I am pregnant and I was hoping to get in with a pelvic floor therapist to get exercises before birth. My obgyn sent me a referral to a pt that didn’t do pelvic floor, but I figured I should get my back checked out. The first appointment was pretty long after my initial request and I told them my pain had significantly lessened after I had learned to tilt in my pelvic floor. They told me I was covered for 20 sessions and there no indication that I would have to pay.
I get a bill after having gone every week for almost two months for treatment that was over 1,000 and was told by insurance that there were more sessions not billed. I would never have gone for more than the first session had I know it would cost so much, especially with only mild back pain which is common later in pregnancy.
Any suggestions for recourse? So wild that the sessions were $450, and only 30 minutes of very mild exercises. I had been thinking about canceling them based on time to drive there because they were not super helpful and I wasn’t in a lot of pain. I am so frustrated and I welcome any suggestions!
Pregnant and charged a ridiculous amount for PT
byu/OversizedLasagna inInsurance
Posted by OversizedLasagna
3 Comments
Were you billed for the copay every visit? For example, if I went to see the chiro ten times, I have to pay a $30 copay every visit.
What does your insurance actually cover? You are responsible for knowing your coverage. Open your Summary Plan Description and see what they actually cover and compare it to your Explanation of Benefits and THEN compare that to the provider’s bill.
Without knowing what your insurance actually covers, no one can guess how much you owe.
Have you not hit your out of pocket maximum yet for the year? When I was pregnant my out of pocket max combined with my deductible was about 9k so i budgeted to have to spend 9k during the span of that pregnancy since giving birth would most definitely get me to that number.