my insurance company does not cover
infertility services. I was fully aware
of this and expected to pay the services
for my husband at his urologist. My
insurance company sent me the statement
showing that they denied the claim. On
this statement they showed the amount that
would have been owed by them after
rerpricing if the service was covered.
However, the patient portion listed the
full amount with no repricing.
I called the doctor office and asked why I
am being charged the full amount and not
the repriced amount, after all they are in
the network that my insurance covers.
She told me that they are only going by
what is on the insurance company's
statement under "patient portion" so that
is what they billed me.
I have left a message for my insurance
company but have not heard back yet. Has
anyone else come across this? I am just
trying to find out if I have a chance of
paying the repriced amount instead of the
full amount. The doctor's office said
they would be more than happy to bill me
the repriced amount but they have to go by
what the insurance company has on their
statement. I am wondering why the
insurance company would care what I owe
since they are not paying for it at all
anyway.
