My wife received a hospital bill that should have been covered by insurance from her last job.?
My wife just recently changed jobs. She was unable to start her new job as soon as she hoped, and we weren't able to afford to continue her Blue Cross Blue Shield insurance plan between jobs (she will have coverage at her new job, just not immediately). She had blind spots in her eyes and after two hospital visits and an MRI, we thankfully found out it was nothing serious, she was just under a lot of stress at work, so her blood pressure was high. Somehow that had caused temporary blind spots which have since gone away. The problem is that she had insurance coverage for all the visits, and the MRI was approved by the insurance company, but now we just received a bill for the hospital visit. My wife left her job for a new job three weeks after the hospital visits, and we even received a final statement from the hospital after she left her job that all we owed was the co-pay, which we paid. Now, they are saying we are responsible for the whole bill. My wife was working and was covered by insurance during the hospital visits, and didn't leave her job until about three weeks after that. I don't understand what the problem is. We paid the approved co-pay for the MRI that the insurance company approved, yet now they are saying WE have to pay for it. Since she left her job three weeks after the hospital visits, can they retroactively go back and just decide they don't want to pay for something they had already approved and already paid for? We have the statement from the hospital showing that the insurance claimed responsibility for the charges beyond the $20 co-pay. Any help would be appreciated.
Asked By: Nathan B - 8/6/2011
Best Answer - Chosen by Asker
Well, you left off a very important piece of information - WHY they are saying she's responsible for the entire bill... More
Answered By: mbrcatz - 8/6/2011
Additional Answers (3)
Have you spoken to her former employer? It could be nothing more sinister than a mistake or genuine misunderstanding.
Answered By: Jo W - 8/6/2011
Who are you saying wants to "retroactively go back and just decide they don't want to pay for something they had already approved and already paid for"? The hospital or the insurance... More
Answered By: StephenWeinstein - 8/6/2011
Perhaps, they canceled her coverage on the wrong date, or perhaps you misunderstood how much you'd ulimately owe. An MRI should cost more than just a $20 copay. And, though they collected the copay, that doesn't mean that's all you're going to owe. Call the insurance company as they'll know.
Answered By: Insurance Pickle.com - 8/7/2011
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