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Old Jul 18, 2022, 02:51 PM
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SlumberKitty SlumberKitty is offline
Legendary Wise Elder
 
Member Since: Jul 2018
Location: CA
Posts: 27,329
Hi Couchies

Well, I think we have already established that my T is random. She went to Vegas last week on holiday and met up with some family members--so she didn't cancel last minute for an emergency or anything. She said she had a good time like taking a helicopter trip to the Grand Canyon and stuff.

But this is weird--I was checking my claims on the mental health part of my insurance website, which I don't usually look at. But I thought it was weird I haven't hit my out-of-pocket maximum yet for the year. I'm close though, within $300. And my T has not submitted any claims at all for me and I have been seeing her since November. She only has 3 months to submit the claim. She never gives me a bill or a receipt and I always Zelle her the money so IDK if she is just not bothering to get the money from the insurance and is just taking my copay. But that kind of sucks because that means all these copays have not been applied to my out of pocket maximum.

So I texted her and let her know that she hasn't submitted any claims for me and she is in Network, so it shouldn't be hard. I gave her the phone number so she could call if she needs help. I would like her to submit claims so all my copays could be applied to my out of pocket maximum on my insurance. Lets say I have seen her 20 times so far this year...probably more. 20 multiplied by $30 is $600 which means I would have met my out of pocket maximum already.

My T is so random. Like why would you settle for just getting $30 copay when she would get another $60 I think from the insurance company. At least that is what it was last year when I had a different T. Maybe they give more now.
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