I just found out the worst news I could possibly receive 7 days before my surgery! I accidentally discovered that my surgeon no longer accepts my health insurance! His contract ended in September- four days BEFORE I started seeing him with my new insurance- I've seen him twice since then, and no one (Not his office, nor the insurance company themselves) informed me that I wasn't covered AT ALL. I am to have the fusion on Friday December 16- I can't believe that they were not ever going to tell me! I found out because the doctors office sent me a bill on a couple days ago for my consultation in September. It listed that a portion of the bill was 'expecting payment' from the insurance company. The way my policy works- is that, as long as it is in network, they pay 100%, so I called my insurance and found out the bad news. If they would have informed me of this sooner, I could have upgraded my insurance to cover a portion of out of network provider. As it stands, my insurance company will not pay ANYTHING towards an out of network provider!
My question is- does anyone know of any laws that hold a doctor's office accountable for their mistakes regarding insurance notification? (They are well aware that they made several mistakes- and are going to call me back tomorrow to let me know if there is anything they can do.)
Thank you for any help! I pray everything works out because I really need this surgery!
My question is- does anyone know of any laws that hold a doctor's office accountable for their mistakes regarding insurance notification? (They are well aware that they made several mistakes- and are going to call me back tomorrow to let me know if there is anything they can do.)
Thank you for any help! I pray everything works out because I really need this surgery!
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