Pcp in FL keeps balance billing me
I am on a medicare advantage plan for years now. My pcp office , several months back, began charging me $25 for ever pcp and telehealth visit.
However, as per my insurance benefits, I do not have a co pay to see my pcp or anyone in his practice (nurse, social worker).
I have called insurance many times and they keep telling me they will resubmit claims for review. I do not owe anything, and not to pay. Etc
The thing is when I go to the Dr appointment the receptionist says without any payment I cannot see the Dr and I need medication.
I dont know what to do. Who enforces this? Whenever I call insurance they do not fix the problem. Insurance says the provider is billing with an out of network provider number even though they are definitely in network. And the Dr office will not fix the billing error. Insisting I owe a $25 copay and a $25 "access fee" for telehealth. Even though it clearly states I do not have a copay for pcp or telehealth.
The office manager, who also happens to be the Dr wife, texted me that they only do insurance billing as a curtesy and I should call this number to find a different insurance.
I am at my wits end. Anyone have any ideas?
submitted by /u/Exciting-Plantain565
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