Therapist reaching out for a year of co-pays after claiming telehealth was free

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I saw a therapist regularly for most of 2019 and stopped toward the end of that year. For my plan with BCBS NC, I pay a $50 copayment for each session as they qualify as a specialist on my plan. I resumed with this therapist in July of 2020 (during the pandemic) over Zoom.

They claimed that telehealth payments/copays for patients were being waived during the pandemic and our remote sessions qualified for this. I was excited to hear that and didn’t think much of it as they didn’t ask for a copay going forward. Jump to today – I stopped appointments a couple of weeks ago and the therapist reached out to me saying that all of the claims he had filed from 2020 to now had been denied as they had outdated insurance information.

They have asked me to check with BCBS to see if anything was paid and to figure out the sum that I owe them for the last 7 months.

I checked with BCBS and they have no record of claims after our sessions in 2019.

What happens now?

  1. Am I on the hook for 7 months of copays if the therapist re-files these claims even though he told me it would be free when we resumed treatment? That’s a significant sum of money that I wasn’t expecting to pay, but I also recognize the therapist hasn’t been compensated.

  2. Should not the therapist have been aware of this issue far sooner??

submitted by /u/-kerplunk-
[link] [comments]
I saw a therapist regularly for most of 2019 and stopped toward the end of that year. For my plan with BCBS NC, I pay a $50 copayment for each session as they qualify as a specialist on my plan. I resumed with this therapist in July of 2020 (during the pandemic) over Zoom. They claimed that telehealth payments/copays for patients were being waived during the pandemic and our remote sessions qualified for this. I was excited to hear that and didn’t think much of it as they didn’t ask for a copay going forward. Jump to today – I stopped appointments a couple of weeks ago and the therapist reached out to me saying that all of the claims he had filed from 2020 to now had been denied as they had outdated insurance information. They have asked me to check with BCBS to see if anything was paid and to figure out the sum that I owe them for the last 7 months. I checked with BCBS and they have no record of claims after our sessions in 2019. What happens now?
Am I on the hook for 7 months of copays if the therapist re-files these claims even though he told me it would be free when we resumed treatment? That’s a significant sum of money that I wasn’t expecting to pay, but I also recognize the therapist hasn’t been compensated. Should not the therapist have been aware of this issue far sooner??

submitted by /u/-kerplunk- [link] [comments]Read Morer/HealthInsurance

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