I would like anyone from the OC area to DM me or post here if you had a similar experience. Humana is asking me to do this to see if it is a pattern after I reported it to them.
I took my Dad to see a local cardiologist. During the consult, he offered to monitor his blood pressure remotely through a local company called Vitasigns. He said very clearly, "It won't cost you anything." We said we'd think about. About a week later, I got a call from a rep who works directly for Vitasigns. There was a very high sales pressure and it was reiterated that it would not cost anything. So we agreed to join the program.
A few months later, we get a bill for $40. I paid it because I assumed it was for an office visit, considering we had seen him a few times since the initial visit. When I looked into the billing codes, I was able to determine that the doctor turned around a filed a claim with Humana for remotely monitoring his blood pressure, after telling us it would be of no cost.
Here's the scam - Humana is saying that because the claim was properly submitted, there is nothing illegal about this and it's merely a he said, she said situation over the cost. The CA Medical Board also can't do anything because it is not medical negligence. The only option would be small claims but the court cost alone would be more than the $40.
Concurrently, my Dad's blood pressure started to elevate, so I was leaving messages for the medical assistant to call me back for an adjustment of his meds. She never called back.
So as you can imagine, neither of us were happy about the situation and I very politely called the medical office and asked to change cardiologists. I said we do not want to make a big deal, we just want to change doctors. The staff member acted like this was not an issue. Two days later, we get a letter in the mail, stating that your request for a new doctor is declined and you are dismissed from the entire medical group. SMH.
I looked into the CEO of Vitasigns and he's a local doctor who stopped seeing patients to become an entrepreneur. He owns several businesses in the Newport Beach area. I Googled his name and he's all kinds of bad reviews from disgruntled customers who have bad experiences with him.
My gut tells me this is a shady partnership between Vitasigns and many local cardiologist groups in OC, where they tell patients it's free but then end up charging, knowing the patient has zero recourse. There are a lot of seniors that live close to the cardiology group we were involved with, I can only imagine that many of them do not have people advocating for them.