My question involves insurance law for the state of: Maryland
My question is more about how to deal with my doctor lieing to me about my insurance. I can't find a section about medical.
I need to get little in-office surgeries and for the first couple years I trusted the doctor and what she said. So I was coming back over and over and over. And paying a $30 co-pay everytime! As well as dealing with stitches for months at a time.
I begged her this past time to do 2 at a time, she finally told me she cant because insurance doesnt cover it. So I called the insurance company and they saud I need the CPT code, so when I called the doc to get it, the receptionist actually refused to give me the code. I said if not the code for next visit (which I cancelled), give me the code for my last visit. Still refused.
So after lots of research from other docs, I got the CPT code and found out from insurance that they will cover 3 of these procedures per visit. So my doctor lied to me and caused me money in copays, as well as I spent months with stitches when I could have cut that time by doing 3 per visit instead of 1.
I found she gets 100% pay for the first procedure, 50% for second, and 20% for third. So by having me come back she is always getting 100% from insurance. But this was costing me $30 per visit as well as weeks of being unable to go to the gym, or pool, or take a bath, etc...
So I understand not telling me why she cant do more than one, but she flat out lied about why she cant do more than one when I begged her to do more
Can I do something about this? What are my options? I want to compain, but not sure who to send the complaint letter to?
Even if it wont get fixed for me, I dont want her doing this to other people who dont realize they can call their insurance to find their benefits.