Site last updated: Saturday, November 23, 2024

Log In

Reset Password
MENU
Butler County's great daily newspaper

How to avoid costly medical bills

Experts offer the following tips for avoiding surprise medical bills for preventive care:

• Call your insurance plan — the 800-number on your insurance card — to find out whether the plan must comply with the Affordable Care Act. If your plan is “grandfathered,” it’s exempt from the law’s requirement to pay for preventive care.

• When scheduling an appointment or talking with your doctor, clarify that you’re coming in for a covered preventive service and you don’t expect to be charged. The doctor must be in your health plan’s network.

• If you’re hit with an unexpected bill, call the doctor’s office and ask how the bill was submitted. Was it submitted as a preventive care service?

• Complain to your state’s insurance department if you believe you’ve been billed in error.

Covered services

The following is a partial list of services that should be covered without copays or other cost-sharing by the patient:

• Alcohol misuse screening and counseling

• Aspirin use for men and women of certain ages

• Blood pressure screening for all adults

• Cholesterol screening for adults of certain ages or at higher risk

• Colorectal cancer screening for adults, starting at age 50

• Depression screening for adults

• Type 2 diabetes screening for adults with high blood pressure

• Diet counseling for adults at higher risk for chronic disease

• HIV screening for all adults at higher risk

• Flu shots and other recommended vaccines for adults and children

• Obesity screening and counseling for adults and children

• Tobacco use screening for all adults and cessation interventions for tobacco users

• Breast cancer mammography screenings every 1 to 2 years for women over 40

• Cervical cancer screening for sexually active women

• Folic acid supplements for women who may become pregnant

• Osteoporosis screening for women over age 60 depending on risk factors

• Autism screening for children at 18 and 24 months

• Depression screening for adolescents

• Fluoride supplements for children without fluoride in their water source

• Hearing screening for all newborns.

Sources: U.S. Department of Health and Human Services; Georgetown University Health Policy Institute.

More in Health

Subscribe to our Daily Newsletter

* indicates required
TODAY'S PHOTOS