After using Apria for years for CPAP supplies, our insurance changed at the beginning of 2014. For the first order of supplies for 2014, I indicated to the automated system that I have new insurance information. I was contacted by a representative who took all my new insurance information.
I specifically stated I really only needed the head straps but was told a whole mask kit was the only way the new straps would be able to be sent. No other supplies were needed. I was told my total would be (after he'd checked all insurance information and verified coverage) $14.80.
I agreed to that total and asked how he wanted to handle payment. He said they could send a bill or I could give a credit card. As there's been a rash of credit card numbers stolen recently, I asked if the information would be stored. Since it would be, I asked him to send me a bill.
I haven't received the bill but the EOB from my insurance company came in showing Apria billed them $1093 for the mask. I called Apria about it and was told the insurance company makes them bill at the highest retail cost, then negotiate it down. My portion is now $147.97.
As the mask has been opened, Apria will not accept a return, but the negotiated pricing is 10 times what I was told I would be billed. The woman I spoke to today acknowledged that their notes show the $14.80 quoted but she said that should just be my copay even though they already acknowledged they verified insurance when I was quoted $14.80 as my cost.
If I had been told the true final price up front, I would have shopped this around, as I can find just the part I needed for $31 on Amazon.
Monetary Loss: $133.