u/Beginning-Log-5988

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PCP ordered routine mammogram as part of annual wellness check. 40 year old with history of dense breast tissue. Insurance isn’t covering the cost of the imaging. Left with a $377 bill I can’t afford. What are my options? How is this legal?

Update: Spoke with the billing department and they said the service was billed a routine screening mammogram, suggested I call insurance provider. Insurance provider said the hospital system the facility is in (Swedish) is “participating” but the imaging provider is not in network. Despite calling the provider and confirming they are in network with Premera. I received bad information. I did check with my insurance company (did not call, used online portal to search) and because it is a large hospital system the search results came back with lots under the Swedish name but not specifically the imaging location. I plan to appeal and report to the insurance commissioner.

u/Beginning-Log-5988 — 14 days ago