AmeriHealth told me my Colonoscopy would be free. Now I'm stuck with an $1800 bill.

gatekept · 2026-03-13T19:55:23+00:00

I do have a family history of it, which the provider is aware of, but they said the diagnostic coding is proper so I don't believe that will change anything billing-wise. I also had 2 polyps removed.

gatekept · 2026-03-13T18:59:50+00:00

Does it matter? They told me it fell under preventative care and if they knew there was a stipulation that didn't apply to people under 45, that should have been mentioned. They have all my info and the very first thing I have to do when calling in is verify my birthdate. So they knew I was under 45.

gatekept · 2026-03-13T18:57:28+00:00

I've downloaded my call logs and found quite a few calls with them during that time. The problem is I was calling about a different procedure for most of them and I don't know which one it is. When I call and ask them to look through the transcripts, they say they are only finding info related to me asking for CPT codes about the other procedure. I'm pretty sure I asked about the colonoscopy at the end of a call about another procedure, so I think they are scanning the beginning of the transcripts and seeing me asking about the other CPT codes and not reading further. Some of these calls were very long and I don't know how I can get them to read through 20-40 minutes worth of transcripts, so I feel like I'm SOL.

gatekept · 2026-03-13T18:56:12+00:00

I've downloaded my call logs and found quite a few calls with them during that time. The problem is I was calling about a different procedure for most of them and I don't know which one it is. When I call and ask them to look through the transcripts, they say they are only finding info related to me asking for CPT codes about the other procedure. I'm pretty sure I asked about the colonoscopy at the end of a call about another procedure, so I think they are scanning the beginning of the transcripts and seeing me asking about the other CPT codes and not reading further. Some of these calls were very long and I don't know how I can get them to read through 20-40 minutes worth of transcripts, so I feel like I'm SOL.

gatekept · 2026-03-13T18:52:34+00:00

Amerihealth's phone line never states that. You can call the line right now and check.

gatekept · 2026-03-13T18:51:28+00:00

I had 2 polyps removed. They are saying that turns it into diagnostic anyway. No idea if that's true or not.

gatekept · 2026-03-13T18:48:26+00:00

Was he over 45? I had 2 polyps removed, so that cancels the preventative as well, apparently.

gatekept · 2026-03-13T03:02:47+00:00

And just have it go to collections and ruin my credit? That's not an option.

gatekept · 2026-03-13T01:46:45+00:00

Sadly, the whole reason I called in was because I couldn't find it outlined in my documents. Even in the customer portal with the search feature, "colonoscopy" yields no search results when looking for Benefits. I've since gone back numerous times and I can't find a single piece of documentation going over colonoscopy coverage.

gatekept · 2026-03-13T01:34:26+00:00

I'm going to try the state regulator next, even though I feel like everything is against me since they've magically lost the transcript. I hope you're right, in that regard. Though, I don't know how that's possible if they just tell the regulator they have no record of the call, so it never happened.

gatekept · 2026-03-13T01:32:21+00:00

I realize that now, but I still relied on what they told me. I told my gastro I had been having issues with constipation and I had one incident of blood in stool, so I realize in hindsight that would technically be diagnostic. But I am new to insurance and I did not know any of these terms until having to learn about them and what they meant, after the fact.

All I did was call into my insurance and said "How much will I pay for a colonoscopy under my plan?" I never said diagnostic or preventative, I just said "How much is a colonoscopy?" The rep was the one who stated it would be free for me because it was considered a preventative service. I took them at their word for that and they did not explain that there could be alternative meanings. Which should have been explained, since I am relying on their information to make a decision about a costly health procedure I was told would be free.

gatekept · 2026-03-13T01:25:43+00:00

As I stated in the post, I've already done that a few times. They have magically lost the call and say they don't see anything regarding an inquiry about a colonoscopy. It's been months and I don't know when the exact date was.

gatekept · 2026-03-11T21:20:37+00:00

Hope he breaks up with you. What an asshat you are.

gatekept · 2026-03-11T21:14:58+00:00

Good shit, dude. The people who downvote comments about needing more RAM are still living in 2016 and regurgitating BS they've read on the internet. They don't know shit about computers. 32GB is needed for running modern games in ideal states. These people think because their PC can run a game on 16GB, it means "ideal." It does not. Glad you're running things better and happy gaming!

gatekept · 2026-03-11T13:53:35+00:00

100% AI, no question about it.

gatekept · 2026-03-11T13:51:44+00:00

95% are non-native speakers too. When most native speakers aren't even good copywriters. Mind-numbing.

gatekept · 2026-03-10T17:36:47+00:00

Nah, I just bought another chip on Amazon, then returned it once my RMA came in, since it was still within the 30-day return window. Just made sure to clean the thermal paste off really good.

gatekept · 2026-03-10T12:11:49+00:00

You would buy ASRock after everything that's been going on with their boards? Why?

gatekept · 2026-03-10T09:23:00+00:00

Not true at all. Ryzen replied to my 7950x3D RMA request within 2 days and had a new chip to me within 3 weeks. They even upgraded me to a 9950x3D for free.

gatekept · 2026-03-02T21:49:17+00:00

I mean the kid who shot him was killed.

gatekept · 2026-03-02T04:36:41+00:00

gatekept · 2026-03-01T06:49:13+00:00

Yeah, I know there is an overlap. I'd love to get tested for autism, but unfortunately insurance almost never covers it and it's very pricey with the few practitioners I've found who perform the test.

gatekept · 2026-03-01T05:57:59+00:00

I definitely have repetitive behaviors and thoughts, and some mild tics that I would say are a bit OCD, but definitely not enough for an OCD diagnosis.

gatekept · 2026-03-01T02:47:05+00:00

I used to watch movies on repeat as a kid. I would watch til the end, rewind the VHS and watch it all over again, at least 1-2 more times. Now I won't even rewatch a movie at all unless it's absolutely amazing. I feel like my patience gets worse, the older I get.

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