I revisited my doctors office today, and they told me I had a balance of $225. But I received a prevntive svc

Question

I received a colposcopy and a cervical biopsy I was under the impression that these were preventive screening and I would not have to pay anything. Is there a way to get my money back from either the doctor or the insurance?

Answer 1

Agree with Sarah...no such thing as a "preventative screening" colposcopy and cervical biopsy.

You just don't have those procedures done unless there is a medical reason for doing them.  If your doctor did the procedures for follow up after an abnormal pap smear, then they weren't "preventative screenings."

(To the other answerers...she had a coloposcopy - the cervical procedure, not a colonoscopy.  At first glance, I thought she said she had a screening colonoscopy too...lol)

Answer 2

It is absolutely impossible for a cervical biopsy and colposcopy to be a "preventative screening." Cervical biopsies and colposcopies are only done as diagnostic tests.

You don't have a colposcopy and cervical biopsy done just for the h**l of it.  You have those procedures because you either had an abnormal test result or you had some type of symptom.  There is no such thing as a "preventative screening" cervical biopsy.  Period.

Think about it...why did your doctor order those procedures?  I'd bet its because you had an abnormal pap smear, right?  So in other words...you didn't have them just for a preventative screening!  There was something that required further investigation, which is pretty much the textbook definition of diagnostic procedure...not a screening.

Answer 3

You need to call the insurance company and ask why it wasn't covered.  Any reimbursement would come from the insurance company, for up to the amount they would have paid the doctor.

Answer 4

Depends on your insurance provider

Answer 5

There is usually a maximum amount of preventative services the  insurance company will pay. Any overage will be billed to you. Review the Explanation of Benefits for the procedures and make sure that the amount they are trying to charge you is not an amount that was discounted due to a provider contract with the dr. If you don't have it, call your insurance carrier cust service. They will walk you through how it was processed.