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ack! I owe the derm. $$$$$$$$$ UPDATE

ant n tilde Posted:

ack! I owe the derm. $$$$$$$$$ UPDATE


Ok poopie news. I have very bad back acne (bacne if you will) and i have been going to a dermatologist since March and every time I go he gives me this cold stuff for my back and antibiotics . . . this has been something that bothered me for over ten years and finally my back looks GOOD and I am so excited for the wedding. SO today i get a bill from my insurance company telling me that I owe the doctor $100!!! The date of service was my very first appt in MARCH. Well, turns out that my copay was $30 but this 'treatment' was $100 EVERY SINGLE TIME! so that is about 20 visits x $100 = $2000!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! If I had known that I wouldnt have gone, I mean it is finally working but it is no miracle cure!!!! I am so upset - I don't know what to do bc I feel like its not my fault. Every visit I would ask how much I owed and they would tell me $30 and that would be it.

I am VERY responsible when it comes to stuff like this but it is not like they list every single treatment in the insurance books so I feel like the office should have at least warned me that it may not be covered! Does anyone have any idea?


********************************************
okay girls i talked to the derm today. I love him. He bribed me! He said that if I continue to be a regular patient ( weekly or biweekly) he will waive the past due fee of about $2000 AND each visit will be $50 instead of $130 like the insurance says it is supposed to be. i am so excited bc the treatment for my back is DEFINITELY working. . . so i will hopefully have a clear back for the wedding!

THANK YOU for all your responses.
LuvMyAlfonse Posted:

Re: ack! I owe the derm. $$$$$$$$$

I don't know Tilde but that SUUUUCKS!

It seems to me that your derm thought it was covered too! IMO, it's their fault... They should eat it...

I can find out more for you tomorrow if you want - I'll call my insurance broker - they're so helpful!
Soon2BMrsD Posted:

Re: ack! I owe the derm. $$$$$$$$$

did you call the insurence company??? and or the Office.. and explain to the BILLER what happen??? we get this all the time at my office

ant n tilde Posted:

Re: ack! I owe the derm. $$$$$$$$$


Posted by LuvMyAlfonse

I don't know Tilde but that SUUUUCKS!

It seems to me that your derm thought it was covered too! IMO, it's their fault... They should eat it...

I can find out more for you tomorrow if you want - I'll call my insurance broker - they're so helpful!



hmm i was going to call Blue Cross but I am not sure if this is something they can 'waive' or if I am just going to have to take this up with the dermatologist's office
Belongs2DanBuckley Posted:

Re: ack! I owe the derm. $$$$$$$$$

naaa...the dermo is expensive...esp if u have issues...i used to pay $35 every week...its nuts right? ROBBERY!!!
LuvMyAlfonse Posted:

Re: ack! I owe the derm. $$$$$$$$$


Posted by ant n tilde
hmm i was going to call Blue Cross but I am not sure if this is something they can 'waive' or if I am just going to have to take this up with the dermatologist's office



I have Empire Blue Cross Blue Shield and they don't cover diddly. I highly doubt the ins company will waive it...

If you're just getting a bill now, in July, for procedures in March - it's definitely the derm's fault... Call them first... Just what you need to deal with right?
ant n tilde Posted:

Re: ack! I owe the derm. $$$$$$$$$


Posted by LuvMyAlfonse


Posted by ant n tilde
hmm i was going to call Blue Cross but I am not sure if this is something they can 'waive' or if I am just going to have to take this up with the dermatologist's office



I have Empire Blue Cross Blue Shield and they don't cover diddly. I highly doubt the ins company will waive it...

If you're just getting a bill now, in July, for procedures in March - it's definitely the derm's fault... Call them first... Just what you need to deal with right?



seriously! i already called them and they said they have to call the ins company and they will get back to me!!

Espo22 Posted:

Re: ack! I owe the derm. $$$$$$$$$

ask for a payment plan they'll do it, this way you don't pay it all in one shot...sorry though, still S*cks

Soon2BMrsD Posted:

Re: ack! I owe the derm. $$$$$$$$$

actually empire blue cross blue shield PPO plan is one of the best... they usually cover just about everything. you should be able to call tomorow an talk with someone then call the Derms office and take it up with them. say you've been asking about price now your getting a bill.. sometimes its the matter of a Diagnosis code that makes it 'coverred' sometimes the derm is considered 'cosmetic' not a necessity... so they may not cover it but its worth a call! put up a fight!

Espo22 Posted:

Re: ack! I owe the derm. $$$$$$$$$

When i used to go to the derm it was all covered...and today when i called up about the shot they said it was covered too.

You might want to call up your insurance company yourself
MikeandJess Posted:

Re: ack! I owe the derm. $$$$$$$$$

I think you can refute this. I had a problem with my dentist where they told me I owed them a lot of money but it was because I had something done that they didn't tell me wasn't covered and I got ALL of my money back. Put on your fight face and call up those biotches
snowcutie82 Posted:

Re: ack! I owe the derm. $$$$$$$$$

that realllllly blows. i hope you work everything out!!! i just had a fight with the dr about insurance and coverage. its sooo annoying.

maybe they can recommend a different treatment or like someone else said...use a different code on your bill.
ShiraLovesTommy Posted:

Re: ack! I owe the derm. $$$$$$$$$


Posted by ant n tilde



Ok poopie news. I have very bad back acne (bacne if you will) and i have been going to a dermatologist since March and every time I go he gives me this cold stuff for my back and antibiotics . . . this has been something that bothered me for over ten years and finally my back looks GOOD and I am so excited for the wedding. SO today i get a bill from my insurance company telling me that I owe the doctor $100!!! The date of service was my very first appt in MARCH. Well, turns out that my copay was $30 but this 'treatment' was $100 EVERY SINGLE TIME! so that is about 20 visits x $100 = $2000!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! If I had known that I wouldnt have gone, I mean it is finally working but it is no miracle cure!!!! I am so upset - I don't know what to do bc I feel like its not my fault. Every visit I would ask how much I owed and they would tell me $30 and that would be it.

I am VERY responsible when it comes to stuff like this but it is not like they list every single treatment in the insurance books so I feel like the office should have at least warned me that it may not be covered! Does anyone have any idea?



I have an idea!
Ok, that happened to me a couple of years ago.
Talk to doc. privately, see if they can submit it to the insurance company as 'Acne Surgery'....that procedure seems to get completely covered. Ask your derm about it. Believe me, he'd rather get it covered and continue to have you as a patient than you be frusturated by the cost and stop seeing him. The idea is more 'profitable' for him to keep you as a long term patient.
ant n tilde Posted:

Re: ack! I owe the derm. $$$$$$$$$

thanks everyone for the suggestions!! i am going tomorrow after work - i would like to deal with them first instead of the insurance company bc i really do like going there . . . if all else fails i will call up the ins company myself

thanks everyone
Tori9299 Posted:

Re: ack! I owe the derm. $$$$$$$$$

That really stinks call and fight it with someone.

megzzie Posted:

Re: ack! I owe the derm. $$$$$$$$$

Oh no Tilde, that really stinks! Definitely contact your insurance company and the billing office and hopefully something can be worked out.

ChristineAaron08 Posted:

Re: ack! I owe the derm. $$$$$$$$$

Is it possiblethat the insurance co just didn't pay the dr.? Usualy they send the bills to the ins co and sometimes ins cos are so screwed up that they dont pay claims. Then the Dr sends a bill to the patient.This happend to me with a dr visit, but it was only $180 and the ins co eventually paid.

If not, it is totally bs on the drs part. How can they give someone treatmnt then all of a sudden say- oh BTW- you owe us $2000. BS I tell you. I hope everything works out!
ant n tilde Posted:

Re: ack! I owe the derm. $$$$$$$$$ UPDATE

BUMPITY BUMP BUMP

Snowflake08 Posted:

Re: ack! I owe the derm. $$$$$$$$$ UPDATE

wow matilde, that is SOOOOOO nice of him

is he in howard beach??

i need a good dermo
Mici n KC Posted:

Re: ack! I owe the derm. $$$$$$$$$ UPDATE

What a nice doc! Glad everything worked out!

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