Today, I received a bill from Envision Physician Services. Here is the back story
In December 31, 2021, I dislocated by shoulder. I went to the gym late at night and the ER was my only choice. They popped it back in place, couldn’t have been more than 30 minutes. I asked the staff, and the DOCTOR HIMSELF if they took my insurance, and they all said YES.
I got my expected ER bill from Northside Hospital, amounting to $1400 in total, but I only owed $300 because I had a $600 deductible in 2021. So, I only had $300 left to pay for my deductible because I had already payed 300 into it earlier in 2021. The point is, after paying the remaining 300 to Northside, I should have had no more member responsibility.
Today, I got a bill for $2,900 from Envision Physician Services. They told me it is the bill from my physician. For some weird reason, my insurance paid them $1,000, leaving an outstanding balance of 1,900. Now, EPS is trying to charge me the remaining $1,900 for the same rendered service. However, at this point my deductible was met, so the insurance company was supposed to pay in full. When I asked for an explanation from Ambetter, they told me they were going to submit a claim. So, here is what I am thinking.
The doctor was an outsourced doctor (Like Northside loves to do). He is sending me his personal bill. However, as I mentioned earlier, they ALL told me they accepted my insurance. Are there protections that will guard me against these exploitative practices? I had no choice of doctor, yet I still asked and he said they took my insurance. I don’t think it is right for me to have to pay because of, for a lack of a better word, deception. I do not think that they purposefully lied about taking my insurance, but I know that the healthcare system in the US is a disgusting, money-hungry machine, so I do not think very fondly of them.
Basically, what happens if my insurance uses the excuse that the doctor is out of network, even though it was an ER visit, and they told me they accepted Ambetter (the doctor and the staff). has anyone experienced this with EPS?
Thank you all, I am slightly freaking out as the prospect of having to pay almost 2k for something my insurance should be paying. It is weird that they paid 1,000, and not the rest.
submitted by /u/monstro1213
[link] [comments]Today, I received a bill from Envision Physician Services. Here is the back story In December 31, 2021, I dislocated by shoulder. I went to the gym late at night and the ER was my only choice. They popped it back in place, couldn’t have been more than 30 minutes. I asked the staff, and the DOCTOR HIMSELF if they took my insurance, and they all said YES. I got my expected ER bill from Northside Hospital, amounting to $1400 in total, but I only owed $300 because I had a $600 deductible in 2021. So, I only had $300 left to pay for my deductible because I had already payed 300 into it earlier in 2021. The point is, after paying the remaining 300 to Northside, I should have had no more member responsibility. Today, I got a bill for $2,900 from Envision Physician Services. They told me it is the bill from my physician. For some weird reason, my insurance paid them $1,000, leaving an outstanding balance of 1,900. Now, EPS is trying to charge me the remaining $1,900 for the same rendered service. However, at this point my deductible was met, so the insurance company was supposed to pay in full. When I asked for an explanation from Ambetter, they told me they were going to submit a claim. So, here is what I am thinking. The doctor was an outsourced doctor (Like Northside loves to do). He is sending me his personal bill. However, as I mentioned earlier, they ALL told me they accepted my insurance. Are there protections that will guard me against these exploitative practices? I had no choice of doctor, yet I still asked and he said they took my insurance. I don’t think it is right for me to have to pay because of, for a lack of a better word, deception. I do not think that they purposefully lied about taking my insurance, but I know that the healthcare system in the US is a disgusting, money-hungry machine, so I do not think very fondly of them. Basically, what happens if my insurance uses the excuse that the doctor is out of network, even though it was an ER visit, and they told me they accepted Ambetter (the doctor and the staff). has anyone experienced this with EPS? Thank you all, I am slightly freaking out as the prospect of having to pay almost 2k for something my insurance should be paying. It is weird that they paid 1,000, and not the rest. submitted by /u/monstro1213 [link] [comments]Read Morer/HealthInsurance