I had a women’s wellness visit with my regular doctor, who my insurance provider moved out of network. When I got the bill showing I was responsible for the entire amount, I called my insurance provider who said they would make an exception and adjust the claim. It turns out they only paid a small portion and I am still being held responsible for a large amount.
I called them again and they are claiming it was a one time adjustment and they cannot go back and make another one. With women’s wellness being covered under the ACA, shouldn’t the full amount have been covered when they made the adjustment? Are procedures that are covered under the ACA still covered when a doctor is out of network?