The complaint has been investigated and
resolved to the customer's satisfactionResolved Horizon Blue Cross Blue Shield Of New Jersey (Horizon) — condoning overcharge
resolved to the customer's satisfaction
I had health insurance with horizon blue cross blue shield of new jersey (horizon).
In network outpatient lab work was provided by laboratory corporation of america holdings (labcorp).
Due to the limitations of the policy, there was a limit of $500.00 per year for this benefit.
During october 2010, I visited my primary doctor, blood was drawn and sent to labcorp. Horizon was billed for four (4) tests - two (2) were paid in full, one was paid partially and the last was not paid. The explanation of benefits sent to me did not show the remaining balance for out patient testing.
For the partially paid test, horizon was billed at $104.00, allowed amount $20.21, paid $1.85. The last test was billed at $66.00, allowed amount $11.68, not paid.
When this first started, I offered to pay the unpaid contract amounts of $30.04 - not accepted.
I see no reason why I should pay more than five times the contract amount for a test. Also, I have not worked since january 2008 and can't afford to pay $66.00.
If you have horizon for health insurance or any other health insurance that uses labcorp as the exclusive out patient testing service, then you should look for new insurance or if employer provided ask for new insurance.
If enough of us stop using labcorp and the insurance companies that cater to this company we could put them out of business.
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