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Questions tagged [health-insurance]

62 questions
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Can the law limit what heath care providers I see if I have commercial and medicaid?

There's a bit of story to this: We had been trying to find a therapist for my son. We wanted one that we felt comfortable with. We didn't care if the provider was out of network or if we'd have to pay for their services out of pocket. We found one…
Kyle
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Is it legal for a company to offer a different insurance rate based on spouse's employer's offerings?

Is it legal for a company to offer a different insurance rate based on the spouse's employer's offerings? My employer wants me to indicate to them whether my spouse can have insurance under her employer. If my spouse does have some kind of insurance…
amalgamate
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Must a health insurance in the United States provide a listing of procedure and diagnosis codes that are covered upon request?

I wonder whether a health insurance in the United States must provide a listing of procedure and diagnosis codes that are covered, if requested by a policyholder? In my opinion, the listing of procedure codes that are covered should be part of the…
Franck Dernoncourt
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How much privacy about my health am I giving up if I participate in my employer's wellness screening program?

My employer is having a "Wellness Screening Fair" where you can receive free testing for things like cholesterol and insulin, and I imagine advice about how to interpret the results. Sounds good.. But when I click through to register, I see that the…
cxrodgers
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Has, or could, a state or city become a group insurer under federal law?

If a city or state, more likely a state, as part of an insurer being licensed to do business within said state, were required to insure the citizens of a state as a "single group", perhaps through a not-for-profit organization, would this be legal…
paulj
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Questionable arrangement with a dentist

I saw an ad on a classifieds site that was something like 'Free AirPods if you let me clean your teeth!' Turns out its a dentist who does your yearly checkup, bills your insurance say $450, and then gives you a $150 pair of AirPods - so the AirPods…
Kovy Jacob
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Is it illegal for a parent to refuse to pay medical expenses with child support in the USA?

I am asking one a friend's behalf. My friend's parents are divorced, my friend (18, F) is living with her mother and her mother's boyfriend (not married to each other). The mother receives child support however refuses to pay for health insurance.…
pjrader1
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What happens if I accept work contracts in two EU countries at the same time?

I am going to accept a job in Dublin, Irealnd but I also have an opportunity of getting a work contract in the Czech Republic. The latter job would be mostly remote (it would require me to visit the Czech Republic from time to time) and I could…
user512365
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Does a Dental Office have an obligation to tell you they are going out of network when you have been a patient for four years in-network?

I had been going to a dentist from 2018-2022. I had work done in the summer and fall of 2022. They treated these appointments as normal - collected my copay, did the work, filed with the insurance, etc. In January of 2023 they called to tell me that…
Kara S.
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Is what the customer service of a health insurance company tells one of their customers legally binding?

In the United States, is what the customer service tells a customer legally binding? Example: A customer calls their health insurance company, they say X is covered, 1 month later the customer receive the bill where customer sees X was no covered.…
Franck Dernoncourt
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Termination letter marked 1 day early

Someone I know was let go from their job on 4/1, he was using the insurance provided by his employer. In his employment contract it states insurance will remain active through the rest of the month he was let go in. Despite calling him in on 4/1…
wearebob
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Does Justice Roberts Obamacare opinion contradict itself?

Chief Justice Roberts' opinion in National Federation of Independent Business v. Sebelius upheld the ACA individual mandate as a tax. Disagreeing with the joint dissenters (Alito, Thomas, Kennedy, and Scalia), Roberts, in part III-C of his opinion,…
Naftali Tzvi
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Are parents allowed to not pay for their children's surgery?

Through public internet group chats, I was able to meet a teenage girl that suffers from a medical condition. According to her, she lives in the US, but in a neglectful household where her parents pay little attention to her. Doctors say one of her…
Sam
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Can residential/custodial parent change our kids health insurance unilaterally?

We have a parenting plan that designates all health decisions as "jointly made." The other parent previously had our child on their employer insurance plan. They just changed jobs and hence insurance plans, and simply informed me that our child will…
Max Savishinsky
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Can a medical practitioner legally charge health insurances a different amount from what it would charge a non-insured patient?

In the United States, can a medical practitioner legally charge health insurances a different amount from what it would charge a non-insured patient? I am mostly interested in the states of California, Florida, and Massachusetts.
Franck Dernoncourt
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