Got tubes tied, was sent a bill even though my coverage says otherwise. Help?
Have BCBS Michigan.
My Coverage under Preventative Care lists verbatim:
“Benefit: Voluntary sterilization of female reproductive organs In-network: 100% (no deductible or copay/coinsurance Out-of-network: 60% after out-of-network deductible”
My surgeon, medical center, and anesthesiologist are all within network.
I’m confused about the “no deductible or copay/coinsurance” Does this mean the deductible, copay, and coinsurance are not covered and I am expected to pay them? Or that there is no deductible, no copay, no coinsurance and the benefit is 100% covered?
I received an EOB with coinsurance being what I pay in the breakdown. For any other procedures, visits, etc. copay and coinsurance are explicitly stated in the coverage. For example: when I got a Pap smear it lists the same coverage under preventative care exactly as above; I’ve never had to pay a bill with deductible, copay, nor coinsurance for the pap – it was 100% covered. Why would this be any different?
Help?
submitted by /u/Late-Shape-8082
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