Though it's unclear how widespread the practice is, it seems to be most common among health-care providers and residential facilities. Many restaurants appear to be doing it, too. "Small businesses and franchises have had to get creative out of desperation when gift card drives, individual tipping and fundraising by local chambers of commerce aren’t enough to pay the bills," Denham reports. Dental offices have some of the highest number of complaints about hidden fees.
Hidden fees are a legitimate concern for consumers, especially for economically vulnerable Americans or senior citizens without much income, but not every state protects consumers from them. While medical insurance law in some states requires health-care providers to offer refunds to patients who have been unfairly charged for personal protective equipment, other states allow for businesses to tack on extra fees, as long as they’re disclosed upfront," Denham reports. "Starting in August, a handful of state officials — in New York, Connecticut, Arizona, Michigan and Massachusetts — issued guidance warning residents of hidden fees and businesses and insurers of the consequences of violating consumer protection and insurance laws."
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