Indianapolis, IN asked in Consumer Law, Criminal Law, Health Care Law and Medical Malpractice for Kentucky

Q: Tier 1 hospital billing as tier 2

I am a baptist health employee, I have the premier health plan through baptist which I pay the premium on. I am having surgery at this hospital, which is baptist owned. I was called with my estimate, it is double my tier 1 out of pocket max. After contacting the insurance company, I found out that my hospital has the ability to bill as either, however I am eligible to be billed as tier one according to my plan, which they are not. I am a baptist employee, with baptist insurance, having surgery at a baptist hospital and they are attempting to bill as Teir 2!! What can be done about this if anything?

1 Lawyer Answer
Leland Hulbert
Leland Hulbert
PREMIUM
Answered
  • Criminal Law Lawyer
  • Louisville, KY
  • Licensed in Kentucky

A: I don’t immediately see any criminal law issues for your question. That sounds like a health insurance billing issue. You could try contacting someone with the Department of insurance In your home state.

Tim Akpinar agrees with this answer

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