Quote:
Originally Posted by Northendzone
Getting paid $0........
If the OP were to provide copies of the relevant insurance booklets and the dates the claims were incurred then I could likely figure out what has gone on.
Just because the orthotics were $549 and he has COB does not necessarily mean the total payout will be $549.......
|
Its seems obvious (at least to me) what you are describing happened before when they were with separate companies. The "wifes" plan allowed for $300 while the "husbands" plan allowed for $200 hence $500 ($200+$300) being deducted of a $549 cost.
Anyone with a dental plan in Calgary knows this scam - cost is $125, benefit is 80% of $100. I guess it would be cheaper to get my dental work done in rural alberta but they dont pay out mileage so
Now they are not applying the husbands independent policies limits to the balance after the wifes deduction comes off. In essense the husbands plan is now worthless.
***
As another poster has said, talk to HR. Talking to insurance companies directly when you arent paying is a waste of time.