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Aeroflow Breast Pumps

65 Beale Rd, Arden, North Carolina, United States, 28704-9213

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Reviews Breastfeeding Aeroflow Breast Pumps

Aeroflow Breast Pumps Reviews (%countItem)

Billed for free additional supplies. Aeroflow texted me whether I would need a free replacement, and I replied "yes" to the message.
05/26/2020
Billed for breastpump replacement kit that were advertised as covered by insurance. Account number XXXXXXX. Billed $169.91 for free replacement kit. I have 2 insurances one of which covered the first breast pump kit. They said the primary insurance would not cover the cost, and they cannot bill to 2nd insurance. They should have checked before sending or advertising the replacement kit is free of charge. After receiving the billing, I contacted them. I opened the replacement kit when they were arrived a month ago, and they say if the package seal is broken I cannot even return. They send the item without checking with the insurance company for coverage, and then charge shipped items that you didn't agree to be billed for. I want this bill removed entirely for the inconvenience, apparent false advertising and not doing their jobs of checking with insurance company first before shipping the product.

Desired Outcome

Removal of the billing of $169.91

Aeroflow Breast Pumps Response • Jun 10, 2020

Thank you for taking the time to contact Aeroflow Healthcare regarding your billing issue. We had a billing supervisor call you to review your bill, unfortunatley you were unavailable and they were unable to leave a message. The supervisor did send an email explaining that we were able to remove the charges for the supplies, however the cost of the breast pump is a legitimate bill and will remain on the invoice.

When you applied for the breast pump we asked for your primary insurance and when you filled out the form, you agreed that you were giving us your primary insurance. Unfortunately when we billed your insurance they originally paid but have recently taken the money back as they determined you had another primary insurance. We are willing to set up a intrest free billing payment plan if needed. Please respond to the email sent to you today or call (XXX) XXX-XXXX for additional assistance. Thank you.

This company is billing consumers in excess of the amount they are contractually obligated to bill.
I inquired about obtaining a breast pump through this company. The website advertised the breast pump I was interested would be billed to my insurance and I would be charged an upcharge fee of $95.00, this amount was a required payment without the company inquiring the specific benefits of each individual's insurance. I paid his amount without hesitation thinking they knew what they were doing and trusted their billing expertise. The specific model I ordered is being advertised at the cost of $209.00 with the "buy it now" option. This week I received my EOB with a breakdown of the the processing of the claim. My EOB insurance was billed $249.00 for the device, there was a PPO discount of $111.47 and payment issued of $137.53 and $0.00 patient responsibility. I emailed a copy of my EOB the company and followed up via phone requesting a refund for the amount I paid out of my flex card and was denied a refund. The explanation I received one that does not comply with the billing contractual obligations. I was informed that because the device is not paid for by my insurance at 100% they collect the difference upfront from those ordering in and effort to be fully compensated the full buy it price. This would make sense if they were billing my insurance at the price advertised, however, my insurance is being billed at a higher price in order for this company to be compensated at the max allowed. In this case the company was paid $137.53 and $95.00 with a contractual adjustment of $111.47, the cash amount collected between me and my insurance of $232.53 plus tax by this company surpasses *** of which I was told they try to make full by collecting a payment up front. I work at a large medical systems company and I'm very familiar with billing processes and regulations, I have never heard of this type of billing practice and have always known that any billing entity that is within the network is contractually obligated to follow bill according to the insurance remittance form. In my inquiry to this company I asked if I could be provided with service code that was used to bill my device and was told the code is E0603, I asked if I could be provided with the service code to the spectra S2plus device (advertised as fully covered by insurance with no upgrade charge with a "buy it now" option at a $207.00 cost) and was told the same service code is used for both hence insurance reimbursement is the same. I informed that I did not agree with their response or rationale in their decision to which I was offered a 3 way call to my insurance. She further explained that because the device I selected has the built in portable battery "a feature is not considered medically necessary by insurance" the cost was being passed *** to me. Again, I have not clue how this makes sense or how this is being justified if this company is billing both devices (with or without portable battery) with the same service code and the reimbursement is the same for both. Regardless to what they believe or their explanation, I believe this practice is a violation of the contractual obligations they have as a participating Blue Cross and Blue Shield durable medical supply company and they need to adhere to those standards the same manner as any other company who bills for services within the Blue Cross and Blue shield network.

Desired Outcome

I would like a refund issued to either me or my flex card.

Aeroflow Breast Pumps Response • May 01, 2020

We appreciate you contacting Aeroflow Healthcare regarding your billing concerns. A supervisor of this department has contacted you to resolve this issue. They have explained how we bill according to our contract with each provider, and that some items included in your purchase were not billable items per your insurance policy. We understand that you'd like to discuss this further and we would be pleased to have a conference call with you and your insurance representative. We apologize for any inconvenience this may have caused you, and look forward to speaking with you soon.

Customer Response • May 04, 2020

(The consumer indicated he/she DID NOT accept the response from the business.)
I spoke with your supervisor over the phone and explained my stance and your contractual obligations as a PPO Provider. Your supervisor told me and I confirmed via EOB (attached to original complaint l) that you used the HCPCS Code E0603 to bill the device the service code as decried by coding guidelines is "Breast pump, electric (ac and/OR DC) any type. (DC being battery) By me using you an in-network provider, I get the most out of my benefits which in this case resulted per your remittance and my EOB to a $0.00 patient responsibility. As shown on the EOb you billed my insurance $249.00, the PPO discount totaled $111.47, amount allowed per your PPO contract is $137.53 with a 0.00 patient responsibility. Your supervisor also said this is the only billing code you use to bill devices, she stated there are no other codes. Which I also confirmed is not correct. There are other codes you can use for example E0602 and E0604, none which would be applicable to use in my case but none the less, you do have other codes allowed depending on the item you're dispensing/supplying. Lastly, your supervisor offered to give me a refund of $22.00 and some change to make the amount due in my end the amount advertised in your website of $209.99. According to her the amount being advetosed is the amount capped by the manufacturer to sell their device, I declined that offer. You cannot negotiate what is being mandated by your contract. Any all companies that sign up to be PPO are under the same obligation as you. Lastly, your supervisor mentioned you have a banner that advertises how much an upgrade fee your clients are to pay by choosing the device. I don't disagree with that, however you are asking for this fee upfront without considering of each individuals benefits (like myself). Other insurance companies may process their claims differently depending on the level of benefits of the consumer and in some cases the consumer may even end up paying more. In my case, however, my insurance clearly states I don't owe anything beyond what they paid and discounted according to their contact with you.

Aeroflow Breast Pumps Response • May 05, 2020

Thank you for contacting Aeroflow Healthcare with your further concerns regarding the billing of your equipment. We ask that you please call in with your insurance on the line at your earliest convenience, so that we can discuss non billable codes and upgrade items via conference call and resolve this issue. We understand your frustration and will be happy to speak to your insurance regarding this matter. We apologize for any inconvenience this may have caused you and look forward to speaking with you soon.

Aeroflow breast pumps offers free breast pumps approved through insurance as long as you qualify. I had filled out their application and received an email almost immediately that I was approved for a free breast pump through my insurance and to proceed to the next step which was picking out my breast pump. I did this and received another email confirming the pump order and the next step was Aeroflow requesting a prescription from my OB for the pump and then it would ship. I notified my OB they should be receiving the prescription request.Days later I receive an email from a customer service rep with Aeroflow that I actually do not qualify for a free breast pump through my insurance because I can only qualify for one every 36 months and I had applied for one in April of 2018 but they could offe me 15% off a new pump which is basically equivalentto nothing. Shouldn't this have been verified before I received multiple emails that I did in fact qualify? I was even allowed to select the pump that I "qualified" for and was just waiting for it to ship. After bringing this to their attention no one offered an explanation and eventually didn't respond to my last email asking for an explanation. At this point they should be offering to send the pump I had selected because of their mistakes.
Product_Or_Service: Freemie Independence Mobile Hands-Free Breast Pump
Order_Number:

Desired Outcome

Other (requires explanation) Aeroflow should be sending me the breast pump I had selected and have emails stating that I was qualified to receive at no cost

Aeroflow Breast Pumps Response • Mar 05, 2020

Thank you for taking the time to contact Aeroflow Healthcare regarding your concern of your requested equipment not being covered by your insurance. A supervisor of this department has contacted you regarding this matter. Unfortunately, we are unable to verify whether or not you have used your benefit through your insurance provider. We were made aware that your benefit was no longer available prior to shipping out your equipment, and notified you at that point to prevent you getting billed for your equipment. As a one time courtesy, we will be shipping your preferred pump out. We value and respect each patient's individual experience with us, and appreciate you allowing us to resolve this issue. If we can be of any further assistance, don't hesitate to reach out.

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Address: 65 Beale Rd, Arden, North Carolina, United States, 28704-9213

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