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Patients unexpectedly on hook for out-of-network ER care

Nauseous and dizzy after falling on ice, Lynne Martino called Geisinger Community Medical Center to ensure the Scranton hospital accepted her insurance before she sought treatment for a concussion at ... read more

Texas allows Blue Cross Blue Shield to deny payments for some out-of-network ER visits

Blue Cross and Blue Shield of Texas will begin a controversial new program Monday in which it will not pay any expenses for an out-of-network emergency room visit if it ... effect for sick or injured ... read more

Criticism Persists as Blue Cross Blue Shield Implements Emergency Care Policy Changes

Citing rising emergency-room costs, Blue Cross Blue Shield of Texas on Monday instituted a process to retroactively decide whether an out-of-network emergency ... to warrant emergency care, the patien... read more

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Out-of-network providers vex large employer plans

And since these providers can charge enrollees more than their plans are willing to cover, that means those patients could be on the hook for high ... brought charges from out-of-network providers, fo... read more

Out-of-network ER pay and charges fuel ire from docs and patients alike

The quarrel over surprise medical bills continues to escalate, and emergency room ... out-of-network rates based on their proprietary databases of historical charges. For out-of-network emergency care ... read more

Blue Cross faces criticism on billing change for out-of-network ER visits

The largest health insurance company in Texas is being closely watched by consumer watchdogs and hospital trade groups in Texas and across the U.S. as it prepares to crack down on overuse of costly em... read more

Anthem's controversial emergency room policy is target of Missouri lawmakers

Anthem Blue Cross Blue Shield of Missouri has warned patients that if they go to the emergency room for what Anthem considers minor ailments, they could be on the hook for the ... to pay for emergency ... read more

$12,000 for a bee sting? Emergency room visits get even pricier

Since the hospital was out of network ... 4 reasons why US health care is so expensive That's a good move, said Martin Makary, professor of surgery and health policy at Johns Hopkins University. When ... read more

EDITORIAL: Insurers are billing unfairly for some ER visits. Missouri legislators offered a good, albeit halfway fix.

Legislators should go all the way next session and take patients off the hook for balance billing in non-emergency room situations where the patient still has no control over procedures performed by o... read more

Why a Trip to the ER Could Cost You More Than You Expect

When you need emergency care, chances are ... could leave you on the hook for substantially higher charges than you might expect. Although the law protects patients from higher out-of-network cost sha... read more

Study details patients' financial burden from unexpected out-of-network costs

And what it found was that even patients who think they're following their health plan's rules may find still themselves on the hook ... Care Act does address out-of-network emergency care, but “emerg... read more

Lawmakers Introduce Legislation To Curtail Surprise Medical Bills

Texas Representative Lloyd Doggett, along with 20 co-sponsors, introduced the Ending Surprise Billing Act with the aim to put a stop to unfair and unexpected out-of-network charges. Under the proposed ... read more

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