Q: Why didn’t my insurance pay this balance?
A: Your insurance company may determine that a portion if your visit is due from you. Deductibles, co-payments and items and services not covered by your insurance are your responsibility.
Q: Why did I receive a bill about a month ago saying that I did not owe anything, and now I am receiving another bill asking me for payment?
A: When a claim is sent to your insurance company an informational letter is sent to you. This letter is not a bill. You will receive a statement from the clinic only if the insurance company has not paid your bill or if the insurance company determines you are responsible for the balance due. Insurance companies typically send an “explanation of benefits” (EOB) form to their beneficiaries explaining their payment.
Q: I have Medicare and a Medicare supplement, why do I have a balance? Medicare and my supplement have always paid everything at 100%.
A: Medicare and Medicare supplements do not cover some services, Your Medicare Explanations of Benefits will list these charges as non-covered and due from you.