So I tried contacting several providers in Aetna's portal that were listed in my area as in-network. Upon calling them I was informed that either A) they actually didn't take my plan or B) that provider didn't do annual women's health exams and focused on high risk surgeries etc. I grew frustrated from their inaccurate portal and messaged them for a list of providers directly. They reply with a list and I visit the first one on it within 2 weeks. Soon enough the claim hits my plan and it does so as out of network. I contact them and they say "sorry you were sent the wrong list" and go on to tell me I was billed correctly because the provider is still out of network. They tell me I have to appeal, which I do, and now today I received a letter saying the appeal was denied and I was billed correctly.
Luckily this bill isn't thousands but still it should've been $0 since it's a preventive annual health exam. Though I hope this issue isn't widespread I'm also hoping someone here would have some insight or a similar situation that they had resolved. I really don't feel that I should be held responsible for an out of network copay after my insurance carrier provided me with this list in writing and said they were all participating in my plan. This was their mistake and they should eat it. For what it's worth I STILL do not know of an in network gynecologist in my area and this year my company has left us with Aetna as our only medical provider.
Submitted December 29, 2018 at 09:31PM by boofacekilla http://bit.ly/2EVSZNM
