READ THE STORY OF BILL WHO WAS CHARGED $12,000.00 FOR REHAB
“I need your assistance in resolving a problem I am having with UHC AT&T Medicare Advantage Plan.
On 2/19/2017 I was taken via ambulance to a Medical Center in CO. with an Atrial Fibulation attack while unconscious. I was treated for approximately ,2 weeks then being released for further care and rehabilition to a Skilled Nursing and rehab. Facility on 3/3/17.
My grand daughter and my son contacted UHC to notify them of my transfer via medical transport to the rehab center and that it was a non network facility. The CSR at UHC said it was Ok , pay them out of pocket and then submit a claim for reimbursement. I was released on 3/27 . the claim form was completed by the rehab center business office manager and sent to UHC
On 5/11/17 I received a letter stating that the claim request for reimbursement was denied because “Custodial Services or supplies are not covered please refer to evidence of coverage”.
This involves over $12,000 which is a sizable amount for a person on a fixed income. Your assistance in the resolution of this problem would be greatly appreciated, Thanks, Bill”
AASBCR® BENEFIT DIRECTOR GOT AT&T HR INVOLVED, THEN THE FIX FROM UNITED HEALTHCARE WAS PROVIDED
We were able to engage a member out of Network Management team who had a conversation with the Business Office Manager at the rehab center on Friday 6/2/17 regarding Bill. The facility has agreed to refund Bill the amount he paid directly to the facility for services received in March 2017, and submit appropriate claims to UnitedHealth Care for processing. I will be outreaching to Bill shortly to provide the update.
This can happen to ANY retiree. Have the support of a group that can get benefit issues resolved. Go to the website at http://aasbcr.org/ and click JOIN AASBCR. Dues are a low $25 per year. We are all volunteers, retirees just like you who want to be sure retirees are taken care of.
PER THE RETIREE
The rehab facility coded and filed the claim incorrectly. They are refiling the claim with Medicare correctly. The claim should then be paid.
AASBCR® BENEFIT DIRECTORS WILL CLOSELY WATCH THIS UNTIL COMPLETED