Provider and plan don’t agree on copay?
(NY, United States) I (33 NB, 36.8k yearly) have Health First, bronze plan. For a few years now I've been taking therapy through their supported service called Valera as I have mental health issues that require regular check ups. Because the service is provided as telemedicine it does not have a copay.
Recently the therapy provider has started trying to bill me retroactively for all the weekly appointments I've had this year. I called Health First and they confirmed I do not have a copay and unless the provider changed the billing code there is no reason why I'd suddenly have a copay.
The Valera billing department is incredibly irresponsive so it's taken a long time to speak to an actual person but I confirmed the services I'm being provided haven't changed so the code should be the same and it is likely an error on the billing department's part.
The Valera representative stated the reason I didn't have copays at first was due to the Pandemic (which makes no sense because I've had this service with the same rules since before the pandemic) and now they have suspended the no copay rule.
I am getting sent from Provider, to therapist, to insurance reps and they do not coincide.
Valera is charging me almost 2k which may not sound like a lot but I don't have that amount and this would be the third time I get charged something by mistake from Valera, only this time they are threatening to mark me as a "delinquent account" and send third party companies to bill me which is, ironically, impacting my mental health even more.
I'm not sure what to do. Please advise, any help is deeply appreciated!
submitted by /u/Lohrhunter7
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