3
out of 5
POSTED: | BY: Bernie
Unfair policy calculations
I like the customer service and response time.
I don't like how faxes don't seem to get there.
I find it unfair that even though we our responsible for 100% of the $300 deductible. They take off our percentage PRIOR to calculating the reimbursement rate. Therefore, we end up paying more then the first $300 before getting money back.
With a $1000 claim at 70% reimbursementrate, they deducted your reimbursement rate off FIRST ( so 30% off the money we are 100% responsible for). Therefore, making your claim $700 and they reimburse you 70% of that amount.
SHOULD BE
$1000.00-$300.00 (deductible)- $210 (30% reimbursement rate)= $679 (their 70% after your deductible).
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