Medical bill of 79 year old elder sent to collection agency. What can happen if the bill is unpaid?

Follow
Share

Grandmother is 79 years old, had Medicaid and Medicare. For some reason the office is still billing her and has sent the bill of $112 to collections. I just saw the letter when visiting her. What can happen if the bill is unpaid?

This question has been closed for answers. Ask a New Question.
Find Care & Housing
6

Answers

Show:
First thing to do is ask for proof of debt. Unless they have proof, there is no debt. That proof will tell you exactly what's happening.
Helpful Answer (0)
Report

Wait, the idea behind collections is that "collections" is a company that buys debt for a small % of its face value, and keeps every penny of what they squeeze out of people. One of our companies sold our Accounts Receivable for less than 1% - so the Dr's office has been paid about $1 for the debt and it's no longer their worry.

Just write them a letter and say that as a Medicaid patient, this bill is not valid and thus will not be paid under the Fair Billing Practices Law. After all, Medicaid has full authority over her assets which are less than $2k. And add that the agency is not to contact her again (signed you, agent/POA for her).

The WORST thing that can happen with the unpaid bill in collections is that grandma won't be able to get a new credit card. And what's wrong with that!
Helpful Answer (0)
Report

Sorry, your question is what will happen if balance not paid...it will go against Gmas credit score. Which could cause a problem when buying a house, car etc. But will that really effect her.
Helpful Answer (0)
Report

Find outcwho the doctor was. Collections cannot give you a statement all they have is a total to be collected. Call the doctor or facility billing Mom and ask how they handled the billing. If they show Medicare paid but they show no record of Medicaid then supply the info. They may not participate with Medicaid so Gmom owes the balance unless she has a supplimental. If they billed Medicaid there should be no balance. If they partipate in Medicare and Medicaid they cannot charge anything.
From what I see in the Medical Field is facilities using separate billing companies. These companies will pass a balance on to collections at least 90 days old.
Helpful Answer (0)
Report

Like AK said, you need to speak with billing to see why.
It could be that this provider does not participate in Medicaid, so bill is for whatever not paid by Medicare.
Or they participate in MediCARE but only for those within a MediCARE Advantage plan, and your mom is Original MediCARE not an Advantage plan.

Health insurance can be pretty complex. Some states are requiring the “duals” aka those on Medicare & Medicaid to be in an Advantage or Health Network plan and if they see a MD outside the network / system (even if doc’s office is in the same building as all her other MDs), it won’t be a fully 100% covered service. It gets considered out-of-network and the balance is private pay & not covered by insurance. Try to go through mom’s mail to see if that’s what’s happening as if so it’s just not registering for her that she needs to switch providers. You’ll need to help her find new physicians.
Helpful Answer (2)
Report

If she was eligible for Medicaid at the time the expenses were incurred, the medical provider cannot bill her. Usually a bill is not sent to collections until it is at least several months old, so check the dates. If she should not have been billed, call the provider's billing person and tell them she was covered by Medicaid and should not be billed. They may ask you to provide documentation of her coverage. It may just be a simple error in entering information into the billing system.
Helpful Answer (2)
Report

This question has been closed for answers. Ask a New Question.