碰到一件可气的事,想在这里请教明白的人。

儿子的头形睡偏了,去看了矫形诊所。测量的结果正好在保险能够cover的范围的线上。医生也开了preion. 就给他配了头盔。花了约有3000刀。矫形诊所说他们不和保险公司打交道,但给了我们一些document,我们自己马上报了保险。前两天受到保险公司的信,说他们需要向诊所要更多的信息,已经给诊所发了信,但没说要什么信息。我们今天给矫形诊所打电话,被告知,“We don't deal with insurance company”。诊所就是把收到的信放到一个文件夹,不作任何处理。听起来就是保险公司和诊所都是按自己的policy做事,但对我们来说就是3000刀的损失。一想到诊所一封简单的回信就可以给我们拿回这些钱,但他们却不肯做,就觉得太冤。请问明白人,是不是就只能forget about this $3000?

所有跟帖: 

is 矫形诊所 in your network? If not, then does your insurance cover -curiousGeorge2- 给 curiousGeorge2 发送悄悄话 (27 bytes) () 04/25/2008 postreply 11:34:59

It's outside network. The insruance plan can cover 90% -欢欢狗- 给 欢欢狗 发送悄悄话 欢欢狗 的博客首页 (0 bytes) () 04/25/2008 postreply 11:58:39

I think the receipt will be ok. call you insruance company -curiousGeorge2- 给 curiousGeorge2 发送悄悄话 (0 bytes) () 04/25/2008 postreply 17:21:58

receipt alone is not enough. -caliber- 给 caliber 发送悄悄话 caliber 的博客首页 (193 bytes) () 04/25/2008 postreply 19:52:30

"preion" == "pre-s-cr-p-tion" -caliber- 给 caliber 发送悄悄话 caliber 的博客首页 (23 bytes) () 04/25/2008 postreply 20:25:12

ask for a detailed breakdown of the fees from the clinic -curiousGeorge2- 给 curiousGeorge2 发送悄悄话 (0 bytes) () 04/26/2008 postreply 16:31:37

别急,等一等慢慢来。别太主动。如果收到保险公司的帐单, -wheredoibegin- 给 wheredoibegin 发送悄悄话 (80 bytes) () 04/25/2008 postreply 11:37:57

Thanks for your reply. -欢欢狗- 给 欢欢狗 发送悄悄话 欢欢狗 的博客首页 (0 bytes) () 04/25/2008 postreply 11:59:10

agree -jojo1971- 给 jojo1971 发送悄悄话 (0 bytes) () 04/25/2008 postreply 12:39:33

my experience -caliber- 给 caliber 发送悄悄话 caliber 的博客首页 (357 bytes) () 04/25/2008 postreply 13:21:48

回复:my experience -欢欢狗- 给 欢欢狗 发送悄悄话 欢欢狗 的博客首页 (257 bytes) () 04/25/2008 postreply 15:34:24

understand -caliber- 给 caliber 发送悄悄话 caliber 的博客首页 (297 bytes) () 04/25/2008 postreply 16:24:45

Some treatment codes need clinical review before insurance proce -ne0987- 给 ne0987 发送悄悄话 (72 bytes) () 04/25/2008 postreply 18:29:53

绝大多数的医疗保险不cover单纯为美观的整容,整型费用 -如尘- 给 如尘 发送悄悄话 (296 bytes) () 04/25/2008 postreply 19:32:26

but this is to correct the kid's head sharp -curiousGeorge2- 给 curiousGeorge2 发送悄悄话 (0 bytes) () 04/26/2008 postreply 16:39:24

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