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On October 4, 2023 I was let go from the company Lukos LLC I was working for. However I was still on payroll till the end of the month and paid for all my benefits till the end of October. Florida Blue stopped paying any of my drs visit which was still using till October 31, 2023. Anytime someone loses a job whether laid off etc. You have your benefits because you pay for them till the end of the pay period since I was paying 200 bi weekly for my benefits to Florida Blue I am entitled to use the insurance. I went for blood work with Quest on October 17, 2023 The insurance was supposed to pay 473.87 Claim number Q100001097803482 Member number H40798451. Next I had nose pillows and things for my Cpap machine 173.60 Claim number Q1000001101340761. Then Caring foot and ankle specialist my podirast 253. 65 also was all used before the end of October. So since I am entitled to use my insurance to the end o the month Florida Blue needs to pay al these bills that where used prior to 10/31/2023. I have used Bue cross blue shield for years and have been led go of other employment jobs and I was covered till the end of the month because I paid for the benefits as I did now. So unless Blue cross does there job I will ask to go to a hearing because what they are doing is illegal not right and they are going to be reported as well to the state department of insurance.
Desired outcome: pay my claims
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Tengo un plan con Florida Blue que dice que por CT and MRI tengo que pagar $5 si voy a un proveedor especifico que se llama Sanitas. Cuando llame a Sanitas para hacer la cita me dicen que ellos no hacen MRI. Llame de nuevo a Florida Blue para pedir que me dieran la info de otro lugar para ir y me dieron la informacion de proveedores donde Value Choice donde tengo que pagar $400. Yo no puedo pagar ese monto. Le dije a F.B que ellos estaban estafando a las personas porque estaban vendiendo en la poliza algo que no pueden realmente ofrecer, entonces la persona con quien estaba yo hablando llamo directamente a Sanitas y ellos le dijeron que es por el momento ellos no tienen maquinas de MRI en toda la Florida. Asi que la unica solucion que tengo es no hacerme los MRI que necesito de urgencia porque los dolores de cabeza no me dejan vivir tranquila y me despierto a la madrugada por ellos.
YOu have to be careful with blanket statements. The employer when they sign their group benefits contract determines whether benefits end on the last day of the month the employee is terminated or they can terminate benefits on the actual day the employee is terminated. So dont assume that all employers chose the same benefits.
YOu would always have your COBRA option as well. I hope you were able to get your situation resolved.