I recently had surgery. It was planned, and I did due diligence to ensure that the surgeon, the surgery center and the anesthesiologist were in network as in network costs are much more affordable to me than out of network costs with my PPO insurance plan. They were all in network with reasonable costs. This weekend I received a bill for a surgical assistant PA who happens to be out of network. I had no idea there would be any surgical assistant. In fact, this bill is larger than what the surgeon submitted to the insurance company. It is exorbitant even after my out of network adjustment was made. I contacted my insurance company this morning, and they tried calling the surgical assistant practice. The practice said the bill must be paid in full. My insurance company said I should put in an appeal to see if something can be done. I did that today, but I think it’s futile.
If this happened to you, did you have any successful resolution? I do not want to pay this bill so I assume it will go into collections and just keep increasing. I don’t want to set up a payment plan either as I think this is just blatantly unfair. I am considering hiring a lawyer, but I don’t even know where to start or additional costs I might incur.
Any insight will be appreciated. Thanks.