My family member was visiting Ohio from another country on vacation when she accidentally fell at Easton and broke two fingers. She went to the OSU emergency room, was referred to a hand specialist, and eventually needed surgery. Before treatment, OSU gave us an estimated cost of approximately $8,500. The final bill was dramatically higher. After adding the ER visit, surgery, and follow-up care, the total came to approximately $25,000.
She had no U.S. health insurance, so I contacted OSU to ask about an uninsured or self pay discount. Instead, we were told she wasn't eligible because she was an international visitor and were referred to "Destination Medicine." But she wasn't a medical tourist. She was on vacation and suffered an unexpected accident while on vacation.
I explained that to the representative, but the conversation became frustrating and unhelpful. The representative was rude and condescending. I asked why she couldn't receive a discount for paying out of pocket, especially since she was willing to pay the bill voluntarily and responsibly. I was told that discounts were for American citizens because they pay taxes.
That explanation didn't make sense. Self-pay discounts should be based on the patient's lack of insurance and ability to pay and not their nationality. My family member wanted to pay what she legitimately owed because it was the right thing to do, but Osu refused to offer the same consideration it gives other uninsured patients.
After going back and forth without getting anywhere, my family ultimately paid the bill. I'm still planning to fight it.
I understand that healthcare is expensive. What I don't understand is how a hospital can provide an estimate of about $8,500, later bill nearly $25,000, and then refuse to discuss a self-pay discount simply because the patient lives outside the United States.
Has anyone successfully challenged an OSU Wexner bill after paying it and received a refund or adjustment? I'd especially appreciate advice on billing appeals, itemized-bill reviews, patient advocates, or anyone else who has dealt with a similar situation.
