Eye insurance

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I recently went for a routine eye exam and made a new pair of reading glasses. I got EOB and it doesn’t match my itemized bill from the doctor.

Insurance says that the total was $720, my out of pocket was $176, they paid $220 and the rest was discount.The doctor charged me $349 out of pocket and the bill said that he expects extra $556 from the insurance.

The itemized bill from the doctor matches somewhat EOB, but not exactly… is also has more charges and excluded tax.

I am new to the US insurances and I have no idea if that’s normal… I wrote to VSP a week ago but haven’t heard back.

  1. Is it possible that I still owe more, since the doctor expected more to be paid by the insurance?
  2. I think that some of the charges exceed what my insurance states as a maximum charge for an in network visit… can I complain about it?
  3. The doctor insisted that I give him also my health insurance data, on top of my vision insurance ‘in case we need it’. Is that normal?

//edit: i’m based in CA but the doctor’s visit was in Hawaii (in network with my insurer)

submitted by /u/mayoyoya
[link] [comments]
I recently went for a routine eye exam and made a new pair of reading glasses. I got EOB and it doesn’t match my itemized bill from the doctor. Insurance says that the total was $720, my out of pocket was $176, they paid $220 and the rest was discount.The doctor charged me $349 out of pocket and the bill said that he expects extra $556 from the insurance. The itemized bill from the doctor matches somewhat EOB, but not exactly… is also has more charges and excluded tax. I am new to the US insurances and I have no idea if that’s normal… I wrote to VSP a week ago but haven’t heard back.
Is it possible that I still owe more, since the doctor expected more to be paid by the insurance? I think that some of the charges exceed what my insurance states as a maximum charge for an in network visit… can I complain about it? The doctor insisted that I give him also my health insurance data, on top of my vision insurance ‘in case we need it’. Is that normal?
//edit: i’m based in CA but the doctor’s visit was in Hawaii (in network with my insurer)
submitted by /u/mayoyoya [link] [comments]Read Morer/HealthInsurance

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