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f13.net  |  f13.net General Forums  |  General Discussion  |  Topic: Fun with health insurance 0 Members and 1 Guest are viewing this topic.
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Author Topic: Fun with health insurance  (Read 1548 times)
MuffinMan
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on: April 12, 2011, 09:40:34 PM

Last year around this time I got all four wisdom teeth taken out. Since they were impacted it was covered by my medical plan which, of course, I'm have a $1250 deductible. The bill came to ~$1200 so I paid half of it with cash and they were going to bill me the next few months for the rest. A month after my surgery I log onto my account for my medical insurance and I'll be damned the oral surgeon submitted the claim again. Well since I "paid" the deductible a month earlier the insurance pays for 80% this time, oral surgeon then sends me a check for around $360 for the amount that I overpaid out of pocket. Is this common practice to double bill insurance companies for the same service?

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Hawkbit
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Reply #1 on: April 12, 2011, 11:02:02 PM

EDIT: Nevermind.  I'm ranty... it's late.
« Last Edit: April 12, 2011, 11:13:25 PM by Hawkbit »
Abagadro
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Reply #2 on: April 12, 2011, 11:33:36 PM

Sounds fraud-y.

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Merusk
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Reply #3 on: April 13, 2011, 05:42:54 AM

I'd ask the insurance company about it just to cover my own ass and not seem complicit in an apparently fraud-y situation.

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slog
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Reply #4 on: April 13, 2011, 07:17:14 AM

They will fix it later.  Keep the cash in a savings account so you can pay it when the bill comes in.

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sinij
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Reply #5 on: April 16, 2011, 01:37:08 PM

I'd say don't get involved. Don't cash the check. Keep sending your payments.

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