During an unexpected treadmill stress test late in the afternoon in July, 2018, after I'd already had a full aerobic workout at the gym earlier in the day, I asked to stop the test after four or so minutes. Dr. Bejerano's assistant insisted I needed a nuclear stress test.
I thought I only needed another treadmill test on a day when I wasn't exhausted, but I deferred to Dr. Bejerano's medical judgment although I never got to talk to him personally. The assistant administered the test and delivered the verdict.
The only stipulation I had was that I wanted to know my co-pay before I would agree to schedule the nuclear test rather than request another treadmill test. I am a retired English teacher on a very limited budget. For that reason, I have no medical procedure without first verifying that I can afford it.
That information is the one thing I did not get.
I was told in advance in a phone call from someone at the Orange Grove office that the co-pay was $100, an amount which I verified with the medical clerical staff at least two times--in that phone call and again when I was called and asked to change to an earlier appointment. I paid the $100 co-pay on the morning the test was given, verifying once again with the River Road staff that this was the correct amount of the co-pay.
While the River Road staff was excellent and delighted me with the news that my heart was fine, I was appalled when I was mailed an additional bill for $90.
Had I been correctly informed about the cost of the test--that I would incur a $190 co-pay--I would never have allowed it to be given and would have insisted on a treadmill test instead.
Despite filing a grievance and an appeal, my insurance company could only get the $190 bill reduced to $170. The business office staff at Pima Heart did nothing to erase or reduce the bill caused by their error despite my many requests.
I am left, frustrated and angry, in the unconscionable situation of having to pay for Pima Heart Association's mistakes. Because their secretaries misled me, I never had a chance to make an informed decision about my own medical care.
It is infuriating to be stuck with a bill I never agreed to pay. read more