Can Medicare Refuse To Pay My Hospital Bill?

If you find that Medicare refuses to pay your hospital bills then there are a few options available. First, you can attempt to dispute the bill and illustrate to them why you feel it is there responsibility to pay. Second, you may want to find out if the hospital is at fault for doing something that Medicare won’t cover. There is a big difference between being told before treatment that Medicare will cover the costs and then backs away and if the hospital or medical facility didn’t follow proper procedures to ensure coverage.

Know That There Are Many Action Groups Available

If you are left holding the bill, don’t be afraid. As mentioned above there are many resources available to help you fight for your rights as a patient and Medicare recipient. If Medicare backed out of payment you need to find out why. Sometimes the problem can be as simple as a clerical error and can be corrected in no time. If the problem is that Medicare refused to pay your hospital bill because of procedure, you may have to file a complaint against the facility.

The Last Resort May Be Legal Action

While most problems are resolved as misunderstandings, there is always a few instances where further action must be taken. If you fall into this category then you may have to find a lawyer to help figure out why Medicare refused to pay your hospital bill. Again, this is the option available when you were told that you would be covered and then for some reason after the medical treatment the coverage is denied. There could be many different reasons a person may be denied and you should try to remedy the situation as soon as possible.

4 Responses to “Can Medicare Refuse To Pay My Hospital Bill?”

  1. Mr. Patino was very sick, we took him to emergancy.They placed Mr Patino in the Hospital.
    Medicare refuses to pay the bill bacuse we did not ask Medicare first.
    Mr. Patino died 6 day later.

  2. Please advice us what needs to be done to get Medicare to pay this bill.

  3. Chuck Alanko says:

    Very well written post. It will be beneficial to everyone who employees it, including me. Keep up the good work – i will definitely read more posts.

  4. Penny Dalton says:

    I was told by my Dr. and the two Drs. doing my prolapse surgery that I was a phase three and the pessary was no longer working so I needed the prolapse surgery. They did more test to determine if I would also need a sling for my bladder and the results of that test confirmed I would. I asked several times if Medicare would pay for all of this and they said yes it would be covered. Now that it is over I have a bill from the hospital for $55,000 and Medicare will only pay $8000 leaving me with $47,000. I noticed on the MSN that it says under admission type “3- elective”. Why would it be elective when I was told by the Drs. that it was needed? Is that the reason Medicare won’t pay?