With all the new preventive care benefits out there it is more important than ever to maintain a line of communication with the staff in your doctors office. When making appointments that are for preventative benefits you need to be extremely specific and exact. Have the appointment setter read back to you the reason for the appointment and make sure they repeat that it is for preventative care. When getting any test done, be sure that the doctor is clear with you and his staff if it will be covered as preventative care. Many test are, but if they are lumped with some that are not covered then the whole group may not be covered.
We have seen an uptick in complaints regarding this topic. It is all in the coding. If the doctors office staff miss codes you will be billed differently than you anticipated. If the doctors staff explains to you that what you are doing is not covered then you will need to decide if it is necessary and worth the added expense. You are your biggest health advocate, do not be afraid to call on staff and the insurance carrier to find out what your benefits are and at what level you will be covered for the care you receive.
If you would like to find out more about your specific health plan or get information on another plan, please contact us at (714)680-5900 or email us at www.ansainsuranceservices.com .
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