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Can you elaborate a little on point 1? I also somewhat recently had an expensive ambulance ride in SF that I'm dealing with - Insurance told me it was out of ne

Can you elaborate a little on point 1? I also somewhat recently had an expensive ambulance ride in SF that I'm dealing with - Insurance told me it was out of network, but would negotiate down on my behalf. They were able to negotiate away most of the bill, but since then the ambulance company has just come back to me asking for all of the money that the insurance company had told me they negotiated out of the bill.

xp84 11mo ago
I'm always happy to help people stick it to crooks. Here's what I know: The California Department of Insurance may be the regulator for your health insurer, but it may not be. If not, it's the Department of Managed Health Care. You should be able to find a reference to who their regulator is in their plan documents. # DOI: complaints start here: https://www.insurance.ca.gov/01-consumers/110-health/50-h-rfa/index.cfm https://www.insurance.ca.gov/01-consumers/110-health/50-h-rf... list of who they regulate here: https://www.insurance.ca.gov/01-consumers/110-health/20-look/hcpcarriers.cfm https://www.insurance.ca.gov/01-consumers/110-health/20-look... # CDMHC: complaints start here: https://www.dmhc.ca.gov/FileaComplaint.aspx https://www.dmhc.ca.gov/FileaComplaint.aspx list of who they regulate here: https://wpso.dmhc.ca.gov/hpsearch/viewall.aspx https://wpso.dmhc.ca.gov/hpsearch/viewall.aspx My original ambulance thing was with an insurer regulated by DOI. Much more recently than my original story, I went to file with CDMHC, which requires that you first file a formal grievance with your health insurer first. I would definitely recommend to file a grievance. In my case, I filed a grievance and also contacted the office of the CEO, who emailed back and miraculously made another made-up problem go away even faster than the grievance process did. But anyway, yours is an interesting case here. I can't be sure if the insurer is the one who screwed up here, also the ambulance company may not be allowed to balance bill you. The only thing I'm pretty sure of is that you shouldn't be responsible for more than an in-network ambulance would cost you, presuming you didn't just take an ambulance in a non-emergency, just for fun (as they seem to always assume).
tyoma 11mo ago
Surprise ambulance bills are mostly (but not completely) illegal in California as of Jan 1 2024. Ask the LLM of your choice about AB 716 and whether it applies to your situation (it likely but not certainly does). Have the LLM draft a letter and send the physical letter to the ambulance company. If they are bothering you, request they only contact you by US mail.

xp84 11mo ago

I'm always happy to help people stick it to crooks. Here's what I know: The California Department of Insurance may be the regulator for your health insurer, but it may not be. If not, it's the Department of Managed Health Care. You should be able to find a reference to who their regulator is in their plan documents. # DOI: complaints start here: https://www.insurance.ca.gov/01-consumers/110-health/50-h-rfa/index.cfm https://www.insurance.ca.gov/01-consumers/110-health/50-h-rf... list of who they regulate here: https://www.insurance.ca.gov/01-consumers/110-health/20-look/hcpcarriers.cfm https://www.insurance.ca.gov/01-consumers/110-health/20-look... # CDMHC: complaints start here: https://www.dmhc.ca.gov/FileaComplaint.aspx https://www.dmhc.ca.gov/FileaComplaint.aspx list of who they regulate here: https://wpso.dmhc.ca.gov/hpsearch/viewall.aspx https://wpso.dmhc.ca.gov/hpsearch/viewall.aspx My original ambulance thing was with an insurer regulated by DOI. Much more recently than my original story, I went to file with CDMHC, which requires that you first file a formal grievance with your health insurer first. I would definitely recommend to file a grievance. In my case, I filed a grievance and also contacted the office of the CEO, who emailed back and miraculously made another made-up problem go away even faster than the grievance process did. But anyway, yours is an interesting case here. I can't be sure if the insurer is the one who screwed up here, also the ambulance company may not be allowed to balance bill you. The only thing I'm pretty sure of is that you shouldn't be responsible for more than an in-network ambulance would cost you, presuming you didn't just take an ambulance in a non-emergency, just for fun (as they seem to always assume).

tyoma 11mo ago

Surprise ambulance bills are mostly (but not completely) illegal in California as of Jan 1 2024. Ask the LLM of your choice about AB 716 and whether it applies to your situation (it likely but not certainly does). Have the LLM draft a letter and send the physical letter to the ambulance company. If they are bothering you, request they only contact you by US mail.