How to Dispute Charges for Preventative Mammogram

woodsmom
Tue, 12 Apr 2016 19:08:55 +0000

@carachel2. I definitely initialed and signed paperwork as instructed, and in hindsight I should have paid more attention to it. I haven’t had any issues before and it all seemed routine. It was a screening mammogram referred by my in-network primary care doctor at an in-network hospital. It never occurred to me that I’d be billed. I haven’t been for about five years. We have a large deductible plan so we generally pay for any sick care fully out of pocket. But the basic physicals and routine screenings have been free (even before ACA). The $100 would not be a big hardship for us, but that isn’t the point. How long can insurance decide that something is experimental and unproven when there are many studies showing a benefit? Why wouldn’t the hospital notify me when I was scheduling that their screening method had a portion that many major insurance companies consider experiment and unproven and won’t cover it? Is it unreasonable to expect basic screening and well care to be 100% covered as required by ACA?