In recent healthcare news, many patients are finding an unexpected line item on their medical bills: fees for self-administered questionnaires. Novant Health, along with other hospitals nationwide, has started charging for surveys meant to screen for health risks like food insecurity and depression. These screenings, although intended to offer necessary support, come as a surprise to patients who are not informed about potential fees until the bill arrives.

Understanding the New Fee

When Steve Hardman walked into his sleep doctor’s office, he had no idea that the simple act of filling out a questionnaire would come with a price tag. It was only later, when the bill arrived, that the $8 charge became apparent, stirring frustration and confusion. “In what world does asking if you feel safe or can afford food result in a fee?” he questioned, reflecting a sentiment shared by many patients.

A Growing National Trend

The practice of charging patients for these questionnaires is not isolated to Novant Health. Caitlin Donovan from the Patient Advocate Foundation explains this is part of a broader trend, where healthcare systems capitalize on services once bundled into the overall visit fee. The underlying intention—to detect and address healthcare needs early—is overshadowed by the unexpected financial strain placed on patients.

The Importance of Transparency

Heidi Bass, like many others, believes in the value of these screenings but stresses the importance of transparency. Hidden fees can erode trust between patients and providers, especially when patients only discover them after sorting through complex billing details. The sentiment is clear: transparency from the outset fosters trust and allows patients to make informed decisions about their care.

Insurance Complications

Insurance coverage for these fees varies, with Medicare and Medicaid typically covering the costs. However, commercial insurers might not, considering these screenings an inclusive part of a general visit. According to billing expert Adria Gross, this leaves patients, particularly those with high-deductible plans, at risk of absorbing extra costs out-of-pocket.

Patients Take Action

Despite the frustration, some patients, like Hardman, find resolution by disputing charges directly with healthcare providers. Advocates suggest that patients stay proactive by reviewing bills and questioning unexpected charges, ensuring transparency and fairness in healthcare transactions.

As stated in North Carolina Health News, the emergence of these fees call for a heightened awareness and advocacy for patients, ensuring healthcare remains accessible and just.

The surprising addition of fees for questionnaires highlights the need for ongoing dialogue between patients, healthcare providers, and insurers to find fair solutions. Ultimately, informed patients help pave the way toward more transparent and patient-centric healthcare practices.