Did You Know Your Health Insurance Covers ER Visits?

March 2, 2017

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Lauren Modery
Lead Copywriter

You get into a car accident and you’re taken by ambulance to the closest hospital to treat a head injury and broken bones. The last thing you want to think about during this time is if your health insurance will cover your ER bill.

Hopefully this will never happen to you, but if it does, know that your health insurance company WILL pay for your emergency care, including anywhere in the world.

Under the Affordable Care Act, health insurance companies are required to cover ER services, in or out of network, if you have an “emergency medical condition.” According to HealthCare.gov, an emergency medical condition is “an illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.” In addition, if you DO NOT have insurance, under the Emergency Medical Treatment and Active Labor Act of 1986, hospitals cannot turn you away based on your legal status, citizenship or ability to pay. However, once treatment is given, you will have to cover the expenses.

HealthCare.gov recommends that in case of an emergency, head straight to the closest hospital. You DO NOT need to get prior approval from your health insurance company. They will cover expenses barring whatever your deductible and coinsurance/copayments are for IN-NETWORK treatments.

In other words, you go to the ER. Your bill is $45,000, your deductible is $5,000 and your coinsurance/copays are $0 after the deductible is met. That means you will pay $5,000 for your ER visit even if the hospital is out of network.

And guess what? You don’t even have to come up with that $5,000.

Here’s how:

1.) Buy deductible insurance here for a small amount each month
2.) Go to the doctor for an accident, critical illness diagnosis or hospitalization
3.) Get a check that covers your deductible

Yep, it’s really that simple. To learn more about deductible insurance, check out this helpful blog post on why it’s so awesome.