Am I being balance billed?
Several months ago I went to the ER in NY after being directly there from an urgent care appointment. At the time I had an Aetna Medicaid plan from PA and was out of state. My claim was originally denied to a coordination of benefits issue because they thought my Anthem insurance plan from my last job was still active at the time of the incident and they were the primary payer. After months of going back and forth the hospital finally recognize the Medicaid plan as the primary payer. Of the ~$2900 bill, my Aetna plan paid $93. The hospital is billing me for ~$2500 which is the $2900 and a ~$300 "self-pay" discount. I spoke with both Aetna and my county assistance office in PA. Aetna said I should not owe any more and the county assistance office said my case is no longer open so they can't access details but that if Medicaid is the primary payer than I shouldn't owe any more. The hospital is going to "check with their billers" and get back to me.
submitted by /u/Faust_z
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