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Why was my DIAGNOSTIC 3-d Mammogram covered 100% 4 years ago but now you are sticking me with an $800.00 "portion you may owe" ? NOTHING has changed as far as the coding for the mammogram from then until now! I have a personal and family history of breast issues / cancer so what it your reasoning?
I also received a bill stating the routine mammogram was not covered and applied to my deductible. I tried calling the insurance company, but because my company goes through HealthConnect360, they wouldn't talk to me. The member services I contact through HealthConnect360 do not get back to me. I thought the ACA law required the insurance companies to pay for these screenings without a deductible or copay! Why is this not covered?
Hello, I'm sorry to hear about this. If you could send us a private message, I can have someone look into your situation. ~ Heather
Also, according to the Illinois Insurance Commission, Mammograms including 3-D Tomography are to be covered 100 % by health insurance providers. It does NOT specify "preventative" vs "diagnostic" mammograms. My next step is filing a complaint with the Attorney General's Office.