retiredatfifty
Recycles dryer sheets
- Joined
- Jun 23, 2011
- Messages
- 81
The recent "colonoscopy" thread in this section brought something to mind we are preparing to deal with right now.
Wife had a colonoscopy a while back .... in-network gastroenterologist, in-network facility.
So we get our insurance statement today showing that a provider (after doing a little detective work I found out this person is a CRNA) billed $1500 of which the insurance company paid $675 and indicated we would be responsible for the rest ($825).
Per our insurance plan an over age 50 routine colonoscopy is supposed to be covered 100% once every five years so long as it's done in-network. Naturally we had no choice of the anesthetist or even knowledge of who that would be.
Haven't seen a bill from this particular provider yet - but not inclined to just pay it in full if we do get one.
Now I've previously dealt with some balance billing issues when we went through a major medical event some years ago ... but not lately. I don't look forward to going through that again. Some folk say it's your responsibility to check with each provider as to whether they are in-network or not ... but in this situation ... seriously? I could as easily counter that it's incumbent upon each provider to check & see what our insurance pays ... particularly if we are in an in-network outpatient facility.
I would be interested to hear the different forum member's thoughts on this.
Wife had a colonoscopy a while back .... in-network gastroenterologist, in-network facility.
So we get our insurance statement today showing that a provider (after doing a little detective work I found out this person is a CRNA) billed $1500 of which the insurance company paid $675 and indicated we would be responsible for the rest ($825).
Per our insurance plan an over age 50 routine colonoscopy is supposed to be covered 100% once every five years so long as it's done in-network. Naturally we had no choice of the anesthetist or even knowledge of who that would be.
Haven't seen a bill from this particular provider yet - but not inclined to just pay it in full if we do get one.
Now I've previously dealt with some balance billing issues when we went through a major medical event some years ago ... but not lately. I don't look forward to going through that again. Some folk say it's your responsibility to check with each provider as to whether they are in-network or not ... but in this situation ... seriously? I could as easily counter that it's incumbent upon each provider to check & see what our insurance pays ... particularly if we are in an in-network outpatient facility.
I would be interested to hear the different forum member's thoughts on this.