Well this might not come to you as a surprise because you might have witnessed this yourself. According to one survey conducted by Kaiser Family Foundation, about 40% of US citizens have revealed that their families have received a medical bill despite being covered by medical insurance. This is a growing problem for the country as insurance companies are seen restricting the number of providers in their networks. Of course, out of network providers are not covered by insurance companies. In this context, the question arises, is it the same logic behind huge medical flight bills that people across the country are witnessing?
Medical Flight Bills and Insurance Network
A majority of industry experts believe medical flight service providers willingly stay out of insurance networks. The reason is simple, they lose the freedom to charge what they feel is fair for their services. It is also felt that there is a huge disparity between what the medical flight industry believes is a fair payout and what the insurance industry pays. The middle ground, it seems, is something that has not been achieved so far. The issue has not gone unnoticed by the lawmakers. However, the opinion is divided as to who is responsible for the huge bills.
Efforts by Lawmakers to Bring Down the Bills
Several attempts have been made to limit the amount that can be charged for medical flight services. From trying to ban balance billing to compelling air ambulance companies to come under insurance networks, several innovative efforts have failed. The reason behind this is the Airline Deregulation Act of 1978. Designed to create a competitive environment to keep the price of this essential service down, it precludes the state governments from intervening in the matters of air ambulances. Only the Federal Government is authorized to make changes.
Imagine heading a business where customers only pay you 30% of the time in full and the remaining 70% only pay you 50% of the cost. How would your business survive? This is precisely the situation of most air ambulance companies in the United States of America say industry experts. What adds insult to the injury is the fact that there is a outcry about the charges both in national media as well as people, not to mention the politicians who are trying to pin all the blame on air ambulance companies. Most players in the industry say that air ambulance business is getting harder by the day to run.
Air Ambulance Companies Asked to Do More
Rural hospitals in the US are closing down at a rapid rate. More and more rural patients are veering towards the services extended by air ambulance companies. However, the fact remains that air ambulance services are expensive and the costs are not being reimbursed by health insurance providers citing several reasons. While the most common is the ‘lack of medical necessity’ others simply have a small ceiling of reimbursements that have not been revised for a very long time.
Most of the Air Ambulance Costs are Fixed
Costs of running a medical base is, on an average, about USD 3 million a year. This amount accounts for about 85% of the costs and are fixed. These include maintenance of the aircraft, hangar, support staff, crew and the like. Then there are write-downs that are either forced upon the air ambulance companies or the ones that they undertake themselves on humanitarian grounds. All this adds up to a huge amount. Plus, there are always the running costs such as fuel which is also quite expensive. Industry experts feel that the demand for the services provided by air ambulance companies is going to increase considering that the population is aging, and that something needs to be done on a war footing to make the reimbursements commiserate with the services provided.
Air ambulance transport can be a necessity when travelling abroad for medical treatment. Air ambulance transport can be easily arranged owing to the availability of such services throughout the globe today. What worries most people are other aspects such as:
- Arranging for postoperative care
- Arranging the paperwork to enter the country
- Arranging medical care
- Other aspects such as language and cultural change
Some vital decisions such as a fellow traveler, which is usually a family member, must be decided.
Traveling to the US through Air Ambulance Transport or Otherwise
There is no doubt that air ambulance transport to United States could be quite expensive. However, those who are willing to shell out the money also get the best possible care when the medical situation is complicated. It is well known that the US medical system is quite advanced and well organized, which is not the case in many countries around the world. It must be noted that there are other options than opting solely for an air ambulance transport.
For instance, if the patient is able to walk and take care of certain basic functions, an air medical escort may be enough. Even if the patient is not able to mobilize himself, a commercial airline stretcher may be enough, provided the patient does not need life support.
Air Medical Transport Needs some Planning
Most of the large hospitals in the United States are well equipped to receive foreign patients. Hospitals have help at hand, designed specifically for such patients. However, choosing an air medical transport provider can be quite tough. Careful consideration must be given to both costs, the make of the aircraft, and the quality of services offered. Most of the service providers have online presence so the preliminary research must be conducted online. Also, you must look at their testimonials. Once you zero down on a few, feel free to give them a call and talk to one of their representatives.
You may want to hire an air medical transport provider that takes care of everything from transit formalities to booking the hospital for you. This allows you to feel confident of the travel and relieves you of any travel anxiety that might be bothering you.