kbirchtree
New member
My billing situation is a nightmare. For a $12,000 out of network charge the insurance company is claiming the Medicaid rate is $4,400 and that is all they will pay. That would be fine with me if they negotiate that with the hospital but they didn’t. The line in the sand was drawn with me and I have to pay the difference. What good is insurance if they arbitrarily decide what should’ve been billed.
Of that $4,400 they claimed billable I’m paying $3,000 for the deductible and $722 in coinsurance. They are paying $722 total. I didn’t realize they could just decide what they want to pay. They just conveniently omitted $8,000 from the equation because they didn’t want to count it. Is this legal???
Of that $4,400 they claimed billable I’m paying $3,000 for the deductible and $722 in coinsurance. They are paying $722 total. I didn’t realize they could just decide what they want to pay. They just conveniently omitted $8,000 from the equation because they didn’t want to count it. Is this legal???