Metro SportsMed Physical Therapy

Upon the patient's arrival he was given an insurance benefit formThis form stated the patient's insurance company would cover 80% of the services after his deductible of $1,was met and he would be
responsible for the remaining 20% co-insurance until he satisfied a $3,out of pocket expenseThe form also stated the patient's deductible and out of pocket were not satisfiedThe patient read this form and signed it acknowledging he understood his benefits

There are no records on file to indicate the patient was told he would have to pay $30-$The records on file indicate the patient was told of a deductible and co-insurance

Upon the patient's arrival he was given an insurance benefit formThis form stated the patient's insurance company would cover 80% of the services after his deductible of $1,was met and he would be
responsible for the remaining 20% co-insurance until he satisfied a $3,out of pocket expenseThe form also stated the patient's deductible and out of pocket were not satisfiedThe patient read this form and signed it acknowledging he understood his benefits.*** *** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
They have said nothing new in their response. I was informed I would be charged $30-$40, and never told about a deductible. I was asked to sign a form which acknowledged that I was informed of my insurance benefits.
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

Merchant response is simply untrue.  When I arrived I was informed explicitly that the visit would be 20% copayment only, and was not told about a deductible.  I was informed that that copayment would be $30-$40.  I was given a form that said only that I was explained my benefits.  I am happy to pay the actual stated charges, which is up to $40.
Sincerely,
[redacted]

Review: I had physical therapy on 1/**/**, and the financial person ([redacted]) called my insurance company and then informed me that my visit was covered, and I would be charged 20% coinsurance, which should be $30-$40. She gave me a sheet of paper to sign, saying how many visits I had and that I would be responsible for coinsurance. I was subsequently billed for the full amount of $367 (for a one hour session!!!) and when I called to complain, I was told that it was only covered after I met my $1500 deductible, and the billing department refused to reduce the charges to what they had informed me on my initial visit. I sent in a check for $40 to cover the stated charges, which they have not yet deposited, and they are continuing to bill me for $367.Desired Settlement: To accept my $40 payment as full payment for services rendered, and stop billing me for charges never agreed to.

Business

Response:

Upon the patient's arrival he was given an insurance benefit form. This form stated the patient's insurance company would cover 80% of the services after his deductible of $1,500 was met and he would be responsible for the remaining 20% co-insurance until he satisfied a $3,000 out of pocket expense. The form also stated the patient's deductible and out of pocket were not satisfied. The patient read this form and signed it acknowledging he understood his benefits.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

Merchant response is simply untrue. When I arrived I was informed explicitly that the visit would be 20% copayment only, and was not told about a deductible. I was informed that that copayment would be $30-$40. I was given a form that said only that I was explained my benefits. I am happy to pay the actual stated charges, which is up to $40.

Sincerely,

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

They have said nothing new in their response. I was informed I would be charged $30-$40, and never told about a deductible. I was asked to sign a form which acknowledged that I was informed of my insurance benefits.

Sincerely,

Business

Response:

There are no records on file to indicate the patient was told he would have to pay $30-$40. The records on file indicate the patient was told of a deductible and co-insurance.

Review: I went to the business for physical therapy on 1/**/24, and the financial person ([redacted]) called my insurance company and informed me that my visit was covered, and I would be charged 20% coinsurance, which should be $30-$40. I was subsequently billed for the full amount of $367 (for a one hour session!!!) and when I called to complain, I was told that it was only covered after I met my $1500 deductible, and the billing department refused to reduce the charges to what they had informed me on my initial visit.Desired Settlement: I am happy to pay the agreed amount of $30-$40 which they said they would charge me, as payment in full.

Business

Response:

Upon the patient's arrival he was given an insurance benefit form. This form stated the patient's insurance company would cover 80% of the services after his deductible of $1,500 was met and he would be responsible for the remaining 20% co-insurance until he satisfied a $3,000 out of pocket expense. The form also stated the patient's deductible and out of pocket were not satisfied. The patient read this form and signed it acknowledging he understood his benefits.