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Insurance Question

Isn't the contracted amount the amount your insurance pays? So, in under a contract, can they charge the patient the difference?

Having a hard time understanding: How my insurance company says Patients responsibility is XXXX but the doctor's office says I still owe YYYY amount.

At a difference of like $600.00

I don't understand...

Also, they said the contact the insurance prior to surgery and we paid ZZZZ amount upfront. I understand maybe a a few hundred dollars difference but not another $800.00

Anyhow else been through this ?

 
SassySue123

Asked by SassySue123 at 10:06 PM on Dec. 13, 2012 in Health

Level 22 (15,145 Credits)
This question is closed.
Answers (2)
  • Sometimes certain things are not covered by insurance, like certain alternative treatments.

    GoodyBrook

    Answer by GoodyBrook at 10:13 PM on Dec. 13, 2012

  • even with the statement from the insurance what they've paid and a statement from the doctor's office - they do not add up. even with the three things not covered - sedation - the doctor didn't work fast enough for the insurance company, I guess.
    It's is still several hundred dollars off - -
    SassySue123

    Comment by SassySue123 (original poster) at 11:21 PM on Dec. 13, 2012