I previously called the insurance about the first batch of "Explanation of Benefits" forms that show what they would pay. They were going to re-work all of them because they were wrong (and not paying anything). I got a denial letter on the biggest item, a CAT scan. I called and the lady said that whoever did it got the formula backwards on their paying 60% till the deductible is reached and then paying 100%. She said they would re-work it. I brought up a $450 urologist consultation that it said they were not paying anything and she said that it was because there was something in the diagnosis that suggested that it was a pre-existing condition. I said that would be crazy and that I'd know if I had kidney cancer treated before. She said they sent a questionnaire to the doctor and were waiting and that should fix it.
Ridiculous and immoral.
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Which idiots say we have the best healthcare system in the world, again?
ReplyDeleteI'd bet money they do that sort of thing on purpose knowing that most people won't/can't fight it.