• Just Livid!

    Asked by Jalemans on Tuesday, June 28, 2016

    Just Livid!

    So, since I was diagnosed with a second cancer in the span of 2 years with the first one being very rare and both my parents died of cancer at a young age and 2 of my sisters have breast cancer, they thought I should have genetic testing. I did. The geneticist said my co-pay would be $100. The lab sent me a letter saying my insurance would cover the whole thing. Well, today in the mail I get a letter showing the cost was $8000 and they want me to supply ALL my medical records & all associated medical records "related to this claim".

    OK, first of all they have all my medical records since they have had everything submitted to them! Secondly, my parents have been dead for 40 and 50 years & I was a child when they died -- how the heck am I supposed to obtain their records? Lastly, I am not even going to ask my sisters for their medical records -- what an invasion of privacy -- I wouldn't give mine to their insurance company either.

    What a scam this is! I have no way to pay!

    11 Answers from the Community

    11 answers
    • Jalemans' Avatar
      Jalemans

      I called my state insurance customer service as it told me to do on the letter (I am in MN) & they told me I'd have to call their office in KY. I called the number for KY & got DC. They told me there is no office in KY -- they just use that as their mailing address because the laws in KY are different. I know the lab had already contacted my ins because they had sent me a letter saying so & that my cost would be zero. All of these places are "in network", & I asked if they couldn't talk to each other & was told "yes". The woman told me to ignore this letter & wait until I receive additional requests... She asked the same thing BuckeyeShelby did, but it very clearly states that I am supposed to send this stuff along with the letter. We'll see what happens.

      Thanks everyone for your responses.

      about 5 years ago
    • ld_105's Avatar
      ld_105

      I got a letter telling me that the bill was $8000 also. I called and had a circular conversation. 1. I approved the test by phone...this was recorded. 2. The co. confirmed this. 3. Then the insurance company confirmed that the tests were fully covered. 4. So why send a bill? Answer, because we have to.
      Go figure.

      about 5 years ago
    • KiVier2011's Avatar
      KiVier2011

      We have had several denials by insurance after "approval for treatment". Usually I just call in, and document who I am speaking with, date/time, etc. I refer to the letter previously received that had approved of the treatment, medicine, or test. Often they will send me a form that I fill out (it takes <5 min) and send in (I fax it over) and then insurance pays it. This is getting more and more frequent, but I have never had to submit the medical records of my son or anyone else! The only bill we have had to pay is for some experimental drugs that didn't work as they were supposed to so we stopped them.

      about 5 years ago

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