Loophole In Federal Surprise Medical Bill Ban Leaves Patients At Risk Of High, Unexpected Ambulance Bills

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A new federal law went into effect this year banning balance billing, but the ban included a loophole for ground ambulance services. The CBS 11 I-Team investigates.

In the past, even if you went to a hospital that was approved as in-network with your insurance, the doctor or specialist may have still been out-of-network. That often could result in unexpected and high medical bills.

Two years ago, state lawmakers in Texas cracked down on surprise medical billing for state-regulated insurance plans, but the state law also made an exemption for ground ambulances. Lawmakers have been reluctant to include ground ambulance services on surprise bill bans, at least in part, because ambulance services are often run by local governments.

“There is always going to be this fight between the ambulance industry and the insurance industry, so this is really a problem that we need our policymakers to solve,” Pogue said. “They’re going to need to hold their feet to the fire to make them come up with solutions and to compromise.”

 

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