Complicated Question

Hey all,

Earlier this year I was scheduled an appointment for a routine eye exam. I looked up a convenient location, booked a routine eye exam appt., and said yes I’m insured. Which I was. My eye insurance was through a subsidiary of Anthem, called “blue view” and upon arrival to my appt, was asked what I was in for (routine eye exam) and asked for my insurance information, (to which I provided my insurance card.)

4 months later I received a bill for $276 and an explanation that because I was examined under a medical doctor (doctor of corneal medicine or something is what was explained to me) and not an OD, that my visit wasn’t covered under the health plan I had provided. This went back and forth for the rest of the year until finally I received a voicemail threatening it would go to collections unless it was paid by the end of the year.

The explanation given to me was that it was my responsibility to disclose medical insurance information accurately and that the receptionists are busy and don’t always have time to review the insurance cards and I need to be disclosing the exact insurance I have to be billed accurately.

I was told I have no recourse but can reach out to express a grievance. My phone is slowing way down the more I type so i will continue this below..

submitted by /u/frompenniestosense
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