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Unfair Medical Billing Practice by Doctor?

Hi, I feel being a victim of unfair business practice and need guidance on where and who to contact first. I have Aetna insurance and was recently operated for cataract. On the morning of operation, the doctor reccomended me "Restore Lens" and say that this lens would not be covered bt my insurance requiring me a deposit of $2000 on my credit card. This payment did not show up anywhere on the statement and after the surgery a charge of $835 from hospital showed up as a non covered charge for the lens. The doctor later paid the $835 so hospital adjusted that from the bill but this exposed that the lens was of only $835 and the surgeon pocketed the extra money as a sales agent. No the doctor does not show the CC payment on his bill, my payment was not reported to Aetna and the hospital has marked the $835 charge , not sure where to claim my refund of $1175 and which govt agency toreport this pmnt arrangement b/w the dr and the hospital. This happened in Jacksonville FL.

Public Comments

1. Forget the refund. Contact a lawyer.
2. I would contact an attorney or your state's attorney general's office.
3. There are several agencies to help you in this matter. I will list them below. Depending what type of insurance you have makes a world of difference. If you have Medicare or Medicaid, your complaint will even be taken more seriously. In any event try contacting the agencies I have listed below. Florida Medical Licensing Board Florida State Medical Board Florida Insurance Commissioner Attorney Generals Office I hope this information helps. This definitely sounds like a case of insurance fraud and fraud on the doctors part. Best wishes.