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Horizon Blue Cross Blue Shield - Surprise $1,041.85 bill for a simple hearing test. Can anyone advise on how to fight?
I'm 41 and live in New Jersey. I work for a non-profit and make around $35k per year.
A few months ago, I saw my GP for a regular check-up and mentioned that, in my job, people often speak confidentially, whisper, or are just low talkers, and I sometimes have trouble understanding them when it seems like there is an expectation that I should not, which can get frustrating. I said that I have not had my hearing tested since I was in grade school like 25 years ago and asked whether that's something that should be checked from time to time. She said sure and wrote me a referral to get a hearing test.
So I went to the website for my insurance (Horizon, aka Blue Cross Blue Shield) to search for providers and easily found an audiology office that's tier-1 in my network a few blocks away. I called them, explained that I hadn't had my hearing checked in decades and was looking for a regular test with my doctor's referral, and gave them my insurance information so they could verify that they're in my network. I went for the test, which didn't really tell me much, and later I received the finalized claim notification and was surprised to see that I owe $1,041.85.
I argued with the billing department, and then I argued with the insurance company. There are two different issues here, I've been told. First, insurance explained that the medical coding was for a diagnostic hearing test rather than a routine (annual) hearing test. (Obviously, no one ever gave me an option for which type of test I wanted to receive.) An insurance representative talked to the billing department while I was on the phone and was unable to convince them to change their coding; they insisted that they had coded it correctly and that it would be illegal to change it. Insurance doesn't consider it preventive care if it's a diagnostic test, even though their Preventive Health Guidelines document mentions "Doctor will ask about hearing difficulties and refer for further diagnosis" under "Other Recommended Screenings/Tests."
When I escalated and spoke with a different insurance representative, she figured out the other issue, which became the main focus: I was billed as a hospital outpatient, not as a visitor to a specialist office. She was not able to change that by working with the billing department and filed an appeal internally with the insurance company on my behalf. About a month later, just the other day, I received a denial of the appeal in the mail.
I can still file my own appeal, but I'm not sure how to get a different result. In the meantime, my "payment is overdue," and I'm worried about it going to collections and affecting my credit. The billing department isn't doing anything to hold the timeline even though I've told them repeatedly that I'm arguing with insurance about the bill and had them note it on my file.
If I gave the audiology office my insurance up-front, didn't they have an obligation to inform me that the service wouldn't be covered? If I found the provider through my insurance website as in-network, didn't they have an obligation to inform me that the office was considered hospital outpatient and not a specialist practitioner?
I should note that I live right by a hospital in a major healthcare city, and many of the facilities throughout the city are under their umbrella. My GP's office is also part of the hospital system. Their name is on the door. I use the same patient portal for my doctor visits as I got this bill through. So why, when my GP is a regular office visit, would this audiology office bill me as a hospital outpatient?
I've had health insurance for almost 17 years through my job but only recently started exercising it at all. It's absolutely insane to me that I can be billed an amount like this without anyone letting me know up front that I'm agreeing to pay for a costly service rather than just a co-pay. I'm dealing with some dental stuff right now that's not covered by my plan, and the dentist's office has been extremely clear and forthcoming about costs months in advance. In contrast, this hearing test bill feels like a scam.
Does anyone have any recommendations for what I can do from here? Also, does the No Surprises Act help me with this at all?
Progressive - Help getting the best rate for car insurance
I’m moving from Oregon to Los Angeles & my wage is still quite low, but the move is justified because I should go up in salary much quicker in due time.
I have to change my car insurance over & my rate with Progressive will go from $133 for comprehensive to about $400.
What insurance do I really need in the event of an accident & how can I lower this cost as low as possible? Anyone have really cheap rates with other companies? Car is a 2015 Nissan Altima.
Travelers - Recourse for not at fault accident?
So I recently got in my second accident in 3 years. The first one was at fault in September 2022. This one was not at fault last month. I had just started a new policy with a new company, Traveler’s and they decided to drop me after the claim was closed. However it became a word vs word accident that was supposed to go to subrogation but since I was dropped it’s not anymore. So I had to get a new policy with Progressive which on their report they listed the accident as at fault. Is there anyway to try to change this? I know I wasn’t at fault and I think the photos of the accident help prove this.
Edit: I’m in Georgia
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
Northwestern Mutual - Life and disability insurance question
Hi everyone, I got to this forum after seeing some "NW mutual life insurance is a scam" posts and i'm not sure if I got scammed. I was in medical training when a financial adviser told me about getting disability and life insurance.. with NW mutual... I'm 35 years old, very healthy, I pay about 87$ for 2M Term to 80 policy with no annual dividend. And my premium for disability is $110.. Looking for advice if I should switch to a different broker (if thats an option) or just general advice.
Obamacare - Denied care for having Subsidized health insurance (ATCP, ACA, Obamacare)
When I call an in-network practice, they usually tell me the next available appointment is in four to six weeks—or that the doctor isn’t taking new patients, it goes without saying all of this is contrary to information updated by my insurance weekly. I push a little or ask about seeing an available doctor, the conversation suddenly shifts to my insurance. As soon as they find out I have a subsidized plan, I sometimes get told they don’t accept it.
Is this happening because of recent changes in federal policies, budgets, or staffing? Are providers running into issues processing claims from these plans?
Kaiser Permanente - Moving States
I’m so frustrated, I moved from maryland to new jersey a few months ago and I want to apply for NJ Familycare. So i’m trying to cancel my medicaid in Maryland and my insurance provider is Kaiser Permanente, I called kaiser and they told me my plan was ending 3/31/25 HOWEVER that said 2024 plan. There was also a 2025 plan that said it was valid through 1/09/25 - 12/31/25. On my Maryland Health Connections I got a message saying it would be ending on 3/31/25 which is exactly what i want, but why does kaiser have another plan that says active?? Idk why all this is so confusing and i called multiple people for about an hour or so and no one seems to give me the same answer.
EasyCare - Gap insurance won’t pay due to normal wear and tear?
So I can upload my gap contract and everything if need be but my car was totaled (hit a deer) and they said they figure it out by my total owed at time of loss was 21,187.49 subtract insurance settlement 18,179, then they said insurance took off $1,866 due to condition of vehicle which was just normal wear and tear deductions. So l'm left with $1,141.99 GAP benefit.
So they're saying my base vehicle value according to CCC was $19,416 then they subtracted $1866 due to condition adjustment then I'm left with adjusted vehicle value $17550 + tax title and fees comes to $18679 minus my $500 deductible.
So l'm left with $18,179, and then my insurance said my actual cash value was $17550. So am I getting screwed here?
https://ibb.co/7JHOdYML
https://ibb.co/NdpH9f59
https://ibb.co/sJP16tQp
Gap contract. It's through EasyCare.
Vodafone - BPO for Vodafone
Hi
Few years ago I had Vodafone broadband which was absolute shite, i had numerous engineers out to try fix the issue but they didn't fix it so I decided to cancel the direct debit and go elsewhere.
I've been paying the amount back to BPO on a payment plan which isn't long off done ive made my own payment notes as I don't trust these people.
Today I've opened a letter from BPO who say Vodafone has passed them the debt and I need to contact them to make repayments, the amount is also higher to what I had left
What annoys me I've been paying these clowns for over 11 months and after checking my standing orders it shows it's still set up and is being paid every month the reference number is the same on my standing order to what's on the letter today
What do I do ignore them or email them ?
Location: UK
Santander Consumer - Collection removed but not original creditor
Santander Consumer sold the debt to Jefferson Capital, and it was removed from my credit report. Why is Santander still on my credit report and not removed as well? Btw Santander is a charge off account
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