
According to U.S. Census data, 19% of American households carry medical debt, including 10% of households headed by someone 65 or older.
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What tips do you recommend to Medicare beneficiaries dealing with large medical bills? My partner is recovering from heart surgery. The medical bills are coming in quickly and straining us financially.
Medical debt has become a widespread issue in the United States. According to U.S. Census data, 19% of American households carry medical debt, including 10% of households headed by someone 65 or older. Even seniors on Medicare can struggle with complicated billing and coverage problems. To help lower your medical bills, here are some tips recommended by health care experts.
Double-check your bills
Medical bills may contain errors, including duplicate charges or in some cases charges for services you never received. If you are facing a high bill and are required to pay some portion of it, request itemized invoices from the hospital and other providers that detail the charges. Go through the invoices line by line and if you find something you do not understand or recall, contact the provider for an explanation or a correction.
Wait for your EOB
Doctors' offices and hospitals may mail initial bills to you before they even submit them to your health insurer. Hold off on any payment until you receive an explanation of benefits (EOB) from your provider – Medicare, supplemental Medicare, Medicare Advantage or private insurer. This will show what you owe after your insurance has paid its portion.
If your EOB shows that your insurer is refusing to pay for services you think should be covered, call them to see whether it is a correctable mistake, such as a coding error for a certain test or treatment. If it is truly a denial of coverage, you may need to file an appeal. For details on how to file a Medicare appeal, go to Medicare.gov/claims-appeals/how-do-i-file-an-appeal.
Ask for a discount
You can also call the hospital's accounting office or the billing staff at your doctor's practice and ask if they can reduce your bill. If you do have the funds to pay the entire bill, ask the hospital or provider for a "prompt pay" discount, which may save you between 10% to 25%.
If it is best for you to pay your bills over time, ask the billing office to set up a no-interest payment plan for you. Many providers offer payment plans to help ease the burden of medical debt.
You can also call the hospital directly and ask a billing specialist if the facility offers financial assistance. According to the American Hospital Association, almost half of U.S. hospitals are nonprofit. This means they may offer free or discounted services in some instances. This is usually reserved for low- to moderate-income patients who have limited or no health insurance, but requirements vary from hospital to hospital.
Get help
If you have not had any success on your own, contact the Patient Advocate Foundation to see if they can help you. If the foundation is available, they may offer assistance with understanding and negotiating your medical bills, free of charge. You may also consider hiring a medical billing professional to negotiate for you. However, be aware that these services can be costly. Be sure to choose someone who is credentialed by the Patient Advocate Certification Board.
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