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» LymeNet Flash » Questions and Discussion » General Support » Non Contracted Insurance Problem

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Author Topic: Non Contracted Insurance Problem
bullmastiffluvr
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Member # 50250

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Hi Need some ideas for a huge problem with Stanford. I was accepted to see their autoimmune clinic and was called and asked for my insurance information prior to my appt.
Had great visit with doctor and presented my insurance card again at the clinic and at the lab.
One month after visit I find out they are not contracted with (covered california) and are refusing to accept any payments from them. My lab work was 10,660.00!!! I am on permanent disability and Stanford says I do not qualify for a hardship. I am going to file a complaint with Department of Managed Care which was recommended by covered ca. Any one else have any ideas I would sure appreciate them. Thanks

Posts: 39 | From CA | Registered: May 2017  |  IP: Logged | Report this post to a Moderator
Rumigirl
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Did you discuss whether they accepted your insurance or what the payment/charge would be ahead of the appointment? (I'm not trying to blame you).

How in the world could lab testing amount to that much money??!!

If you need to, you could also contact the state Attorney General's office, also.

I presume that you don't have any of your results yet or any recommendations, etc., right? Unreal.

The moral of the story is to always find out all of this before having an appointment.

I still cannot see how it can be that much and that they say you don't qualify for a hardship!! You must have steam coming from your ears. They can't get blood out of a stone, though, as they say.

Posts: 3595 | From around | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
bullmastiffluvr
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I did not ask them how muchit would cost. I thought based on my previous experiences when they called a month ahead of time to get my info I would be notified. It took a lot of phone calls and exchange of data just to get this appt. I never dreamed lab work alone could be so much money. I did get my results and most were normal except for a cytokine panel which was 4 times the normal value. Some of the treatments he recommended were helpful but Stanford won’t let me talk to him because of the finance dispute. I am more depressed and sad than angry at this point. It seems I can’t get better and there is not much point in continuing.
Posts: 39 | From CA | Registered: May 2017  |  IP: Logged | Report this post to a Moderator
Lymetoo
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That's awful .. Report them and keep reporting them.

If you feel you shouldn't pay, then don't.

I THINK that if you pay ANYTHING, you are stuck....but I'm not sure.

Like Rumi said, "They can't get blood out of a turnip."

--------------------
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oops!
--Lymetutu--
Opinions, not medical advice!

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hiker53
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Contact the attorney general.

I had a home health care group way overcharge me for the I.V. drugs and the machine that administered them in my picc line.

I filed a complaint with the attorney general of my state and got thousands of dollars back.

--------------------
Hiker53

"God is light. In Him there is no
darkness." 1John 1:5

Posts: 5422 | From Illinois | Registered: Aug 2004  |  IP: Logged | Report this post to a Moderator
Ann-Ohio
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Go for it!
https://www.google.com/search?client=safari&rls=en&q=california+attorney+general+complaint&ie=UTF-8&oe=UTF-8

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Ann-OH

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Rumigirl
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It's my understanding that CA has a really good, supportive state AG. Make a complaint.

Lymetoo has a point: you might be worse off if you pay any of it vs not paying and complaining. Then, they might bug you all the more---although I don't know for sure about this.

Your saying that it's not worth going on is concerning. We've all been there many times, feeling this way. But please get support here, at a support group, from other Lyme people, or just friends and family.

There are support groups in CA, online, and presumably, in-person. There is a link to them on the upper left on Lymenet.

And, when you are ready, pick up the pieces of what you need for yourself with treatment.

Posts: 3595 | From around | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
   

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