When in Doubt Call the Insurance Company
By Four Walls
@FourWalls (86585)
United States
July 23, 2019 12:52pm CST
Or, don’t believe everything they tell you.
Last night I reported what the registration person at the hospital told me my portion of the bill would be.
Thinking that was a little (okay, a LOT) steep, I called one company I knew would know: my health insurance.
As it turns out, a colonoscopy is considered “adult preventative care,” and customers are allowed one per calendar year at no cost.
In fact, my copays should amount to about $300.
That’s a far cry from the eleven hundred smackers hospital registration quoted me.
Looks like myLot saved me $800.25 today, as The Horse would say.....
Hospital music:
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9 people like this
6 responses
@DocAndersen (54399)
• United States
23 Jul 19
l love that adult preventative care.
Does that mean you get to act childlike all day?
2 people like this
@FourWalls (86585)
• United States
23 Jul 19
I can do that without medical procedures!
2 people like this
@DocAndersen (54399)
• United States
23 Jul 19
@FourWalls so can I, I just wondered if they gave you like a free pass for a day!
1 person likes this
@FourWalls (86585)
• United States
23 Jul 19
@DocAndersen — at my age I don’t CARE if they give me a free pass.
1 person likes this

@SophiaMorros (5044)
• Belews Creek, North Carolina
23 Jul 19
Glad you're not going to have to pay the full price!
2 people like this
@JohnRoberts (109841)
• Los Angeles, California
23 Jul 19
Not listening to Rush is also adult preventative care.
2 people like this
@dgobucks226 (37621)
•
23 Jul 19
You definitely have to watch how these hospitals and doctors code things. It makes a big difference in the cost! I'm going through a similar thing for a hospitalization back in Dec and it is a real pain. But your insurer can be very good at explaining things and investigating in many cases.
1 person likes this
@FourWalls (86585)
• United States
23 Jul 19
My horror story about coding comes from 1995: Humana tried to charge me $500 because of a code. This was fortunately back in the days of dial-up internet, so I had two lines. I got on the phones: one to the insurance company and one to the doctor. I took names, dates, times, and everything and documented it all. Humana told me exactly what code they wanted, and the doctor’s billing department said that was the code they had. Next month, I got another $500 bill. Sent them a letter documenting everything I had done, and at the bottom I put “cc: Kentucky insurance commissioner, Kentucky attorney general.”
Less than a week later I got a letter from Humana showing a zero balance.
1 person likes this
@FourWalls (86585)
• United States
24 Jul 19
@dgobucks226 -- best of luck to you. Sometimes you have to make like Billy Joel and give them some 1-2-3-4, pressure!
1 person likes this
@dgobucks226 (37621)
•
23 Jul 19
@FourWalls Great suggestion Four Walls! I am sure that got Humana's attention. I will be sending out a very similar complaint letter, thanks.
1 person likes this







