June 21, 2005

"This is Not A Bill"

I got one of those "Explanation of Benefts" thingies in the mail today from Blue Cross. Basically, the visit to the eye doctor I had a couple of weeks ago wasn't covered by Blue Cross because it had been less than a year since my last visit to an optometrist [to those of you unfamiliar with the inner workings of the insurance industry, you're allowed one visit to the optometrist per year].

Well. If I could find the entry explaining why my old doctor sucks goats I would refer to it here. To briefly summarize, the quality of care at the franchise place I went to last year was dirt poor. I was put into contact lenses that really didn't fit that were impossible to find anywhere else BUT at the doctor's office. When I tried to go back in a couple of weeks after my fitting to complain about the lenses I was told that I would have to pay for another visit. I said "Screw that" and decided to just deal with them for the year.

Well, I ran out of contact lenses last month and couldn't find them anywhere online. They were backordered for at least three weeks at both reputable places I tried. I didn't want to get them from the Doctor's office because I vowed I'd never step foot into that place again.

I wanted to see a new doctor who actually gave a damn about the plastic gliding around my eyeballs, so I set an earlier than September appointment.

There, now we're caught up.

Is it worth filing a petition for them to cover it given the shitty quality of service I got from their provider a year before?

I'm going to write a letter and try to get this resolved, but I bet I'll just end up eating the $125.00 they say I owe.

*le sigh*

Posted by Tiffany at June 21, 2005 07:40 PM
Comments

It's worth a shot. Every time I've fought with a doctor's office, dentist's office, or insurance company, I've won (knock wood) and with little effort. I often wonder if they just overcharge everyone and then rollover as soon as anyone fusses.

Posted by: Nanc' at June 21, 2005 08:44 PM

This happened to me too. I had to call my insurance and bitch about it. It got taken care of and they paid for my glasses as well as the doc visit.

Posted by: Diana at June 22, 2005 07:23 AM

Unfortunately it won't matter. The insurance company only cares that Care Plan A was applied at Time B at Price C. Quality of care is not an insurance concern.

Posted by: Jim at June 25, 2005 02:42 AM
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