r/HealthInsurance • u/JulesSherlock • 8d ago

Medicare/Medicaid Anesthesiologist is billing $3700 even though insurance is telling them to stop.

My husband went to the emergency room due to food blocking esophagus. He had to have a gastroenterologist, push it on down. The anesthesiologist billed his insurance who refused it based on it being filed too late. Procedure was 3/8 and they billed 7/1. Then they billed him $3700, which is when he noticed the issue. Said insurance paid $0 and if he didn’t pay by 9/15 it would go to collections. He called his insurance (United Healthcare - Medicare) and they said they would call them the next day and have them refile it. He watched for it online and saw that it had been re-filed on 8/1 so he thought it was ok. Well, insurance denied it again. It says denied due to filing too late and do not bill member. Same as last time. So he expects to get a bill in the mail any day now.

I feel like we’re going in circles. How do we get off this ride if we do get the bill again?

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u/Stock_Run1386 8d ago

Funny that when I take my dog to the vet, it’s very simple and there’s no headaches with co-pays, employer sponsors and other nonsense. I just pay what they bill me. That’s because we pay for it ourselves instead of a third party. Supply and demand. And pet insurance is available if I need it, and the average premium for that is 62 bucks a month. Economics, people. Understand it

3

u/SignificantSmotherer 8d ago

Pet insurance isn’t comparable to people insurance.

You’re typically paying $800-1000/year for up to $5-8K in potential reimbursement. Everything above that is out of pocket.

1

u/Resse811 8d ago

Depends on your plan - our plan has no limit on reimbursement. We’ve gotten back $18k this year so far. Obviously this has not been a normal year in terms of cost for us - but we pay $250 a year for a deductible and then get back 90%

I still have no idea why this was mentioned on a health insurance sub as per insurance is far different…

1

u/SignificantSmotherer 7d ago

What pet insurance do you subscribe and how much is your premium?

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u/Resse811 7d ago

Pets best and $150 a month at this point.