What recourse do I have when my doctor said my insurance would cover a surgery then after the surgery he said that the insurance changed their mind?

Get Legal Help Today

Compare Quotes From Top Companies and Save

secured lock Secured with SHA-256 Encryption

What recourse do I have when my doctor said my insurance would cover a surgery then after the surgery he said that the insurance changed their mind?

Prior to the surgery the doctor said all I need to do is cover the $40 co pay. After the process he billed me $1200 stating that my insurance has changed their mind and they would not cover the entire cost.

Asked on July 17, 2012 under Business Law, Texas

Answers:

FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney

Answered 11 years ago | Contributor

If you relied on your doctor's representations to you that your surgery would only cost you $40 out of pocket but it turned out that that your health insurance carrier did not cover the costs of surgery, then under the concept of "detrimental reliance" you should only be responsible for paying the $40 under the law.

I would write the doctor a letter stating stating the above while keeping a copy for future need and use.


IMPORTANT NOTICE: The Answer(s) provided above are for general information only. The attorney providing the answer was not serving as the attorney for the person submitting the question or in any attorney-client relationship with such person. Laws may vary from state to state, and sometimes change. Tiny variations in the facts, or a fact not set forth in a question, often can change a legal outcome or an attorney's conclusion. Although AttorneyPages.com has verified the attorney was admitted to practice law in at least one jurisdiction, he or she may not be authorized to practice law in the jurisdiction referred to in the question, nor is he or she necessarily experienced in the area of the law involved. Unlike the information in the Answer(s) above, upon which you should NOT rely, for personal advice you can rely upon we suggest you retain an attorney to represent you.

Get Legal Help Today

Find the right lawyer for your legal issue.

secured lock Secured with SHA-256 Encryption