify the accuracy of the charges.

Why should medical bills be lowered? ›

The benefits of reducing healthcare costs impact everyone, from patients to hospital owners. Cost-effective care can result in reduced administrative burden. Creating cost-effective care often involves streamlining administrative processes, eliminating unnecessary paperwork, and reducing bureaucratic inefficiencies.

Do medical bills affect your credit? ›

Medical debt is not reported to credit bureaus as long as it remains with your healthcare provider. If you don't pay the bill for at least three months, however, your provider may sell it to a collections agency. That's when it can ding your credit score.

What to say to get your bills lowered? ›

Consider asking about specific deals you might be entitled to—students, military personnel, and veterans are often eligible for certain discounts. And of course—mention you're looking to switch providers. “They usually want to retain you as a customer,” says Roth. “So there is room for negotiation.”

Why is medical bills so expensive? ›

The complexity of the U.S. healthcare system can lead to administrative waste in the insurance and provider payment systems. The consolidation of hospitals can lead to a lack of competition or even a monopoly, granting providers the opportunity to increase prices.

Do people actually pay medical bills? ›

A recent Census Bureau analysis on medical debt at the household level found 15% of households owed medical debt in 2021. In this analysis, SIPP data is summarized at the individual level for adults who reported owing over $250 in unpaid medical bills as of December 2021.

What is the explanation of benefits in medical billing? ›

An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isn't a bill. It helps you understand how much your health plan covers, and what you'll pay when you get a bill from your provider.

What are possible results of asking for an itemized medical bill? ›

Asking for an itemized medical bill may slow down insurance reimbursem*nt, lead to additional charges, but can also help reduce the total bill amount.

Why is it important to ask for a bill? ›

Mainly to record the transaction. Usually on transactions there are taxes that are paid. If taxes are not paid, it is like fooling the government and hence the masses, it is not a good thing to do. In an ideal scenario when a bill/receipt gets printed there is a documentation trail that is started.

What is the difference between a claim and an itemized bill? ›

Claim: The claim will usually contain the itemized bill, statements, and charges for your visit. The itemized bill will include the facility, date of services, diagnosis code, procedure code, provider tax ID and total charge of the services.

How do you argue down medical bills? ›

1. Understand your medical bill.
  1. Request an itemized bill. Like a receipt, an itemized bill breaks down all the charges, including the cost of each procedure, medication, and service. ...
  2. Double-check your medical codes. ...
  3. Compare prices. ...
  4. Offer to pay upfront. ...
  5. Try a payment plan. ...
  6. Negotiate based on comparable rates.
Feb 15, 2024

What happens in America if you can't afford healthcare? ›

Not having health insurance can lead to large debt, affect your health if you delay care and may even hurt you at tax time, depending on your state.

How much medical debt does the average American have? ›

This analysis of government data estimates that people in the United States owe at least $220 billion in medical debt. Approximately 14 million people (6% of adults) in the U.S. owe over $1,000 in medical debt and about 3 million people (1% of adults) owe medical debt of more than $10,000.

How do I ask for a discount on a medical bill? ›

How to Negotiate Medical Bills
  1. Ask for a detailed bill. ...
  2. Make it clear that the current amount represents a hardship. ...
  3. Ask about available discounts. ...
  4. Express a willingness to pay to your best ability. ...
  5. Be persistent (and polite) ...
  6. Appeal insurance denials. ...
  7. Suggested script for negotiating your medical debt.
Jun 28, 2023

How do you negotiate past due debt? ›

Whether you decide to negotiate a debt settlement on your own or through a debt relief company, there are six basic steps to negotiating a debt settlement.
  1. Verify the debt. ...
  2. Decide how much you can pay. ...
  3. Contact the creditor. ...
  4. Complete the deal in writing. ...
  5. Make your payment. ...
  6. Follow up with the credit bureaus.
Jun 20, 2024

What are some steps or techniques you can use to reduce medical bills or negotiate lower prices? ›

Here are some tips on how to choose a provider and a price before getting socked with unexpected or larger-than-expected bills.
  • Use In-Network Care Providers.
  • Research Service Costs Online.
  • Ask for the Cost.
  • Ask About Options.
  • Ask for a Discount.
  • Seek Out a Local Advocate.
  • Pay in Cash.
  • Use Generic Prescriptions.

Can a doctor bill you 2 years later in Michigan? ›

(d) That a health professional and facility must bill a qualified health plan within 1 year after the date of service or date of discharge from the health facility.

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