do you ever have any trouble getting them to pay their part on the dr bills. where my husband works has it. he has to wear a colopsy bag, and they refuse to payfor them. but they will pay for the needles people need. when i call them they argue with me and say they are supply and wont pay for them, now we are having trouble getting them to pay on the dr bills, why do they hold money out of his paychecks for the ins if we have to pay everything ourselves,? they dont even give the company a good reason for not paying their share which is supposed to be 50 oercent.
2006-10-14 07:43:46 · 5 answers · asked by Anonymous in Business & Finance ➔ Insurance
All insurance companies play this game. Blue Cross Blue Shield is among the worst.
Provided that you are using in-network providers, having covered procedures (check your policy if you need to) and have any applicable referrals and that any deductible has been met, there is absolutely NO reason why the insurance shouldn't be paying.
I have this theory - I would love to be able to prove it - I think that most insurances will play this game because they figure if they make it difficult for you to fight with them (i.e. sending you in circles) or stuff like that, that you'll get frustrated and pay it so they don't have to. (They also do whatever they can to hold on to their money as long as they can.)
DO NOT back down, call them EVERY time they pull this, and if need be, speak to a supervisor every time. Also, make the employer aware of this issue. If there's many people in the same company having issues with the insurance, the employer has the perogative to change plans - something the insurance company doesn't want.
Remember this: squeaky wheel gets the oil. Good luck!!
2006-10-15 12:29:55 · answer #1 · answered by zippythejessi 7 · 0⤊ 0⤋
You fail to show what state your uncle lives in. it somewhat is critical as a results of fact some states have certain situation standards which limit scientific coverage companies from charging some consumers greater rates according to scientific historic previous or preexisting situations. That drives the value of coverage up as a results of fact human beings can put off paying for coverage till they're ill. some states mandate community score. community score prohibits coverage fee differences according to age or gender. that has a tendency tochronic rates up for the extra youthful applicants. you in addition to mght do no longer point out if he's insuring himself or if he's insuring a relatives. What with regard to the plan he has? Does it have low deductibles? low place of work bypass to copays? Prescription drug coverage with low copays? Maternity coverage? in short, if he's insuring a relatives on a plan prosperous in advantages $2,000 does no longer be out of line.
2016-12-08 14:43:45 · answer #2 · answered by hergenroeder 4 · 0⤊ 0⤋
The only problem with Blue Cross is they wouldn't pay for the procedure at the doctor's private clinic but they would have in the hospital.
2006-10-14 07:53:04 · answer #3 · answered by redunicorn 7 · 0⤊ 0⤋
Here in Texas, BCBS is sued by the Texas Board of Insurance regularly for non-payment of claims. One hospital system( Memorial Hermann) will not accept BCBS at all.
Your story does not surprise me.
2006-10-14 14:34:24 · answer #4 · answered by Kelly T 4 · 0⤊ 0⤋
It is a great company, and they normally pay great.
Each company has a policy and under it there are various rules and procedures. If under the written policy they are not covered, then they are not covered, if under the policy they are covered, theyshould be covered
2006-10-14 13:13:01 · answer #5 · answered by Anonymous · 0⤊ 0⤋