Punished for insurance? Insured patients pay more for same care

Two patients with the same symptoms receive the same treatment at the same hospital. Same bill, right? Patient Patti Joiner learned the hard way that insurance isn’t health care when she visited a Texas emergency room along with...

New CMS co-pay rule will increase out-of-pocket costs in 2020

Get ready for higher out-of-pocket costs in 2020. Last week, the Trump administration's Centers for Medicare & Medicaid Services quietly announced new co-pay rules that will allow insurance companies to increase patients' out-of-pocket costs in 2020. The news is...

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"I was in shock, but I was so weak that I couldn't even worry," says a patient billed $540,841.90 for 14 weeks of dialysis care.

This story is why we need reforms that protect patients from surprise medical bills.
https://t.co/OriOXRL3Rz

Patients need protections from surprise medical bills.

"During medical emergencies, or even standard care, we cannot expect patients to keep track of every doctor who treats them to ensure they are staying 'in network,'," says Liz Helms @CAChronicCare
https://t.co/fdKzO5dhjz

Advocacy News

New CMS co-pay rule will increase out-of-pocket costs in 2020

Get ready for higher out-of-pocket costs in 2020. Last week, the Trump administration's Centers for Medicare & Medicaid Services quietly announced new co-pay rules that will allow insurance companies to increase patients' out-of-pocket costs in 2020. The news is...

From Our Patient Advocates

As a patient, I expect to be able to access the health care services I need.

“Medicare refuses to cover my tube feeds. Since my doctor is unable to show proof that I will need my feeding tube forever, they don’t deem it as necessary. Reality is, without my feeding tube I wouldn’t be here today. I need it to survive. The rules and regulations are a one-size-fits-all model for humans who are complex and unique.”

Carolanne Monteleone

Gastroparesis Patient, Pennsylvania

As a patient, health care decisions will remain between me and my doctor.

“It is essential to find a doctor or team who not only listens to and believes you but also respects you, it’s all too easy to get overlooked, ending up with your insurance company dictating your care. I owe my parents everything for taking me to a psychiatrist when I was six or seven and unable to function due to my intrusive thoughts and obsessive tendencies. I can’t imagine how much more painful my childhood might have been otherwise. Access to the right kind of medical care can be not only the difference between life and death, it can also be the difference between misery and a life worth living.”

Hannah Page

Borderline Personality Disorder, New York, NY

As a patient, additional health care costs will be limited by my health insurance company.

“Insurance should protect me from catastrophic costs as that’s the purpose of insurance. My costs should be a reflection of my care, not the cost of a company doing business. I will not be charged unreasonable or unexpected out-of-pocket costs for services after I have paid my premiums. Why should patients like me pay coinsurance based off the list price and not the negotiated rebate price? My insurance company should work to minimize my out of pocket costs and concentrate on providing care to me and my family.”

Bob Tufts

Multiple Myeloma, New York, NY