4 Things That Can Turn Into an Out-of-Pocket Nightmare

Keeping on top of your health is one of your top priorities – or at least it should be! You know you shouldn’t put off getting that weird pain you’ve been feeling or that mole on your arm checked out, so that whatever is going on doesn’t get any worse. But maybe you’re avoiding a trip to the doctor because you’re worried about the cost. And we get it: if you don’t have health insurance you could be facing a big, and we mean BIG bill from any medical provider you see; but even if you do have insurance, you could still find yourself stuck with a big bill if you don’t have the right health insurance plan. Find out which things besides co-pays and deductibles can turn into out-of-pocket nightmares, especially if you’re uninsured or underinsured.

1. Ambulance Rides

illustration of an ambulance
Ambulance services charge by the mile, and trips can easily cost you $1,000 or more!

As if having to take the ride to the hospital in an ambulance isn’t scary enough, wait until you see the amount that ambulance services charge. While ambulance rides are often covered by health insurance, your plan will usually not pay 100% of the bill: depending on your coverage and your policy limits, you could end up paying an average of around $550 out-of-pocket. And if you don’t have insurance? Ambulance services charge by the mile, and trips can easily exceed $1,000 and occasionally even reach $2,000. If you need an air ambulance, you’ll be looking at a bill of around  $27,000.

2. Your Lifestyle

Are you a dare-devil? Like tough mudder runs? Or maybe just want to stay as fit as possible so you work out regularly? That’s all great, but if you break a bone, tear a ligament, or injure yourself in any other way, you could end up with thousands of dollars in medical bills. If you don’t have health insurance or if you don’t have enough coverage, your active lifestyle could mean paying a lot of out-of-pocket. 

3. Outpatient Services

Surprisingly, outpatient services can land you with some large out-of-pocket bills. The average outpatient visit in the United States costs nearly $500, with recent studies showing that outpatient services account for 49% of medical debt. Doctors and specialists often push to provide services, including surgeries, at outpatient facilities rather than in the hospital; while these facilities are cheaper than hospitals, they are still expensive, and will often tack on extra fees that your health insurance will not pay for. 

4. Hospital Expenses

illustration of a doctor standing over a hospital patient and looking at an Xray
If you are not admitted, and are only under observation in the hospital, you can face some unexpected charges.

Studies show that the most common unexpected charges include emergency room visits, health-related tests, and specialist visits while a patient is staying in the hospital “under observation.” If you are not admitted to the hospital, but only “under observation” and your doctor requests tests, or visits you, these services are not simply covered under your hospital stay (which you would normally have a one-time copay for). Instead, you will pay for each doctor or specialist visit as a copay as if it was a visit to your doctor’s office, and you will have to pay the coinsurance for each lab work and/or test conducted in the hospital. All of these things can add up to a few hundred dollars. In addition, if you need any medical equipment afterward, such as a boot or crutches, these will also cost you a lot of money out-of-pocket. 

The health insurance Open Enrollment Period is still open until January 15 (depending on your state), so now is the perfect time to reconsider getting a health insurance plan or looking into your current one and making sure it will cover all of the above-mentioned costs. And if your plan doesn’t cover everything you need it to, it’s time to find a plan that does, so you can save as much money as possible. If you’re shopping for a plan, your best bet is to speak to a licensed EZ agent. Our agents work with the top-rated insurance companies in the nation, so we can compare plans in minutes. We will not only find a plan that has all the benefits you’re looking for, but we will also make sure the plan meets your financial needs. To get free instant quotes, simply enter your zip code in the bar above, or to speak to a local agent, call 888-350-1890. No obligation.

How to Avoid Astronomical Out-of-Pocket Medical Bills in 2022, Even if You Contract Covid

New reports surfacing show that people who dealt with Covid-19 in 2021 are now facing thousands of dollars in out-of-pocket medical costs from their hospitals, doctors, and ambulance companies. When the pandemic first started in 2020, doctors and hospitals were waiving fees such as co-pays and deductibles, when it came to Covid patients. That is no longer the case, leaving many people surprised with devastating out-of-pocket medical bills of $3,000 or more. Find out how you can avoid these debilitating costs this year. 

Average Medical Charges

evelope with the words final notice on it coming out of a red mailbox
People have been getting astronomical medical charges due to Covid hospitalization and treatment. 

The average Covid hospitalization costs approximately $40,000, researchers have found; many patients with job-related or self-purchased private insurance who did not have a waiver for medical services had to pay on average about $3,800 out-of-pocket for hospital care or other medical services due to Covid.

The study also suggests that insurer cost-sharing waivers for COVID-19 hospitalizations don’t always cover all hospital-related care. Overall, about 71% of insured patients who had a waiver still received a bill for any hospitalization, with an average cost of $788. 

So why were Covid patients required to pay so much more out-of-pocket medical bills in 2021 than they were in 2020? Well, as already pointed out above, most insurance companies stopped waiving fees,  changing their policies once the Covid vaccines became readily available to the public. 

“Many insurers claim that it is justified to charge patients for COVID-19 hospitalizations now that COVID-19 vaccines are widely available,” said study lead author Dr. Kao-Ping Chua, a health policy researcher and pediatrician at Michigan Medicine in Ann Arbor.

“However, some people hospitalized for COVID-19 aren’t eligible for vaccines, such as young children, while others are vaccinated patients who experienced a severe breakthrough infection. Our study suggests these patients could [have] substantial bills,” Chua said in a university news release.

How Can You Avoid These Charges?

The first way to avoid these charges? Protect yourself by getting the Covid vaccine. With that being said, even if you are vaccinated, you can still get a breakthrough infection, and you can still expect a bill if you seek care. So, the best way to avoid these charges is with a comprehensive and affordable health insurance plan: there are plenty of health insurance plans that will cover the majority of the costs, you just need to find the right one. In fact, with the right insurance plan, you could receive a waiver if you are hospitalized due to Covid, saving you usually around $2,000 or more.two hands shaking with a red heart in the background

Fortunately, you still have time: the Open Enrollment Period (OEP) has been extended until January 15 this year, so speak to an EZ agent now about how to enroll in a great plan without having to wait for a Special Enrollment Period qualification. Nobody should have to go without health insurance, especially during these difficult times, so if you would like to review options in your area, contact a local licensed EZ agent. Our agents are highly trained and work with the top-rated insurance companies in the nation, making comparing plans fast and easy. To get free quotes, simply enter your zip code in the bar above, or to speak with a licensed agent, call 888-350-1890.