Millions of Customers Likely Paid Too Much For Out of Network Health Care
Attorney
(866) 735-1102 Ext 590
We all know the drill. Health insurance is expensive. Even if you are a portrait of health, and only visit your doctor one a year for preventative care, your premiums continue to go up year after year. Even with healthcare policies that we pay good money for, millions of Americans are still forced to step outside their health insurance company’s list of preferred providers to see an out-of- network physician or medical provider. In fact, statistics show that over 70% of Americans pay more for plans that allow them access to out of network providers. As we all know, our out-of-network access usually comes at a higher rate whether you pay a higher deductible, a higher percentage of the bill, or higher copayment.
If you are insured with an insurance company in South Carolina, Georgia, or North Carolina not only may you pay a higher percentage of the physician’s bill to see an out of network doctor, but what you may not realize is that your insurance company likely may not be reimbursing your claim as promised.
Although these insurers may claim to pay as much as 80% of the bill to see an out of network physician or medical provider, instead of picking up the remaining portion of the bill as promised, some insurance companies are reimbursing the physician at what they determine to be the “usual and customary cost” for such visit, not for their portion of the bill. Even worse, rather than figuring an average of what it costs for that specific type of care in your area, these insurance companies may be reimbursing based upon faulty data, leading you to be responsible for more than you bargained for. We are currently investigating claims that these insurance companies’ reimbursement rates are based upon faulty data and are extremely low, leaving you to pay more than promised. That means that millions of people in Georgia, South Carolina, and North Carolina, likely paid too much for out of network care.
Strom Law Firm, LLC, is investigating whether Blue Cross Blue Shield of South Carolina (BCBSSC), WellPoint Health in Georgia (WPH), or Blue Cross Blue Shield of North Carolina (BCBSNC) are engaged in this practice. If you or a loved one is currently insured with BCBSSC, WPH, or BSBSNC, and you believe that you have paid too much for out of network claims, contact an experienced insurance reimbursement fraud attorney.
Strom Law Firm is a personal injury and criminal defense law firm centrally located in Columbia, South Carolina. Our firm proudly handles personal injury, criminal defense, defective products, class actions, pharmaceutical liability, toxic torts, medical malpractice, nursing home neglect, workers compensation, social security, veteran's benefits, qui tam, predatory lending, tax investigations, business litigation, and wills and estates. Our lawyers proudly edit the Columbia, South Carolina Injury Board as well as the Strom Law Blog as a pro bono effort to provide the public valuable information. Our lawyers are licensed in: South Carolina, New York, Georgia, Florida, and the District of Columbia.