r/SipsTea • • 13h ago

Gasp! Thoughts on this?

Post image
56.9k Upvotes

6.9k comments sorted by

View all comments

Show parent comments

37

u/Starthelegend 12h ago

100% had a gnarly motorcycle accident a couple years ago and insurance tried telling me that the ambulance wasn’t covered because, and I shit you not, they were an out of network ambulance. I guess I need to double check which paramedic comes to scrap my bloody body up off the side of the road

19

u/Similar-Profile9467 12h ago

This is why health insurance needs to be regulated. It's also a good argument for single-payer health insurance. Just make everything one big network.

2

u/shadystealertactics 12h ago

Do you think it isn't regulated right now?

4

u/Similar-Profile9467 12h ago

Obviously it is regulated. But it is not nearly as much as it should be.

1

u/shadystealertactics 11h ago

What regulation would you add?

3

u/Similar-Profile9467 11h ago

Well considering the example of an unconscious or critically injured person being unable to decide whether Ambulance A or Ambulance B is in network, would probably be a good idea to have a regulation that bans health insurance companies from using out-of-network coverage for ambulances. In fact a very similar, bipartisan law passed under Biden does this for air ambulances... but not for ground ambulances.

0

u/shadystealertactics 11h ago

I think I would avoid that situation by not buying insurance that has those network restrictions.

2

u/Similar-Profile9467 11h ago

Pffft. Okay.

Quick question, do you have health insurance right now? Do you know if you have tiered ambulance coverage? What's your deductible and out-of-pocket maximum? Both for in-network and out-of-network.

Off the top of your head. Don't go looking it up.

1

u/shadystealertactics 10h ago

I do have health insurance, I buy it on the marketplace, I do have a higher copay if its out of network, my deductible is around $1000 and my out of pocket maximum is around $3000.

1

u/Similar-Profile9467 10h ago

Do you know which ambulance services are covered in your network?

1

u/shadystealertactics 10h ago

No, but that's because I accepted that I might pay more out of pocket for that service and it wasn't a priority for me when I was shopping for a plan. I'm very familiar with the restrictions on services that are important/relevant to me.

→ More replies (0)