• FreeAdvice has a new Terms of Service and Privacy Policy, effective May 25, 2018.
    By continuing to use this site, you are consenting to our Terms of Service and use of cookies.

I'm unable to pay a medical bill

Accident - Bankruptcy - Criminal Law / DUI - Business - Consumer - Employment - Family - Immigration - Real Estate - Tax - Traffic - Wills   Please click a topic or scroll down for more.

Status
Not open for further replies.

Maxx62

Junior Member
What is the name of your state? North Carolina

I'm a disabled senior receiving approximately $1,882 a month in SSDI, which I must use to support both myself and my wife. After our expense we have approximately $18.00 a month left over. Additionally, my wife has no income of her own, we do not own any property, we do not own any vehicles, and we do not have any savings.
I'm also receiving Medicare Part A and Part B.

Back in July I called a local medical clinic to schedule an appointment, the appointment ended up being in mid-August. During my phone call, I gave all of my medical and insurance information to the receptionist, and I asked her if I would incur any out of pocket expenses as a result of being seen at the clinic. The receptionist stated that, based upon what she saw right in front of her, I should not be faced with any out of pocket expenses after being seen at the clinic. (My wife who almost never backs me up over heard this part of the conversation on the phone, and she agrees that is what the receptionist told me.)

Now, I have recently received a bill in the neighborhood of $300.00 from the above clinic, which I cannot pay. I went to this particular clinic because it was represented to me as a low cost clinic, and because the receptionist led me to believe that I would not incur any out of pocket costs. Now I'm devestated by this bill, and I don't know what to do about it. I tried contacting them and letting them know that I cannot pay, but they are firm that I must pay the bill which they have sent to me.

I'm hoping that since my only source of income is SSDI, that they won't be able to touch that, even if this goes to collections and or small claims court?

Another factor is, I have done a decent job of keeping my credit report clean, because my wife and I are trying to move into a low income senior apartment, but if this debt sours my credit report, then we may not qualify to move in. Any advice greatly appreciated.
 


Bali Hai Again

Active Member
What is the name of your state? North Carolina

I'm a disabled senior receiving approximately $1,882 a month in SSDI, which I must use to support both myself and my wife. After our expense we have approximately $18.00 a month left over. Additionally, my wife has no income of her own, we do not own any property, we do not own any vehicles, and we do not have any savings.
I'm also receiving Medicare Part A and Part B.

Back in July I called a local medical clinic to schedule an appointment, the appointment ended up being in mid-August. During my phone call, I gave all of my medical and insurance information to the receptionist, and I asked her if I would incur any out of pocket expenses as a result of being seen at the clinic. The receptionist stated that, based upon what she saw right in front of her, I should not be faced with any out of pocket expenses after being seen at the clinic. (My wife who almost never backs me up over heard this part of the conversation on the phone, and she agrees that is what the receptionist told me.)

Now, I have recently received a bill in the neighborhood of $300.00 from the above clinic, which I cannot pay. I went to this particular clinic because it was represented to me as a low cost clinic, and because the receptionist led me to believe that I would not incur any out of pocket costs. Now I'm devestated by this bill, and I don't know what to do about it. I tried contacting them and letting them know that I cannot pay, but they are firm that I must pay the bill which they have sent to me.

I'm hoping that since my only source of income is SSDI, that they won't be able to touch that, even if this goes to collections and or small claims court?

Another factor is, I have done a decent job of keeping my credit report clean, because my wife and I are trying to move into a low income senior apartment, but if this debt sours my credit report, then we may not qualify to move in. Any advice greatly appreciated.
Did you submit a claim dispute with Medicare? You can do this online. Having dealt with Medicare, supplemental insurance and care providers myself, I have found that the majority of these people don’t know what they are talking about.

https://www.consumerfinance.gov/about-us/blog/medical-debt-anything-already-paid-or-under-500-should-no-longer-be-on-your-credit-report/

https://www.consumerfinance.gov/about-us/blog/medical-debt-anything-already-paid-or-under-500-should-no-longer-be-on-your-credit-report/
 

cbg

I'm a Northern Girl
It won't help you now but for future reference, the entity to ask if you will incur any out of pocket expenses is not your doctor's office but your insurance carrier. In this case, Medicare. The receptionist cannot possible carve you an answer in stone based on what insurance you have. It's only the insurance carrier that can provide that kind of information.

The receptionist gave you her bast shot - BASED ON WHAT INFORMATION SHE HAD IN FRONT OF HER you should not have any additional expenses. But what she had in front of her was not the entire policy; nor can she tell in advance of the visit what additional charges might be incurred during the visit itself.

I am by no means unsympathetic, believe me. But this is not the receptionist's fault.
 

Maxx62

Junior Member
Did you submit a claim dispute with Medicare? You can do this online. Having dealt with Medicare, supplemental insurance and care providers myself, I have found that the majority of these people don’t know what they are talking about.

https://www.consumerfinance.gov/about-us/blog/medical-debt-anything-already-paid-or-under-500-should-no-longer-be-on-your-credit-report/

https://www.consumerfinance.gov/about-us/blog/medical-debt-anything-already-paid-or-under-500-should-no-longer-be-on-your-credit-report/
No I haven't try to do that yet. I did talk with a benefit "specialists" at the local senior center, but she said that Part B only covers 80% of most medical care. I did not know this, because before I moved to the state where I'm now living, I used to have Medicaid in my previous state, and I guess that Medicaid was paying the other 20% which Medicare was not paying. I didn't realize that Medicaid was paying 20% until I lost my Medicaid by moving to another state.

I'm going to call Medicaid where I'm now living to see if I can get enrolled here, but as you mentioned, seems like a lot of people working in this area don't know what they are doing, and they don't care helping anyone.

In the meanwhile my wife and I have to rely upon free food from a charity organization to make it, and there is no way I can pay this bill.
 

Maxx62

Junior Member
But this is not the receptionist's fault.
I feel that the receptionist was wilfully dishonest and misleading when she gave me such information, and if she couldn't answer the question, then she should have said that she didn't know.
 

adjusterjack

Senior Member
Sorry, but I have to agree that this was not the receptionist's fault.

I did talk with a benefit "specialists" at the local senior center, but she said that Part B only covers 80% of most medical care. I did not know this, because before I moved to the state where I'm now living, I used to have Medicaid in my previous state, and I guess that Medicaid was paying the other 20% which Medicare was not paying. I didn't realize that Medicaid was paying 20% until I lost my Medicaid by moving to another state.
All the more reason to study, very carefully, your insurance (any insurance) when you make a big change in your life.

If you have only Medicare A and B, without a supplement

"For Part B-covered services, you usually pay 20% of the Medicare-approved amount after you meet your deductible. This amount is called your coinsurance. "

That is an exact quote from Medicare and You 2023, provided by Medicare, which you would have, and should have, known had you read it.

I feel that the receptionist was wilfully dishonest and misleading when she gave me such information, and if she couldn't answer the question, then she should have said that she didn't know.
"Wilfully dishonest"? No sir. That's the typical reaction from somebody who wants to blame somebody else for their mistake.
 

cbg

I'm a Northern Girl
She did not tell you that you would incur no charges. She said that AS FAR AS SHE COULD TELL RIGHT THAT VERY MINUTE you would incur no charges. She gave you a qualified answer to a question that you never should have asked her in the first place. It is NOT her job to tell you about your insurance. It is Medicare's job. But you didn't ask Medicare - you asked her. She gave you the best answer she could with the information available to her.

I have more than 40 years experience with this. You are blaming the wrong person. This was not her fault no matter how much you want it to be,
 

Maxx62

Junior Member
Sorry, but I have to agree that this was not the receptionist's fault.
And congratulations, because that is completely worthless information, which is of no use to anyone. Why don't you tell everyone what your favorite flavor of ice cream is, because that would also be equally useful.
 

Maxx62

Junior Member
She did not tell you that you would incur no charges. She said that AS FAR AS SHE COULD TELL RIGHT THAT VERY MINUTE you would incur no charges. She gave you a qualified answer to a question that you never should have asked her in the first place. It is NOT her job to tell you about your insurance. It is Medicare's job. But you didn't ask Medicare - you asked her. She gave you the best answer she could with the information available to her.

I have more than 40 years experience with this. You are blaming the wrong person. This was not her fault no matter how much you want it to be,
This is completely useless information, and not the least bit helpful.
 

cbg

I'm a Northern Girl
I told you it wasn't going to help in the short term. But if the next time you need medical care, if you call Medicare instead of blaming the doctor's receptionist for giving you a qualified answer that you failed to follow up on with the proper resources, I'll have done my job.
 

Maxx62

Junior Member
Your snotty responses to me and cbg are typical "shoot the messenger" responses of people who cannot accept the truth.
Your information isn't what I asked for, and it was completely useless in solving my legal issues. I suspect that neither of you should be offering legal advice to anyone.
 
Status
Not open for further replies.

Find the Right Lawyer for Your Legal Issue!

Fast, Free, and Confidential
data-ad-format="auto">
Top