Comments on: Health Insurance Blame Game – Stuck Between Insurance Company and Doctor’s Office

By: Ben

Ben — Tue, 29 Dec 2009 06:43:49 +0000

Danusia, sorry to hear they’re sending you to collections. As you mentioned, you have to be careful with that situation because it could impact your credit score.

If I were you I’d call the insurance company and get the details on why they won’t cover the procedure. Every insurance company/policy has a ton of rules on what’s covered and what’s not and in what circumstances. I’d find out specifically why they won’t cover it and check their answer against your policy to see if they’re just trying to wriggle out of paying.

By: Danusia TREVINO

Danusia TREVINO — Mon, 28 Dec 2009 05:09:33 +0000

I am in a similar situation, a urologist sent me for a procedure to a hospital. Every place I was asked for my insurance card. Now the hospital is sending me the bill saying the insurance refuses to pay. I keep talking to both parties to no avail. The last letter i got was a treat to pass me unto collection agency for $400. I am really frustrated that i need to spend time on this and don’t want to have a bad credit.
i don’t have 400 to trow away for something that the insurance should pay, that’s why I have the insurance in the first place. I called my husband’s union and they told me not to worry but i keep getting the treats.
Danusia

By: Jerry

Jerry — Fri, 04 Jan 2008 20:13:25 +0000

My first inclination is that the insurance company is out to red tape you into submission. That’s not always the case. Sometimes the billing office makes errors, as in your case, and it leads to confusion and unnecessary hold ups.

Jerry

By: winona

winona — Wed, 17 Oct 2007 04:46:52 +0000

I’m in a similar situation as you right now and it’s not uncommon. Years ago, I had a dispute with my Health Insurer. I sent several letters, all of which somehow never got into my file. Finally, my company had to step in. Now I’m fighting another payment denial and coincidentally, so are my boss and another co-worker. It won’t stop until the government steps in because they’re just too powerful against us individuals. Health insurers care about one thing and one thing only: the bottom line.

By: bill

bill — Mon, 15 Oct 2007 23:06:25 +0000

At the doctors office, if you signed some sort of financial responsibility form, which most have you do, you may be on the hood for the 300 dollars.

By: Scott

Scott — Mon, 15 Oct 2007 14:03:02 +0000

I would be surprised if there is ever any arbitration. The arbitrator’s fees would be more than $300.

By: shadox

shadox — Sat, 13 Oct 2007 19:24:38 +0000

This is ridiculous. I would tell the doctor’s office to resolve it directly with the health insurance and suggest that they submit documentation that they filed on time. This is really not your problem and the two companies should resolve this on their own.

This is one small symptom of the ridiculousness of the American health care industry. The health insurance situation in this country is way past normal. It’s about time Washingtom got off their butts and did something meaningful to address the entire problem.