I'm still on my state's low-income health coverage; I'll probably be bumped up a tier come the next enrollment period as I'm making (not much) more money.
A few months ago I was getting the runaround from some--but not all--of my annual appointments as according to them I have other insurance. Call Masshealth, they don't have anything else on file for me so it's a mystery exactly where this other plan came from (ThreeLetterDrug says that they can't tell me but Masshealth can, Masshealth can't tell me because they don't have anything else under my name).
Eventually I'm able to get my prescription through my normal clinic, they have the same 'issue' that ThreeLetterDrug did but they have to give me the lowest-priced option (TLD either doesn't have to offer that or doesn't know they have to).
Now I got a bill from "Journey" Labs who did some basic bloodwork during my physical in March. They're saying that Masshealth denied the claim because I was "not covered at the time of service"! I did get a letter from MH stating that my coverage would start April 1...which was a mystery as this happened a few weeks after the major game of phone tag, during which the rep confirmed that my coverage was in fact active.
I'm confused. Part of me wants to just say "screw this" and pay it, but I shouldn't have to...also, had I known the lab work wasn't going to be covered I would have told my doctor to hold off. I thought--and the rep seemed to confirm--that the issues were just with the prescription coverage.
Thoughts? I know what's going to happen if I call the insurance again...but I'm also confused by the timing.
First round of phone tag was in mid-March. Masshealth rep did confirm that I was covered.
The lab work was done the same day as my physical, March 31. Why was the exam covered but the lab work was not...shouldn't everything--physical plus eye and dental a few days later-- have been bounced if I wasn't covered?
A few months ago I was getting the runaround from some--but not all--of my annual appointments as according to them I have other insurance. Call Masshealth, they don't have anything else on file for me so it's a mystery exactly where this other plan came from (ThreeLetterDrug says that they can't tell me but Masshealth can, Masshealth can't tell me because they don't have anything else under my name).
Eventually I'm able to get my prescription through my normal clinic, they have the same 'issue' that ThreeLetterDrug did but they have to give me the lowest-priced option (TLD either doesn't have to offer that or doesn't know they have to).
Now I got a bill from "Journey" Labs who did some basic bloodwork during my physical in March. They're saying that Masshealth denied the claim because I was "not covered at the time of service"! I did get a letter from MH stating that my coverage would start April 1...which was a mystery as this happened a few weeks after the major game of phone tag, during which the rep confirmed that my coverage was in fact active.
I'm confused. Part of me wants to just say "screw this" and pay it, but I shouldn't have to...also, had I known the lab work wasn't going to be covered I would have told my doctor to hold off. I thought--and the rep seemed to confirm--that the issues were just with the prescription coverage.
Thoughts? I know what's going to happen if I call the insurance again...but I'm also confused by the timing.
First round of phone tag was in mid-March. Masshealth rep did confirm that I was covered.
The lab work was done the same day as my physical, March 31. Why was the exam covered but the lab work was not...shouldn't everything--physical plus eye and dental a few days later-- have been bounced if I wasn't covered?
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