Insurance issue AFTER surgery due to pre-op blood test

So, I had surgery that is covered by my insurance. But I got a bill for $277 from a lab because the blood test done a week before surgery is NOT medically necessary according to my insurance company. So be sure to check with your insurance company to see if the pre-op blood test that all the doctors order a week before surgery is covered. I was told I should have read the 25 page explanation of benefits that was sent to me in January.  

I just had my insurance company try to pay me instead of my surgeon.  The EOB says he is out of network.  Thank goodness I kept all my paperwork in a folder.  I faxed that in-network approval letter over to them in the blink of an eye.  Let's see how long it takes them to straighten this out.

I would certainly fight them on that because no matter what type of surgery I've ever had the doctors order pre op blood work. They have to know you aren't anemic and many other things. There is no reason why this would be different.

I also would try to fight it.  Pre op blood sound ummmmmmmm needed .... duh...... but if not chalk it up to 25K or $277.00 so worth it. .... lmao.... do $10.  A month installments if ya have to good luck !!! :-)

♡ Kelly

If you are up to it - try to fight it.  My insurance company processed 4 of the 5 claims from my day of surgery incorrectly.  That means they had an 80% error rate.  That is completely unacceptable.  And they wouldn't have fixed any of it if I hadn't kept hounding them to do it.  They are looking for anything to keep from having to pay out money.  Maybe ask your surgeon for a letter explaining that the test was, in fact, medically necessary.