Taken to the hospital against her will — who pays the bill?

Sue Burgess began to feel sick on a Southwest Airlines flight from Phoenix to Albuquerque earlier this year, and after a rough trip in which she filled several barf bags, she was sent to a hospital after the plane landed. She’s fine now — turns out she had the stomach flu — but there’s the small matter of a $9,000 hospital bill.

Her insurance took care of the bulk of it, leaving her with a $392 tab. She thinks Southwest should cover the balance, since she never asked to go to the hospital. The airline had called the ambulance, after all.

Who should pay?

Here’s how Burgess remembers it:

When I got off the flight, I was dehydrated and I fell going up the ramp. I asked the flight attendants if there was any place I could lay down. While I was not at my best, I never lost consciousness and I was perfectly capable of carrying on a conversation.

The flight attendants immediately called the paramedics who began to fire questions at me. At no time was I offered the choice of calling a friend to pick me up or any option other than being taken to the emergency room in an ambulance. Once I got to the emergency room, I was told I couldn’t leave because it would be against medical advice and the hospital would not submit my bills to the insurance.

Shouldn’t Southwest or the paramedics offerred me the choice to call a friend? Don’t people who get sick on planes have any rights?

They certainly do.

The Southwest flight attendants who called paramedics were likely following their training. At the time, no one knew what was wrong with Burgess, and their actions could have saved her life.

Still, I thought it was worth running her problem past Southwest. The airline hadn’t bothered responding to her request for reimbursement, which is not at all like Southwest.

Here’s what she received from an attorney representing the airline.

Southwest Airlines flight attendants state that upon exiting the aircraft you lost consciousness, vomited, seemed lethargic and requested a place to lie down.

The Southwest Airlines flight attendants promptly called paramedics to assist you. Apparently, after assessing your condition, the paramedics decided to take you to a nearby emergency room for treatment. The Southwest Airlines flight attendants who came to your aid when you were ill have no control over the actions of the paramedics who assessed your condition and made the decision to take you to a hospital.

We do not believe this is a case of liability against Southwest Airlines nor does Southwest carry a medical pay provision in their policy. We must respectfully decline to make payment on your claim.

I asked Burgess what she thought of the answer.

There are a couple of statements in her letter that are untrue. I did not vomit or lose consciousness after leaving the plane. I suppose I was lethargic, being dehydrated, and I did ask for a place to lay down.

What’s significant in my experience with Southwest is that the flight attendants totally ignored me during the flight and I used up all my energy carrying those damn barf bags to the back of the plane.

Burgess missed a business meeting, depriving her of $8,000 in revenue as a result of the overnight stay in the hospital. She thinks the least Southwest can do is pay her deductible.

Who’s right? I can certainly see both sides in this dispute. I wonder what kind of precedent would be set if the person who called an ambulance were responsible for the entire hospital bill.

What do you think? Did Southwest do everything it could to help Burgess? Or could it have done more?

(Photo: bryk mantra/Flickr Creative Commons)

  • Steve Yanowsky

    I suffered from hallucinations andsaw my therapist the next day. Later in the day I was advised by an urgent care unit to go to the emergency room. I reall did not wish to go to the hospital. When I declined, my therapist called 911 and sent an ambulance to my house to take me to the hospital. This made no sense./ I can walk to the hospital if I planned to go. I cant be forced to go. it wasnt an emergency. Now Im going to be stuck with an ambulance bill which I think my therapist should be responsible for or at least pay a portion of it. I go to therapy to get help not to make matters worse and it doesnt help to get another bill when im practically bankrupt right now. The law must be changed.

  • anacoluthon

    She should pay her insurance deductible. The magic word here is “CONSENT”. If the paramedics or EMTs show up in their big shiny ambulance, all you have to say is, “I DO NOT CONSENT to transport. I do not consent to going to the hospital.” Keep repeating those words until they give you their refusal-of-care forms to sign. Then have your friend pick you up and save yourself the deductible.

    If you have an altered mental status or lose consciousness, the paramedics can generally transport you anyway under the doctrine of “implied consent”. For example, if you hit your head or had heat stroke, you might say that you didn’t want to go, but the paramedics would transport you anyway because you had an altered mental status.

    Ambulances are for life-threatening emergencies — do not accept an ambulance ride unless you have a serious illness or injury. If the OP was dehydrated and had an altered mental status, the paramedics may have determined that she needed care and transported her anyway.