ladelfina
Thinks s/he gets paid by the post
- Joined
- Oct 18, 2005
- Messages
- 2,713
So even though Aetna works for the client, they have a clear delineation of what they will pay and won't.
... You can't buy something and then say you won't pay at the agreed upon cost.
Hmm.. but strangely the OP is being asked to pay beyond the agreed-upon cost in that one normally expects insurance to cover tests that your insurance-connected doc orders. I doubt that this denied test is actually listed anywhere in his insurance docs as being uncovered. So how is he to know beforehand, since he wasn't informed of the cost at the time of "purchase"??. Submitting to the doc's instructions to get the test is not true informed acceptance of any random bill that may come out of that. It's only "clear" to Aetna at the time beancounter Y has to tally up their monthly numbers. most likely; it's not clear to anyone else, nor is it written in stone.
If there's no way of knowing it won't be covered and it's too late to change your "order".. Quest could name any amount at all and you'd say the patient was liable. What if they said the test was $1950, after the fact?