Do I have any recourse in this situation?

I called my health insurance company in April to inquire if a particular hospital was jn-network. My wife and I are expecting a child which would be delivered by c-section. My wife has her own coverage but the plan was to add our son to my policy since I already cover the other kids. The rep advised me that yes it was an in-network facility.

Fast forward to two weeks ago. I start having chest pains and I am advised by my doctor to go to the ER. I go to the hospital I inquired about for the birth of my child in a couple months. I receive a battery of tests that confirm I did not have a heart attack or lung issues and was advised to follow up with my primary physician. I just found out that the hospital is NOT in-network and I will be responsible for nearly $4000 in bills for all the tests.

I called the insurance company and they advised me that they had no record of the phone call where I was told it was an in-network facility. Is there anything I can do?

TLDR: my health insurance customer service rep gave me misinformation about a facility that turned out not to be in network, they claim not to have a record of the convo, and I’m on the hook for nearly $4000 because of it. Anything I can do?

submitted by /u/SimpleMan683
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I called my health insurance company in April to inquire if a particular hospital was jn-network. My wife and I are expecting a child which would be delivered by c-section. My wife has her own coverage but the plan was to add our son to my policy since I already cover the other kids. The rep advised me that yes it was an in-network facility. Fast forward to two weeks ago. I start having chest pains and I am advised by my doctor to go to the ER. I go to the hospital I inquired about for the birth of my child in a couple months. I receive a battery of tests that confirm I did not have a heart attack or lung issues and was advised to follow up with my primary physician. I just found out that the hospital is NOT in-network and I will be responsible for nearly $4000 in bills for all the tests. I called the insurance company and they advised me that they had no record of the phone call where I was told it was an in-network facility. Is there anything I can do? TLDR: my health insurance customer service rep gave me misinformation about a facility that turned out not to be in network, they claim not to have a record of the convo, and I’m on the hook for nearly $4000 because of it. Anything I can do?
submitted by /u/SimpleMan683 [link] [comments]Read Morer/HealthInsurance

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