How hospitals calculate the costs of an emergency room visit may surprise you. Patients that have health insurance actually pay less than those who do not have insurance. Why? Hospitals negotiate lower treatment charges with managed care or private insurers. One reason hospitals do this is because they have a better chance of getting paid by an insurance company than they do by a patient without health insurance.
Medicaid and Medicare actually set the prices that emergency rooms can charge patients for treatment. These charges are significantly less than what other patients are charged.
Those without health insurance can negotiate with hospitals to lower the price tag of their emergency room visit. Think of it as retail shopping. Regular prices are over inflated. Retailers and hospitals can afford to put their merchandise or services on sale and still make a profit. Hospitals are willing to accept payment less than full price because some payment is better than no payment.
The cost of the emergency room visit will vary depending on the severity of the injury. Geographic regions also play a part in emergency room pricing. If testing or surgery is needed, the cost of the visit will increase.
Often, health insurance companies dictate that patients choose a hospital when they enroll in a health insurance plan. If someone is injured and needs emergency room treatment, the patient must go to the named hospital in order to receive full coverage. Health insurance companies are actually easing up on these requirements. Insurance providers are also becoming more flexible with pre-approval and referral requirements.
This article is contributed by http://www.termlifeonly.com.