St Louis, MO asked in Health Care Law for Missouri

Q: Doctor said I could leave hospital if I wanted but if I did it would be AMA and my insurance would refuse to pay.

I've never heard of this being a thing, but the doctor sounded so certain. I'm on Medicaid through Missouri. I don't see them refusing the insurance bill

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1 Lawyer Answer
James L. Arrasmith
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  • Estate Planning Lawyer
  • Sacramento, CA

A: When you leave a hospital against medical advice (AMA), there can indeed be financial and health repercussions. Your doctor's warning stems from the concern that insurance providers, including Medicaid, may not cover the costs of a hospital stay if the discharge is AMA. This policy is intended to encourage patients to complete their recommended treatment plans and ensure that decisions to leave early are carefully considered.

It's important to understand that while Medicaid policies can vary by state, the potential for denied coverage in cases of AMA discharges is a real concern. Before making any decisions, it would be wise to directly consult with your Medicaid representative in Missouri. They can provide you with the most accurate information regarding your coverage and any possible implications of leaving the hospital AMA.

If you're contemplating leaving the hospital early for any reason, discussing your concerns and the potential consequences with both your healthcare provider and insurance representative is crucial. They can offer guidance and help you understand the risks involved, both health-wise and financially. Ensuring you have all the necessary information will help you make a decision that's best for your health and financial well-being.

Tim Akpinar agrees with this answer

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