What is the name of your state? PA
My wife and I started with a new doctor and clinic a month ago. We found them via my online insurance(work insurance) data base.
My wife and 4 yr old son have their first visit with new doctor, what is submitted to my work insurance as "routine visit" although my son is submitted as "wellness visit"
A statement sent in the mail by my work insurance made this claim:
"A routine visit is not covered under the age of 40".
Two major problems I find immediately illegal:
1. A patient does not have any right or power over a doctor how they submit their report to billing, which follows to insurance company.
2. IT IS AGE DESCRIMINATION OF ANY KIND TO SAY SOMETHING WON'T BE COVERED UNTIL, OF OR AFTER AGE.
I talk to insurance company twice. They said they would not cover the submited bill due to the doctor writing "routine visit" but would cover my son which was submited as "wellness".
The secoond time the insurance company now claims, they are a third party and it's the corporate that owns the company I work for were whom created the rules.
AGAIN, HOW CAN ANY COMPANY CREATE RULES USING AGE AND USING SPECIFIC WORDING. AGAIN, how can you claim not to cover due to word that doctor submits on paper when a patient has no right or power how they word it.
My wife and I started with a new doctor and clinic a month ago. We found them via my online insurance(work insurance) data base.
My wife and 4 yr old son have their first visit with new doctor, what is submitted to my work insurance as "routine visit" although my son is submitted as "wellness visit"
A statement sent in the mail by my work insurance made this claim:
"A routine visit is not covered under the age of 40".
Two major problems I find immediately illegal:
1. A patient does not have any right or power over a doctor how they submit their report to billing, which follows to insurance company.
2. IT IS AGE DESCRIMINATION OF ANY KIND TO SAY SOMETHING WON'T BE COVERED UNTIL, OF OR AFTER AGE.
I talk to insurance company twice. They said they would not cover the submited bill due to the doctor writing "routine visit" but would cover my son which was submited as "wellness".
The secoond time the insurance company now claims, they are a third party and it's the corporate that owns the company I work for were whom created the rules.
AGAIN, HOW CAN ANY COMPANY CREATE RULES USING AGE AND USING SPECIFIC WORDING. AGAIN, how can you claim not to cover due to word that doctor submits on paper when a patient has no right or power how they word it.