Kaiser kept granting me coverage even though I was to have Health Net (Medical). Now, they decided to start billing me for the services I recieved because their computer system made a mistake in approving my medical care.
Mel
Welcome to the wonderful world of US health care, where the patient is always responsible for payment.
I'm not sure I understand what happened here. If you received services from Kaiser, your coverage was through Kaiser and they should pay your claims per their plan guidelines. If you selected HealthNet and kept receiving treatment from a Kaiser provider for some reason, your coverage was through HealthNet and the claims that were denied by Kaiser should be submitted to HealthNet for payment.
If you were covered by Kaiser and they denied your claims anyway, they do have an appeals process you can go through to fight their denial of your claims. It is not a fast or easy process, though - insurance companies don't concede defeat easily.
If you have health coverage through your employer, get them involved since they are probably the ones who screwed up and covered you under the wrong plan to begin with. See if you can be retroactively enrolled in HealthNet and bill the claims to them, or if your employer can assist in getting Kaiser to pick up the claims.
Good luck!
Orignal From: Who is responsible for medical bills?
Post a Comment