Doncor Leon
New Member
- Jurisdiction
- Texas
About a month ago, I took an ambulance to the Emergency Room for chest pain and panic like symptoms. In the end, the doctor told me I was just having anxiety. Anyhow, I told both the ER and ambulance I did not have insurance. At the time, I was panicked and had not had to do this before. I paid all my bills including ER services, Ambulance, and Physician charges out of pocket, albeit discounted.
As it turns out, my parents have me under their insurance plan still (I am 18). Now I'm worried that it may constitute as insurance fraud of some sort?
I payed the ambulance in full out of pocket, and the separate bill for the physician who attended me was discounted by 50% after I called them and asked. However, the ER bill, when mailed to me, already had a significant discount taken off, labeled as "insurance adjustment." It was originally ~$5500, but I payed $190 at the ER the day of the incident for 'registration' and the remainder of the bill that was $158 when it came in the mail. I'm fairly certain this "insurance adjustment" was not my insurance being used, as it was not on my file and I didn't give them any info. on insurance. Instead, I recall telling them that I didn't have any insurance.
Does this constitute as fraud? They discounted the ~$5200 without me asking for a discount, quite possibly because I was 'not covered.' I did sign an agreement at the ER that states I am responsible for paying the bill. I have heard of self-paying patients, though I did not intentionally mean to be one.
In short: I went to the hospital and told them I had no insurance. Hospital sent me a bill with a huge discount, but I was covered under my parents insurance plan. I am wondering if this can get me into trouble with the law or the hospital.
As it turns out, my parents have me under their insurance plan still (I am 18). Now I'm worried that it may constitute as insurance fraud of some sort?
I payed the ambulance in full out of pocket, and the separate bill for the physician who attended me was discounted by 50% after I called them and asked. However, the ER bill, when mailed to me, already had a significant discount taken off, labeled as "insurance adjustment." It was originally ~$5500, but I payed $190 at the ER the day of the incident for 'registration' and the remainder of the bill that was $158 when it came in the mail. I'm fairly certain this "insurance adjustment" was not my insurance being used, as it was not on my file and I didn't give them any info. on insurance. Instead, I recall telling them that I didn't have any insurance.
Does this constitute as fraud? They discounted the ~$5200 without me asking for a discount, quite possibly because I was 'not covered.' I did sign an agreement at the ER that states I am responsible for paying the bill. I have heard of self-paying patients, though I did not intentionally mean to be one.
In short: I went to the hospital and told them I had no insurance. Hospital sent me a bill with a huge discount, but I was covered under my parents insurance plan. I am wondering if this can get me into trouble with the law or the hospital.
