I have a surgery coming up, and I just got my estimate from the hospital. This surgery under ACA is considered routine and preventative. I don’t fully understand the medical billing system so I’m hoping someone can explain this.

    I called my insurance yesterday and they told me yep, everything that got sent is in the correct codes stating routine/preventative, you should have everything 100% covered for this.

    So then why am I getting an estimate from the hospital that isn’t $0? Is that because they run it more in like a worst case scenario thing as like a just in case? Will this all get resolved once the final bill is all set at the end?

    Medical Billing/Estimate Question
    byu/mday1995 inInsurance



    Posted by mday1995

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