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Insurance woes

Blogs > Eben
Post a Reply
Eben
Profile Blog Joined September 2008
United States769 Posts
April 19 2011 21:31 GMT
#1
So here's the story,

I went to the doctor for a normal check up. I decided to go to one down near the school I attend so I didn't have to make the massive trip home just for a visit. I called the place and said "hey, do you accept my insurance?" "yes." Cool!!! Doctor found, I make my appointment and show up.

The girl at the desk takes my insurance card to double check to make sure they take it, she informs me "yes we take it, your co-pay will be $25." So I happily agree and go see the doctor. Visit concluded everything good. Back to life as usual.

Two weeks later, get a letter in the mail saying my insurance will not pay them. So I call up my insurance and ask them why not, they tell me the doctor is not in my network coverage. Odd? the office told me that they do take it on the phone, and then again in person after they had punched everything into the computer to check. So here I am, sitting on a $500+ bill with the insurance saying "we never pay that doctor, they aren't in our network" and the hospital saying "its not our fault! We told you we take it but you should have double checked, so it is your fault".

So I realize that yes, I guess I should have double checked, but would you double check when you call and ask first, then get told again in person that it is accepted? Why would I question them?

Anyway Teamliquid, what are your thoughts?

For perspective, I am a poor college student. 500 dollars is two months of rent to me.

---
I personally don't feel that I should be paying it since I was told that my insurance would cover it, the people at the office should not have told me that they do take it if they aren't sure.

PanN
Profile Blog Joined December 2008
United States2828 Posts
April 19 2011 21:38 GMT
#2
Sucks man, fuck that doctors office, fuck the doctor too. They lied.
We have multiple brackets generated in advance. Relax . (Kennigit) I just simply do not understand how it can be the time to play can be 22nd at 9:30 pm PST / midnight the 23rd at the same time. (GGzerg)
Ingenol
Profile Blog Joined November 2008
United States1328 Posts
April 19 2011 21:38 GMT
#3
There is a difference between "in network" and "we take that insurance." Many places will take your insurance but will still be considered "out of network" and you insurance company will reimburse you for less (or not at all) depending on your plan. You should always call your insurance company or use their doctor finder on their website to ensure you are going to an in network doctor for your plan.

I know it sucks but you are out of luck.
Eben
Profile Blog Joined September 2008
United States769 Posts
April 19 2011 23:26 GMT
#4
Well let me be more specific.

They told me they take it, but in fact they don't accept my insurance at all.

My insurance company was just telling me they don't cover that doctor. Sorry for not making it more clear.
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