Reducing a $70,000 Surgery Bill to $0 Responsibility for Plan & Member

Helping health share plans and their members navigate high-cost medical bills through expert negotiation and financial assistance.

Situation

A health share plan faced a significant financial challenge when a member required hand surgery that came with a $70,000 price tag. In this unique model, where members collectively pool resources to share healthcare costs, both the individual and the plan were set to bear portions of the financial burden. Concerned about the potential impact on the shared pool and the member’s expenses, the plan sought Emry’s expertise. 

Service Provided

Emry Health employed its BillAssist solution, combining advanced technology with personalized human support to achieve substantial medical bill reductions.

Technology Support (BillAssist)

 

  • Bill Review: Meticulously reviewed the member’s bill to identify errors/opportunities for savings. 
  • Hospital Financial Assistance: Guided the member through the hospital’s financial assistance application, ensuring all forms were accurate and necessary documentation was submitted to the hospital.  

Human Support

 

  • Self-Pay Discount: Secured a $45,000 uninsured discount for the member. 
  • Follow-Up: Worked directly with the hospital to confirm hospital financial assistance application receipt. 

Outcomes

Based on the self-pay discount and the member’s financial situation, the bill was reduced to $0 after hospital financial assistance, eliminating financial responsibility for both the plan and the member. This collaboration saved the health share plan and its member from significant financial strain. 

Financial Savings

Reducing a $70,000 Surgery Bill to $0 

Cost Savings:
$70,000

Topics

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