hn7609
Distinguished member
- Joined
- Sep 7, 2011
- Messages
- 121
- Reason
- PALS
- Diagnosis
- 08/2011
- Country
- US
- State
- Virginia
- City
- Moseley
At my last clinic visit the Dr. wrote a prescription for my feeding tube supplies and set me up with the provider that they use. My first delivery came a few weeks ago and consisted of 5 cases of osmolite 1.5 as well as a box of 100 drain sponges. Today I received my explanation of benefits statement from Anthem and I just about fell out of my chair. The provider charged Anthem a bit over $1900.00 for these supplies and Anthem paid them a bit over $900. The letter states that I may be responsible for$225. Knowing what I was paying for Boost plus I just couldn’t believe the amount that they were billing my insurance for. A quick search on Amazon shows a price per case for the Osmolite 1.5 to be $38.18 including delivery, a box of sponges can be had for $8.00. How can the provider charge these prices and get away with it? They are gouging the hell out of my insurance company. Why would Anthem put up with this?