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What if my health insurance plan only pays a certain amount for ambulance services or refuses to pay? Will I have to pay the balance?

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What if my health insurance plan only pays a certain amount for ambulance services or refuses to pay? Will I have to pay the balance?

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The County will accept whatever payment the insurance company has established as payment in full. County residents will not be responsible for any co-pays or deductibles. Non-County residents will be responsible for any applicable co-pays or deductibles. The single biggest payor for these services is Medicare. If coverage requirements are met Medicare has no discretion to deny claims. Heath insurance companies are required by law to pay covered services, of which ambulance services is one. Any question about any Medicare or insurance company payment would be handled by the third-party vendor and would not involve the covered individual.

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The County will accept whatever payment the insurance company has established as payment in full. County residents will not be responsible for any co-pays or deductibles, since these balances are already covered by tax dollars. Non-County residents will be responsible for any applicable co-pays or deductibles not covered by their primary insurance or supplemental insurance. The single biggest payor for these services is Medicare. If coverage requirements are met Medicare has no discretion to deny claims. Heath insurance companies are required by law to pay covered services, of which ambulance services is one. Any question about any Medicare or insurance company payment would be handled by the third-party billing vendor.

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