What did insurance say your share of that cost is? You should have coverage, or it is part of your contracted deductible or copay. How will you be reimbursed for the direct billed cost. Why was Lincare allowed to direct bill, rather than bill your insurer leaving a balance that is your share?
Is there a way to upload images here? I think it would be easier if i could just show you guys. My deductible is 5k, so insurance didn't cover anything, it just went towards my deductible.
02-14-2015, 02:48 PM
(This post was last modified: 02-14-2015, 05:02 PM by me50.)
Make sure you get a copy of all the paperwork from Lincare if you don't have it. Then, make sure you unauthorized them to take money out of your account. I would not give Apria my credit card and I am glad I didn't because they billed my insurance company for supplies I did not get. If you have told them to pick up your machine, you really need to stop the bank authorization because you don't know what they may take out of your account. If they are unethical, they could take out cancelation fees as an example (not saying they would but you just don't know what they might do). They took a lot more money out of your account than you authorized them to take out.
If you do go with another DME, don't give them any card information. Apria tried to get me to do that even though my insurance paid 100% and I refused to give them a card and I even went so far as to tell them to take their machine back that I would not do business with them. They changed their tune pretty quickly; I presume that the machine is their bread and their butter is all the supplies needed so if they don't have the bread (sell the machine), they lose out on their butter.
Double check with your insurance company to make sure that you do have a deductible for DME because a lot of insurance companies may have deductibles but don't have deductibles for DME
Here is an example of what I was trying to explain to you earlier
$390.00 is what the DME billed my insurance
$77.35 Plan paid
$33.15 Your coinsurance amount (and this is because I went out of network so I could avoid Apria; if I had stayed in network, I would have only paid $22.10 per month and this is for a vpap auto which is more expensive than cpap or cpap auto. I got my humidifier from Apria as I initially got my machine and humidifier from them but I returned my machine and kept the humidifier since my insurance did not rent it but paid for it outright at 100%.
So, check with your insurance company and see what the allowed amount is for your machine and how much they pay outright for a humidifier per the contract price if you had already met your deductible.
So has she stormed their offices with a pump action rifle and blamed ISIS yet?