(Closed) Insurance Payment Questions

posted 6 years ago in Pregnancy
Post # 3
Member
3170 posts
Sugar bee
  • Wedding: October 2012

I always call my insurance company before I get anything done because I had this same thing happen except it wasnt $10, it was $390.

Post # 4
Member
5670 posts
Bee Keeper
  • Wedding: August 2010

Before paying any bill you should get an EOB from your insurance company. On the EOB the claim will be detailed. It will show that the claim was processed and how much the insurance company pays, it sounds like they pay 90% and you have a 10% co-insurance. Save these EOB’s and match them to the bills from the place of service when they arrive. Hope this makes sense. Please feel free to PM me if you have any questions, I handle benefits for our company and have seen every type of claim.

Post # 5
Member
1765 posts
Buzzing bee
  • Wedding: September 2012

My only advice is to check over your plan very carefully. I’ve learned from experience that it’s best to know beforehand what you’ll be expected to cover. Something like ten dollars isn’t a big deal, but when you get stuck paying more than that, it sucks. A few years ago my dad needed physical therapy and they covered a good portion of it.. but they didn’t say when the coverage stopped, so he got stuck paying a lot of money on something that was supposedly covered. 

Post # 6
Hostess
18643 posts
Honey Beekeeper
  • Wedding: June 2009

I agree with others that you should look for your EOBS (they should mail them to you or have a place online for you to check them) but that sounds right.  Since there was an insurance discount on there, it sounds like they did already bill the insurance (companies should do this before you receive the bill from them).

Edit: The only time I have had to go back to the insurance company is when they completely refused to pay a claim for a treatment my doctor gave me.  I had to have my doctor write multiple letters to them but it didn’t end up making a difference in my case.

Post # 8
Hostess
18643 posts
Honey Beekeeper
  • Wedding: June 2009

I’m not sure who you are planning to call, but I would call the insurance to talk to them about it.  They will be able to tell you about your recent claims and coverage throughout pregnancy.

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