Thứ Hai, 20 tháng 4, 2020

[Question - insurance] Annual well-woman visit: preventative (100% covered) or billable?

had a routine well-woman visit which had been scheduled a year out, since my last annual appointment. Considering the COVID crisis, I received a call a couple of business days before my appointment, asking if I would be willing to have a telehealth (video call) visit rather than an in-person visit. I said sure.

My video call with my gyno lasted less than 10 minutes. At the beginning of the call she confirmed: "just an annual well-woman?" I really just wanted my birth control prescription renewed. I've been on this pill for 10 years, and this is only the second time I've seen this doc. She asked how it's going, if I'm having any side effects, any irregular bleeding? I said yeah, sometimes I have some mid-cycle spotting, but nothing too bad and nothing that makes me want to change meds. She said that mid-cycle spotting often results from not taking the pill exactly on time, so she advised me to do that. That was the extent of the conversation.

Now I am being billed a couple hundred dollars for an office visit. Not sure if it's because it was telehealth, or for "issue discussed: irregular bleeding" as stated on my after-visit summary. I'm going to call first thing tomorrow morning to tell them it was billed incorrectly.

Unfortunately I had received a follow-up call from the office within the next week to verify my insurance, and the convo went like this: "this will be billed as preventative, right?" "No, it will be billed as a standard visit." "...why is that?" "I dont know, I dont know the purpose of your visit." "It was a routine well-woman appointment." "Well I cant say for sure, I'll just have to bill you and see what happens."

Has anyone else experienced this? Having the doctor switch from billing as a 100% covered, preventive visit to a standard appointment, simply for answering a question? Unfortunately because of my follow up phone call, I dont think it's a mistake on their end. I feel like I was baited by the doctor and by answering honestly, now I'm on the hook for a lot of money. Does my answer of "yes, I experience occasional mid-cycle spotting" really make the difference between a preventive, covered visit and a problem visit?



https://ift.tt/eA8V8J Submitted April 20, 2020 at 03:39AM by skullandloans https://ift.tt/3bmyK8r

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