兒子的頭形睡偏了,去看了矯形診所。測量的結果正好在保險能夠cover的範圍的線上。醫生也開了preion. 就給他配了頭盔。花了約有3000刀。矯形診所說他們不和保險公司打交道,但給了我們一些document,我們自己馬上報了保險。前兩天受到保險公司的信,說他們需要向診所要更多的信息,已經給診所發了信,但沒說要什麽信息。我們今天給矯形診所打電話,被告知,“We don't deal with insurance company”。診所就是把收到的信放到一個文件夾,不作任何處理。聽起來就是保險公司和診所都是按自己的policy做事,但對我們來說就是3000刀的損失。一想到診所一封簡單的回信就可以給我們拿回這些錢,但他們卻不肯做,就覺得太冤。請問明白人,是不是就隻能forget about this $3000?
碰到一件可氣的事,想在這裏請教明白的人。
所有跟帖:
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is 矯形診所 in your network? If not, then does your insurance cover
-curiousGeorge2-
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04/25/2008 postreply
11:34:59
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It's outside network. The insruance plan can cover 90%
-歡歡狗-
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04/25/2008 postreply
11:58:39
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I think the receipt will be ok. call you insruance company
-curiousGeorge2-
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04/25/2008 postreply
17:21:58
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receipt alone is not enough.
-caliber-
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04/25/2008 postreply
19:52:30
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"preion" == "pre-s-cr-p-tion"
-caliber-
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04/25/2008 postreply
20:25:12
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ask for a detailed breakdown of the fees from the clinic
-curiousGeorge2-
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04/26/2008 postreply
16:31:37
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別急,等一等慢慢來。別太主動。如果收到保險公司的帳單,
-wheredoibegin-
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04/25/2008 postreply
11:37:57
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Thanks for your reply.
-歡歡狗-
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04/25/2008 postreply
11:59:10
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agree
-jojo1971-
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04/25/2008 postreply
12:39:33
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my experience
-caliber-
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04/25/2008 postreply
13:21:48
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回複:my experience
-歡歡狗-
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04/25/2008 postreply
15:34:24
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understand
-caliber-
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04/25/2008 postreply
16:24:45
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Some treatment codes need clinical review before insurance proce
-ne0987-
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04/25/2008 postreply
18:29:53
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絕大多數的醫療保險不cover單純為美觀的整容,整型費用
-如塵-
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04/25/2008 postreply
19:32:26
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but this is to correct the kid's head sharp
-curiousGeorge2-
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04/26/2008 postreply
16:39:24