OMG!!! EOB from insurance

[JMinDallas 1]

I was self pay, since my insurance doesn't cover WLS. I made the mistake of giving the hospital my insurance card, since they told me in case I have a hernia.

I just looked at my insurance online and the hospital billed them $63,000!!! My insurance paid $43,000!!! I have no idea what they billed them for. If it was just for the hernia repair, or what. It doesn't give me details.

Does anyone know if I can fight the hospital and ask them to give me back the $6000 I paid them? That was supposedly the only amount I had to pay...I can't imagine the hernia alone costing that much money.

And my dr billed them for the hernia I think, as well as an assitants fee. Both were not paid, since it falls under the amount for my deductible.

Any ideas on what I can do? That seems like a ridiculous amount of money, and darn it, I want my $6K I paid back!

[honk 780]

You may not get the original 6K back; but I would think that the amount that equals your deductable that you have to pay now should be returned. You should'nt be billed twice for basically one operation.

[mlfsandiego 0]

I am in the same boat!!! I am so pissed off to say the least!!!! I have been fighting the surgery center and asking how they can charge for a whole complete other surgery when I already paid them $8,500.00 cash for my surgery happening at the same time same location. My surgeon didn't charge me anything for the repair, but the surgery center billed my insurance $19,000.00 and my deductible plus co pay were almost $4,000.00. I complained to the insurance company BS and they said it is legal. Everybody wonders why our premiums are so high??? This is disgusting!!!! abuse of our healthcare system. I have perfect credit now and will probably go to collection because I told them I had no intentions on paying them. I asked them in writing for a complete detailed billing for both surgeries, then I intend to ask them how they can charge twice for everything like anesthesia, OR, etc., then I will ask it to be refunded to me. I have had screaming matches with these people already. :party:

Good luck and I will keep you posted on my situation.

Monica