Hi
I recently had a Tonsillectomy done after maxing out my out of pocket cost. I made sure to go with in network providers for all the procedure related stuff.
Now in my claims it shows I own over $6k foe the procedure which is not normal at all.
I looked at the claim line by line and most of it covered 100% except for one and it says the provider charged ~$3500 and then insurance discount is at -$2700 which doesn’t make any sense to me and then the total I owe is ~$6000!
how is this even possible or legal? does anyone know anything about how to approach this? again, I maxed out my out of pocket and I even had the hospital do a pre-auth before the surgery which they said it should be covered at %100. This is driving me mad!
submitted by /u/eimansepanta
[link] [comments]
Hi I recently had a Tonsillectomy done after maxing out my out of pocket cost. I made sure to go with in network providers for all the procedure related stuff. Now in my claims it shows I own over $6k foe the procedure which is not normal at all. I looked at the claim line by line and most of it covered 100% except for one and it says the provider charged ~$3500 and then insurance discount is at -$2700 which doesn’t make any sense to me and then the total I owe is ~$6000! how is this even possible or legal? does anyone know anything about how to approach this? again, I maxed out my out of pocket and I even had the hospital do a pre-auth before the surgery which they said it should be covered at %100. This is driving me mad!
submitted by /u/eimansepanta [link] [comments]Read Morer/HealthInsurance