Davenport, FL asked in Health Care Law, Insurance Bad Faith and Insurance Defense for Florida

Q: Clinic said they accepted my insurance, are billing me almost a year later. Insurance says they’re out of network.

I wouldn’t have gone if they hadn’t told me they accepted my insurance. Now I have a bill for $568. If they didn’t accept my insurance, why do I have records of my ‘co-pays’ of $40 and $20 (standard for my insurance)? Not only that, but I had to seek treatment elsewhere because they refused to properly medicate my condition, spoke over me and treated me with derision at each appointment. I called my insurance and they said they don’t ever show this provider as being in-network. Is there anything I can do?

1 Lawyer Answer
Jeffrey Snyder
Jeffrey Snyder
  • Jacksonville, FL
  • Licensed in Florida

A: First, get the explanation of benefits from your health insurance. Did the provider even send their bills to the health insurance at all? It sounds like they may be trying to "balance bill" you, which is illegal.

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