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Doctors overbilling insurance?

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haveaquestion
LIF Adult

Member since 11/09

918 total posts

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Doctors overbilling insurance?

I went to the eye dr for an eye exam. I have a vision plan which covers all of this. Today I received an EOB from my health insurance. The dr also billed them for the exam. Should I say something? If they ask me for the health insurance copayment I am going to refuse. I don’t understand how they can do this.

Posted 3/5/18 4:29 PM
 
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NervousNell
Just another chapter in life..

Member since 11/09

54919 total posts

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..being a mommy and being a wife!

Re: Doctors overbilling insurance?

Is this an actual MD like an Ophthalmologist?
Or an optomologist like at a Davis Vision or place like that?

Posted 3/5/18 4:33 PM
 

Aries14
Can't plan life...

Member since 8/08

2860 total posts

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Re: Doctors overbilling insurance?

Posted by NervousNell

Is this an actual MD like an Ophthalmologist?
Or an optomologist like at a Davis Vision or place like that?




this makes a difference... Some eye exams go thru your medical

Posted 3/5/18 5:49 PM
 

haveaquestion
LIF Adult

Member since 11/09

918 total posts

Name:

Re: Doctors overbilling insurance?

It’s not a chain but they sell glasses there. It was an exam for glasses. They’ve never billed my health insurance before. If the eye coverage paid for the comprehensive exam should the health insurance have to pay for the exam too?

Posted 3/5/18 6:09 PM
 

NervousNell
Just another chapter in life..

Member since 11/09

54919 total posts

Name:
..being a mommy and being a wife!

Re: Doctors overbilling insurance?

Posted by haveaquestion

It’s not a chain but they sell glasses there. It was an exam for glasses. They’ve never billed my health insurance before. If the eye coverage paid for the comprehensive exam should the health insurance have to pay for the exam too?



Nope not at all. Your health insurance should deny that

Posted 3/5/18 7:03 PM
 

loveus
LIF Adolescent

Member since 9/13

684 total posts

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Doctors overbilling insurance?

I have different insurance for health and glasses. My eye doctor has no idea what my heath insurance number is and not sure why you would provide it if it shouldn’t go though that insurance.

Posted 3/5/18 8:26 PM
 

MarathonKnitter
HAPPY

Member since 2/07

17374 total posts

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EMBRACING CHANGE

Doctors overbilling insurance?

i'm smack in the middle of combining the two insurances... ONLY because my regular eye exam found the cataracts.

your health insurance should deny it and that office doesn't need to know any of your health insurance information. all they need to know is your eye plan info.

Posted 3/6/18 9:12 AM
 

NYCGirl80
I love my kiddies!

Member since 5/11

10413 total posts

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Re: Doctors overbilling insurance?

When I go to my ophthalmologist it goes through my health insurance.

When I go to my optometrist (for contacts) it goes through my vision benefits.

When I get glasses/contacts it goes through my vision benefits.

I would never give my ophthalmologist my vision benefits info; I would never give my optometrist my health insurance info.

Posted 3/6/18 11:28 AM
 

NervousNell
Just another chapter in life..

Member since 11/09

54919 total posts

Name:
..being a mommy and being a wife!

Re: Doctors overbilling insurance?

Posted by NYCGirl80

When I go to my ophthalmologist it goes through my health insurance.

When I go to my optometrist (for contacts) it goes through my vision benefits.

When I get glasses/contacts it goes through my vision benefits.

I would never give my ophthalmologist my vision benefits info; I would never give my optometrist my health insurance info.



I agree. You vision plan and the places you go to use that plan should never ever ask for you medical insurance info. I would just tell them I don't have medical insurance if they insist.
They aren't even medical doctors!

Posted 3/6/18 11:34 AM
 

hmm
Sweet

Member since 1/14

7984 total posts

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Doctors overbilling insurance?

If the exam for glasses was done in the MD office its usually an exam charge

Posted 3/6/18 9:54 PM
 

Dolphinsbaby
My 3 little guys!

Member since 12/10

2943 total posts

Name:

Re: Doctors overbilling insurance?

This is wrong. You should call your health insurance company and report it. This is the exact reason they send Explanation of Benefits when something is billed.

Posted 3/6/18 10:41 PM
 
 

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