Health care provider rip off help nurses i need your advice

[kendel22]

Hi All, heres my situation

i recently had to terminate a pregnancy because of ill health

procedure cost about 450 out of pocket, iwent to the gyn that day for the termination with the intension to pay cash but asked if they take my insurance. i was told yes

i received a bill in the mail from my insurance co with 2 checks one for $7,000 and another for $700.00 which i am suppose to give to the DR office but on the statement from my health insurance company it states a balance of 14,000 dollars i owe to the dr office

theres a whole list of labs etc etc

i went in for a routine procedure and came out in 2 hours

i almost peeded on my self when i got the statement

the DR charged about 20,000 dollars total on one bill

the insurance pays 80% and i am suppose to be responsible4 for 20%

some thing seem wrong with this picture

it sounds like fraud to me

help what should i do

all that happened that day was

urine test

blood test

sonogram

procedure

i felt like that is fraud

if i had payed the cash i would have owed nothing but they seem to have known that and lied to me

PLEASE SOME BODY HELP ME

[Katie82, RN]

It would depend on whether the provider agreed to accept your insurance. If they did, you pass on to them what you received from the insurance company and the bill is paid. They cannot charge you anything else except perhaps a co-pay determined by your insurance company. The bill is outrageous and I would not pay without talking to the provider, then the appropriate government office in your state. Surgeons don't make $7K to do open heart surgery on the open market. What you had was a D&C, not major surgery. Most terminations are done in Women's Health Outpatient Clinics, not in an inpatient hospital setting, and usually run between $500 and $1,000, depending on testing and anesthesia. This is for first trimester. I would definatly question this. Why did they not file the insurance claim for you and accept payment?

[Ivanna_Nurse, BSN, RN]

Is it possible that it is one of those statements sent by the ins co. prior to the bill sent to you as the responsible party? ~Ivanna

[Tweety, BSN, RN]

Good luck to you.

However, Allnurses is not in a position to advise you on this matter.

Good luck.