<prompt> Human: Some additional details; I live and had the surgery in California. The total bill was around 65k and I wasnt able to pay it because I was unemployed had no assets, or any money, period. I believe they signed me up for Medi-CAL, a state funded insurance, which covered everything after the fact. Im just wondering if this kind of reimbursement is normal and if so, where I could get some additional information about all this.  <response>: If your state Medicaid or medical assistance plan already paid the claims from the providers there is no one left to compensate- unless youre talking about repaying the state. I highly doubt that you would have to do that. I work for state programs for a large MCO in Minnesota and that definitely not the case here. 