96°F
weather icon Clear

Former Pahrump teacher decries costs for air medical flight

Even though Pahrump resident Amy Nelson is in the advanced stages of multiple sclerosis, she believes her condition, at present, is the least of her worries.

Nelson, a Pahrump resident since 2007, was a social studies instructor at Pahrump Valley High School for 11 years, until her departure in May 2017.

She is now convalescing in a Las Vegas hospice facility, as the final stages of her medical condition are advancing quickly.

Late last month, Nelson spoke about how she literally landed at the facility, following an examination at Desert View Hospital for severe abdominal pain, vomiting, and bleeding.

Her main worries were the costs associated with being transported by Mercy Air from Pahrump into Las Vegas.

Burdensome costs

Nelson’s concerns also serve as a warning to others with a similar medical condition, where time is of the essence.

The price tag for the July 11, 2017, helicopter flight, she said, exceeded $52,000.

“I had insurance because I was employed,” she said. “My insurance paid $24,768 to Mercy Air. I’ve been sent to collections for additional costs of $28,063. I strongly believe a discussion was warranted before I was loaded onto a helicopter. Now I’m in hospice care, and bankruptcy is looming. If I had an inkling the chopper journey would cost in excess of $52,000, I would have taken my chances on a road trip to Las Vegas. I don’t know anyone who can afford $52,000 for anything like that.”

Roll of the dice

Additionally, Nelson said she would have taken her chances being transported by ground to Las Vegas.

“I really don’t think the air transport actually saved my life that day,” she said. “I would rather have taken my chances driving to Las Vegas because if I do die, I would like to leave my daughter money to survive. I’m only speaking for myself. I’m not talking about people who have been injured in a car accident or injured somewhere remotely. I was completely cognizant of my surroundings and somebody should have asked me if I would be able to pay for that flight. That way, we could have avoided this whole situation.”

Breaking down the costs

Pahrump’s Mercy Air is a subsidiary of Air Methods Corporation, which provides emergency medical services to tens of thousands of patients each year, according to its social media page.

Efforts by the Pahrump Valley Times to gain a comment from an official associated with Air Methods Corporation and Desert View Hospital were unsuccessful.

As stated within its website, Air Methods Corporation explains what all goes into emergency air medical costs.

The site also noted that just like a fire station, Air Methods’ fleet and highly trained clinicians are always ready to deploy, every moment of the day, whether there is an existing emergency, or not.

“Real-time deployment readiness requires enormous financial resources and ongoing investment,” the site stated. “Aircraft, equipment, highly specialized staff, both clinical and aviation, and ongoing training are only part of the equation.”

No questions asked

Additionally, the company maintains that when it is tasked with saving a life, they deploy without regard to a person’s ability to pay.

Also stated within the website, Air Methods addresses why some patients are transported by air, rather than ground.

“Air Methods responds to every call we receive because a medical professional, such as a physician or first responder has deemed the severity of the situation to be serious enough that air transportation is required in order to get the patient the care they need in the shortest amount of time,” the company stated.

Precarious situation

Nelson, meanwhile said she’s not certain about how she will pay for the transportation costs.

“I’m in the hole for a lot of money, but I’m not going to do anything about that, because I’m considering declaring bankruptcy,” she said. “I think death would be cheaper and preferable as compared to losing everything. I’m not saying someone that was injured in a car wreck shouldn’t be transported by Mercy Air, I’m talking about taking advantage of a person with insurance who could have made their own decision, instead of charging me $52,000. That is ridiculous. I am not paying that. I don’t have it, and it’s on principle. Now it has been sent to collections.”

Acceptable charges

Nelson also said that she would have no problem with being charged a reasonable fee for the flight.

“I’m not saying that I shouldn’t pay for the service,” she said. “$5,000 I can understand, but $28,000 I do not understand. That is a huge amount of money for a 30-minute flight. We live in Pahrump for God’s sakes, so it’s not like we’re living high off the hog. We are not a rich community. As far as giving advice to someone else who is in a similar situation, I really don’t know because everyone has to make their own decisions. All I can really say is don’t hesitate to ask questions. I just wanted to let the public know that it could cost more than $50,000 to get on one of those helicopters.”

Asking questions

The U.S. Government Accountability Office (GAO) is an independent, nonpartisan agency that works for Congress.

Back in 2017, when Nelson took ill, the GAO reviewed data that indicated roughly two-thirds of air ambulance transports for patients with private insurance, were out-of-network.

Generally, insurance only pays for a portion of an out-of-network service, according to the agency’s website.

“In that case, you could be billed for the difference between what the air ambulance provider charges and what your insurance paid, which is known as “balance billing” or “surprise medical billing. Almost all of the consumer complaints the GAO reviewed involved balance bills of over $10,000.”

Additionally, according to the GAO’s analysis of the most complete data identified for air ambulance transports of privately-insured patients, 69 percent of about 20,700 transports in the data, were out-of-network in 2017.

That figure, the GAO said, is higher than what research shows for ground ambulance transports, which were roughly 51 percent in 2014, along with other emergency services, one study noted.

Glimmer of hope

Moreover, air ambulance providers who the GAO spoke with, reported entering into more network contracts recently, which could lower the extent of out-of-network transports in areas covered by the contracts.

“While out-of-network transports may result in balance billing, the data GAO analyzed does not indicate the extent to which patients received balance bills and, if so, the size of the bills,” the GAO said. “In addition, as the GAO reported in 2017, there is a lack of national data on balance billing, but some states have attempted to collect information from patients.

“For example, the GAO reviewed more than 60 consumer complaints received by two of GAO’s selected states, the only states able to provide information on the amount of individual balance bills, and all but one complaint was for a balance bill over $10,000. Patients may not end up paying the full amount if they reach agreements with air ambulance providers, insurers, or both. The amounts of potential balance bills are informed in part by the prices charged.”

Not uncommon

Furthermore, the GAO’s analysis of the data regarding transports for privately-insured patients found the median price charged by air ambulance providers was about $36,400 for a helicopter transport and $40,600 for a fixed-wing transport in 2017.

With that said, Nelson noted that she never got a breakdown of the charges for the flight.

“I just have what the original charges of what my insurance paid, and what I am on the hook for,” she said. “I just wish I could have known how much the flight would have been prior to getting on the helicopter. I thought it would be maybe around $10,000.”

In a letter to the Pahrump Valley Times, Nelson also said medical care in 2019 is certainly a ‘hit or miss’ proposition.

“Clearly, it’s a miss for most, based on personal finances,” she said. “If Desert View Hospital wants to airlift you to Las Vegas, ask yourself if death is cheaper or preferable to losing everything, regardless.”

On its website, Air Methods noted that company takes every step possible to make sure they are exploring every payment option on behalf of the patient, whether that’s health insurance, car insurance, or other sources.

“Yet when insurance companies only pay part of the bill, Air Methods is required by law to bill the patients for the rest,” the site stated. “If insurance companies paid fairly, patients could pay very little or nothing at all.”

Contact reporter Selwyn Harris at sharris@pvtimes.com, on Twitter: @pvtimes

Don't miss the big stories. Like us on Facebook.
THE LATEST
Pahrump Animal Shelter services contract decision set for Tuesday

The current contract for operation of the Pahrump Animal Shelter is almost at an end and the Nye County Commission must make the decision as to which organization the new contract will be awarded to.

Pahrump Valley Times refreshes its website

The website of the Pahrump Valley Times — pvtimes.com — features a refreshed look unveiled this week.

California Lottery

No one matched all five numbers and the mega number in the Wednesday, June 12 drawing of the California Super Lotto. The next jackpot will be at least $53 million.

Flag Day ceremony in Pahrump honoring veterans

Nathan Adelson Hospice announced it will be holding a special “We Honor Veterans” pinning ceremony today, June 14 in Pahrump to coincide with Flag Day.

Yucca Mountain back on television

In a made-for-TV visit to the proposed burial site for the nation’s nuclear waste in Nye County, Nevada’s senior senator vows to block efforts to restart licensing process.

Air ambulance company responds to Pahrump transport cost concerns

The director of communications and government affairs of Air Methods, the parent company of Pahrump’s Mercy Air, has issued a response regarding the circumstances of a Pahrump resident who was billed more than $50,000 for an air ambulance flight from Pahrump to a Las Vegas medical facility.

1 transported to UMC Trauma after Nevada Highway 160 crash

Crews from Pahrump Valley Fire and Rescue Services responded to what was described as a suspicious vehicle fire on Saturday, June 8 at approximately 9:41 p.m.

Nye County District Attorney’s Report

Editor’s note: The Nye County District Attorney’s Report is provided by the office of DA Chris Arabia. Plans call for it to be provided on a monthly basis as the information becomes available. This report is for May 2019 unless noted. Duplicate names represent separate cases.