Health insurance companies contract with medical providers to pay a certain percentage of a certain fixed amount for each type of charge. For instance, a hospital’s normal cost for a cat scan may be $2500. Your health insurance company may contract with that hospital to cap the total payment due for the cat scan at $1000. The $1500 difference is written off by the hospital, discounted. You have paid the insurance premium for health insurance coverage and should be entitled to its benefits regardless of how you were injured. Health insurance should be submitted to every medical provider that is treating you for your injuries that were the result of an accident that was the fault of another person.
If a medical provider insists that they bill the insurance of the responsible party directly without submitting it to your health insurance, please report this to RS Law for review.
If you do not have health insurance or you need treatment from a medical provider that is not in the insurance company’s network, RS Law may have options to help you obtain treatment for your injuries.
It is also important to note that some health insurance companies are legally entitled to be reimbursed for claims they have paid on your behalf that was the result of the negligence of another person. This is called subrogation. RS Law has experience working with health insurance providers and can cut the red tape associated with health insurance and personal injury claims. Call today for a free consultation.