wanaberetiree
Full time employment: Posting here.
- Joined
- Apr 20, 2010
- Messages
- 718
I had two visits to see Dr. XXX who was recommended by My_Insurance as in-network doctor.
First visit focused on getting a referral to have my low back X-Ray and MRI done and the second was about discussing the tests results. Both visits took under 15 minutes and no additional tests or procedures done during those visits. (I paid for X-Ray and MRI out-of-pocket)
Prior to my visits I did my best to make sure verify that there would be no additional charges.
I reached out to my insurance provider My_Insurance (via website and asked a rep in chat) prior to scheduling visits and they told me that Dr. XXX's name is on my network providers list and $20 copay is expected with no additional fees or charges.
I also asked Dr. XXX’s stuff the same question during my appointment setup time and got the same answer.
If My_Insurance would have suggested any additional “facility” changes, I could simply find a specialist somewhere else, who did not have extra charges as it was not my goal to see this particular specialist.
My_Insurance claims they "... quoted correctly that the provider is in network and claims were processed as in network. My_Insurance has no way of knowing that a facility is going to bill separate charges in addition to what the doctor will bill.”
Two doctors visits resulted in $20 copay x 2 plus $166 plus $99 - $305 !!!
My_Insurance is paid by my employer and self-insured, that is is not under my state jurisdiction.
I don't plan pay those charged, but want to get this group's wisdom on possible negative impact if I go thru collection process etc...
Maybe some advise on how to fight this, would be helpful
Thx
First visit focused on getting a referral to have my low back X-Ray and MRI done and the second was about discussing the tests results. Both visits took under 15 minutes and no additional tests or procedures done during those visits. (I paid for X-Ray and MRI out-of-pocket)
Prior to my visits I did my best to make sure verify that there would be no additional charges.
I reached out to my insurance provider My_Insurance (via website and asked a rep in chat) prior to scheduling visits and they told me that Dr. XXX's name is on my network providers list and $20 copay is expected with no additional fees or charges.
I also asked Dr. XXX’s stuff the same question during my appointment setup time and got the same answer.
If My_Insurance would have suggested any additional “facility” changes, I could simply find a specialist somewhere else, who did not have extra charges as it was not my goal to see this particular specialist.
My_Insurance claims they "... quoted correctly that the provider is in network and claims were processed as in network. My_Insurance has no way of knowing that a facility is going to bill separate charges in addition to what the doctor will bill.”
Two doctors visits resulted in $20 copay x 2 plus $166 plus $99 - $305 !!!
My_Insurance is paid by my employer and self-insured, that is is not under my state jurisdiction.
I don't plan pay those charged, but want to get this group's wisdom on possible negative impact if I go thru collection process etc...
Maybe some advise on how to fight this, would be helpful
Thx