#1

Balance Billing

When a patient’s insurance company has indicated that emergency ground ambulance services and/or non-emergency ground ambulance services required to coordinate their care are covered under the plan that the patient has purchased, the insurance company should reimburse the ground ambulance service consistent with the local requirements.

Unfortunately, many insurance companies mislead patients into believing that these essential health services are fully reimbursed, when in fact the insurance company has no intention of providing the reimbursement level that the patient expected. When this situation occurs, local and state laws allow the patient to be billed for the part of the ground ambulance service rate that the insurer refused to pay.