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Billing Question?

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Thump

Hating the environment since 1994
    • My wife was covered by OSU's health insurance during the last quarter of her internship but we got a bill yesterday for $432 saying that she owes because they rescinded that insurance plan.

    They told her she was covered at the time and now are asking for the money.

    I'm going to call them when I have time but she is not liable to pay for that is she?
     
    Depends on who the bill is from...is it from a provider or from the insurance carrier or from the plan administrator? Without knowing more about the situation I think you would be best to call them up and get clarification first. Something doesn't sound right. I work in the industry and you'd be surprised the stunts that get pulled every day.
     
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    Thump;752467; said:
    My wife was covered by OSU's health insurance during the last quarter of her internship but we got a bill yesterday for $432 saying that she owes because they rescinded that insurance plan.

    They told her she was covered at the time and now are asking for the money.

    I'm going to call them when I have time but she is not liable to pay for that is she?
    Click to expand...

    My guess is that if she received the service/treatment she is liable for the payment. Generally you are responsible for any medical services provided to you that your insurance doesn't cover.

    If she paid a premium to Ohio State for the insurance (and they rescinded the insurance) she should be entitled to a refund from Ohio State for the premium.

    The "pisser' is that doctors/hospitals/labs have a variety of rates for the same service. The amount that they amount that they would pay the insurance company (Ohio State insurance's rate) is a lot less than the amount that they charge an uninsured person. Since they "told her she was covered at the time" I would at least make sure that they are charging her the insurance rate vs. their uninsured person rate. They may be reluctant to reveal their pricing date; but the bottom line is: any medical bill is negotiable and just how bad do they want paid? They may claim that their "policy" is to not reduce a bill or negotiate: however, there are always exceptions to every "corporate policy".
     
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    She didn't require any hospitalization or services.

    Just saying that for that quarter, she was responsible for covering herself even though the University said they were going to be covering her.
     
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