So, according to the ACA, preventive screenings, including colonoscopy, are supposed to be covered with no cost-sharing to the member.
I now have a $900 bill that would indicate otherwise. Apparently insurance companies think that the only part the have to cover with no cost-sharing is the fee from the physician for actually looking up your bunghole, but that the facility charges, the anesthesia…they can pass those right on to you with no problem.
Obviously this is not what was intended by the law, but finding the relevant sections of it is proving difficult for me. I’m also trying to find out if there have been any lawsuits centered around this issue, as I’d be really interested in heading one up.
So my questions are 2:
Can someone help me find the relevant sections of the ACA that discuss this?
Have there been lawsuits filed trying to get a more favorable result for the patient?