As of January 1, 2020 Nevada hospitals can know longer balance bill patients for medical services. Accidents and illnesses can happen to anyone. We purchase health insurance for protection, to protect us from costly medical bills. The average cost of emergency services in Nevada can amount to over $10,000. The average cost of inpatient hospital services can be over $100,000.
There are different types of health insurance available in Nevada. One common form is major medical insurance. Major medical insurance contains things like a deductible, co-insurance, co-payment, and out of pocket maximum limits. These are medical expenses that consumers are responsible for. When consumers purchase major medical insurance they are agreeing to specified terms and conditions. One being the use of medical providers and facilities.
When a health plan member visits an in network medical facility they are agreeing to pay there share of allowable medical expenses. However, before AB469 was passed hospitals would allow non health plan doctors to provide medical services. Providers would submit payment request to a consumers health plan for payment when the health insurance company deny the claim the full amount for medical services is then sent to the patient for payment. This is wrong. AB469 stops non contractor providers with balance billing patients. The only charges patients is responsible for is there share under the health insurance plan the consumer has enrolled in.
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