State Health Plan, Charge for Cast in Doctor's Office?
I am a new teacher in North Carolina and had a mishap just weeks before my wedding in July - I fell and broke my wrist! However, I have had nothing but trouble trying to get Blue Cross Blue Shield to pay what should be their share. I have tried to call them today, but are closed, and will contact them Monday with this problem, but I am writing to see if anyone has had this same problem.
I have paid my office copay for the visit to the Orthopedist Surgeon ($60), where I received a cast. I received an "Explanation of Benefits" from BCBS that states the visit was billed under "Surgery" and that my doctor may bill me $219.02. However, under the summary of benefits it says that doctor copay's include "office surgery, x-rays and lab tests."
Has anyone paid for a cast that was put on in the doctor's office, where a copay was already paid? According to the summary of benefits, I don't think I am responsible - but maybe I am missing something?