CORNELIUS, N.C. (WBTV) - A bee sting sent a man to the doctor and ended up costing him hundreds of dollars. He told WBTV his insurance wouldn’t cover the bill.
Izzy Justice has been fighting with his insurance company for the past three months, claiming they should pick up most of the bill for his trip to the doctor after being stung by a bee.
Now he’s been turned over to a collection agency.
“I’m going through a healthcare ordeal right now that I don’t want others to go through,” said Justice.
He was stung by a bee in September.
He told WBTV he is highly allergic to bee stings, so he rushed to Novant Health’s location on Old Jetton Road in Cornelius. He thought the visit would be covered by his insurance provider UnitedHealthcare.
A month later, he got a bill from Novant for nearly $250.00.
“At that point, my wife Stephanie called Novant to figure out why we were getting billed and why our insurance company was not getting billed,” Justice said.
It turns out, the insurance company said his bill showed he went to a clinic and not urgent care, even though the sign out front clearly said urgent care.
“They are denying it because they say that although it was an urgent care facility, it’s only urgent care during certain hours and he arrived mid-morning,” said Stephanie Justice.
“There were no signs that said this is – there are only limited hours for urgent care,” said Izzy.
Stephanie called UnitedHealthcare to explain that her husband was seen at the Old Jetton Road facility and should be covered. But her appeal was denied.
WBTV reached out to Novant and UnitedHealthcare to explain that Justice was not aware of the name change or specific hours of operation, but both insisted the billing was correct.
Novant said it had posted its urgent care hours online saying, “Novant Health had hours posted at this urgent care location prior to its relocation.”
UnitedHealthcare said even though Justice’s claim was billed correctly the first time, it would re-process the claim and cover most of the cost after WBTV’s calls, saying, “While Mr. Justice’s claim was billed and paid appropriately based on the Novant facility where he received care, we will reprocess the claim. He will only be responsible for his out-of-pocket costs.”
That means he’ll now only have to pay $75.00.
“I feel like Novant and the system is taking advantage of vulnerable people, and that’s the reason I’m doing this. I don’t want others to go through what we’re going through,” said Justice.
As we’ve told you in many of our reports, in many of these cases, it’s a misunderstanding over what is and isn’t covered by your health insurance. Justice, after three months, is just glad to have found a way to resolve the issue.