When Two Health Insurance Providers are NOT Better Than One (2024)

Raise your hand if you think having two health insurance providers is better than one. If your hand is up, then please join me in smacking yourself in the forehead. Maybe the pitfalls of two health insurance providers is obvious to some, but it was far from obvious to us. Common sense told me that a second insurance provider would give our family additional coverage if one of us ever lost our job. Instead, it has resulted in two insurance companies fighting over bills, wasted hours of my time on the phone with health insurance providers, and endless amounts of frustration. This is the story of why having two health insurance providers isn’t always a good idea.

As of the writing of this post we are still trying to get our health insurance providers to pay a $3,000 bill for the birth of our child. Last year, we had to fight to get the insurance providers to pay a $13,000 bill.Oh, and by the way, that child is now two and a half years old (31 months actually, but I don’t want to be one of those weird parents that counts months after 2 years old.)

Background on Our Two Health Insurance Providers

So, why did Mrs. FP have two insurance providers in the first place? Great question, I’m glad you asked. From 2012 to 2018 she taught at a local public school. After comparing her health insurance to mine we realized that it made more sense for us to pay the higher premium for her to be on my health insurance. At the same time, her school offered a health insurance option that did not require any additional premiums. We figured it wouldn’t hurt to also keep her on the bottom of the barrel insurance at her employer as well in case I ever suddenly lost my job.

For six years she always used my insurance. Literally for everything, including the birth of our first child in 2014. My insurance was really good so the only bill we paid was a $100 hospital copay. She used my insurance for everything. And given that she has a preexisting condition, doctor visits were frequent.

When our second baby was born in 2018 we never expected to have any issues. Keep in mind I was paying thousands of dollars a year for top tier insurance.

Right after the birth of our baby we received the $100 hospital co-pay as expected, just like our first child. We thought that was the end of it. And it was for 12 months.

Then, almost a year to the date of her birth we received a $13,000 bill in the mail from the hospital.

Our First Issue with Two Health Insurance Providers

My first reaction was this $13,000 bill had to be a mistake. I actually ignored the first summons. Then another bill came in the mail a few weeks later for the same amount. Confused about it I called the hospital. Apparently my insurance provider requested the money back because it was not my wife’s primary health insurance provider.

So this is where some of you may be thinking, well duh, that’s how it works. If that is you, please give yourself a pat on the back because you are clearly much smarter than me. Though to reiterate, for the six years prior Mrs. FP used my insurance exclusively and never once did we have an issue. Until suddenly we had an issue. A $13,000 issue.

I’ll spare you all of the details, but the following weeks required hours of my time, probably 30-40 hours, on the phone between the two insurance providers and the hospital. I would call one provider and they would tell me to call the other. Then I would call the other and they would tell me to call the hospital. Then I would call the hospital and they would tell me there was nothing they could do. At one point, I had a four-way phone call with the two insurance providers and hospital to try to figure out what was going on.

It was a disaster.

Apparently in the insurance world there is something called a timely filing limit, and that limit is 90 days. So, Mrs. FP’s backup insurance would not accept the claim because it was outside of the 90 day timely filing limit period.

To recap, our baby was born in March 2018. The claim was originally filed through my insurance provider (A), the same provider we had used for the previous 6 years without issue. After a year they decided that her insurance provider (B) should first pay their part and then (A) would pay the rest. Provider B then said that we couldn’t submit the claim because it was after 90 days, and provider A would not pay until provider B paid their share.

You would think that between the hospital and two insurance providers they would be able to work it out. But no, I had to spend dozens of hours playing the telephone game between the two to figure out this nightmare situation.

After a long drawn out process, the issue was resolved. Insurance provider B finally agreed to pay their share after nearly 10 phone calls. Once provider B paid their share, provider A paid the remainder and everything was right in the world again.

Until one year later in March of 2020.

When Two Health Insurance Providers are NOT Better Than One (1)

Having a Second Insurance Provider Strikes Again

Apparently insurance provider A was conducting additional audits and TWO YEARS AFTER THE BIRTH OF OUR CHILD WE RECEIVED ANOTHER BILL. This bill was for $3,000. It was from the OB-GYN that delivered our baby. Similarly, insurance provider A requested their money back until insurance provider B paid their part.

At least this time I knew what was going on up front. However, it hasn’t made the situation any easier. In fact, nearly 7 months later, and 31 months after our baby was born, we are still fighting this bill. At this rate, our child may be driving before this bill is paid. I will not stop fighting this bill.They can send it to collections before I actually pay it out of my own pocket.

The OB-GYN billing contact had never seen a situation like this one. How can an insurance provider request their money back after two years!? I don’t know and she didn’t either.

To add to the challenge, in 2019 the OB-GYN changed their billing system which meant they were unable to submit the claim themselves. So, they had to send me all of the paperwork so I could manually submit the $3,000 claim to insurance provider B.

I will say that the OB-GYN billing contact has been great to work with. They provided us with everything so all we had to do was sign and submit.

So there I went to mail away the claim naively thinking that would be the end of it.

After a few weeks I received the paperwork back in the mail. Apparently, one of the billing codes was wrong. So I called the OB-GYN again. The code was correct but the insurance company thought that an “O” was a “D”.

No problem. I’ll correct the code and resubmit. Two weeks later all of the paperwork came back again.

Same issue.

I then wrote on every single page “THIS IS AN ‘O’ AS IN OWL NOT A ‘D’ AS IN DOG”.

Super childish of me but if you had been fighting a hospital bill from 30+ months ago you’d be losing your mind too.

If I spent 30-40 hours on the phone with the first bill, I am approaching that with this second one. Nearly 80 hours of my life gone to this billing mess. I could have used those 80 hours to do more productive things like scroll through Twitter, yell at my kids, or brag about what I thought was awesome health insurance.

Aaaaaarrrgggggg.

31 Months Later: Still Fighting the Insurance Company

Earlier this week I FINALLY received an update from provider B. They sent a letter saying that we received a $200 discount; they didn’t actually pay for any of the bill, but the part we owed was somehow zero.

So, after 31 months, I still have no clue what’s going on with this second $3,000 bill. Lord help me.

I’m not going down without a fight. They will have to rip those $3,000 out of my hands. I don’t care if my credit score goes to nothing.

The moral of the story, if you think having two insurance providers is a good thing you may be wrong. If you have two health insurance providers ensure your employer’s is listed as the primary, no matter how much better your secondary insurance may be. Otherwise you as well may give away hours of your life while wanting to punch holes in the wall.

Clearly, I have lost all sanity so please pray that this is resolved sooner rather than later. Thanks for reading my 1,500 word rant.

When Two Health Insurance Providers are NOT Better Than One (2)

Financial Pilgrimage

Mark is the founder of Financial Pilgrimage, a blog dedicated to helping young families pay down debt and live financially free. Mark has a Bachelor’s degree in financial management and a Master’s degree in economics and finance. He is a husband of one and father of two and calls St. Louis, MO, home. He also loves playing in old man baseball leagues, working out, and being anywhere near the water. Mark has been featured in Yahoo! Finance, NerdWallet, and the Plutus Awards Showcase.

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When Two Health Insurance Providers are NOT Better Than One (2024)

FAQs

What are the cons of having two health insurance plans? ›

Drawbacks of dual health insurance

Remember that the combined coverage of your plans cannot exceed 100 percent of your out-of-pocket costs. If you want to get paid for going to the doctor, that will not happen even if you have multiple policies.

How do you determine which insurance is primary and which is secondary? ›

The "primary payer" pays what it owes on your bills first, and then sends the rest to the "secondary payer" to pay. The insurance that pays first is called the primary payer. The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer.

Is it better to have joint or separate health insurance? ›

If you are both in good health, you may save the most money with a family health insurance plan. If one spouse has chronic health issues and the other is healthy, couples may save more by choosing a lower deductible plan for one partner and a higher deductible, lower-cost plan for the other.

Why do people have 2 health insurances? ›

Common reasons for having two health insurances

A student younger than 26 has a health insurance plan from their school and is also covered on their parent's plan. A child of divorced or separated parents is covered on both of their parents' plans. Someone 65 or older has Medicare or is covered by Medicaid.

How do deductibles work with two insurances? ›

If both plans have deductibles, you'll have to pay both before coverage kicks in. You don't get to choose which health plan is primary, meaning the one that pays first. You don't get to choose which insurer will pay a certain claim.

Can I have my own health insurance and be on my parents at the same time? ›

Yes, you can have your own health insurance plan while staying on your parents' policy. This is called having dual coverage.

Is primary insurance better than secondary? ›

You may find secondary insurance useful in lowering your health costs depending on how much coverage your primary insurer offers and its costs. If your primary insurance denies coverage, secondary insurance may or may not pay some part of the cost, depending on the insurance.

What is the largest single health care program in the United States? ›

Medicare is the single largest payer for health care services in the United States.

Why do insurance companies ask if you have other insurance? ›

Life insurance companies ask about other insurance policies to assess the overall risk they are undertaking when insuring an individual. Knowing about other policies helps insurers determine the policyholder's financial exposure and ensure that the coverage amount is appropriate.

Which insurance is primary, spouse, or parent? ›

If the patient is only covered as a dependent on the spouse's plan, that plan is primary. together, or share joint custody, the primary plan is the one carried by the parent whose birthday falls earlier in the calendar year.

Why is health insurance so much more with a spouse? ›

You may also be subject to the “spousal surcharge,” where an employer will charge more for a family health insurance plan if it knows that a spouse has a health insurance plan available at his or her own employer. This fee may eliminate any cost savings that you might have experienced by combining plans.

Who pays if you buy insurance directly from a marketplace? ›

If you buy insurance through your state's health insurance marketplace, you may be able to get financial assistance to help pay your monthly premiums for health insurance. The marketplace will pay your health insurance company for part of the premium, and you will pay the rest.

How do you determine which insurance is primary? ›

The primary insurance policy is the policy that claims will be billed to first.

Does secondary insurance cover primary copay? ›

Generally, the patients having two insurance policies does not need the copay. In most cases, the secondary policy will cover the copay left by primary insurance. Sometimes secondary policy will also leave some copay and that needs to end up with copay applied to either patient or any other policy of patient.

When two insurance policies cover the same risk? ›

Concurrent insurance is when there are two or more insurance policies that provide coverage for the same risks over the same period of time.

Is double medical coverage worth it? ›

Is Secondary Insurance Worth It? Secondary health insurance can help reduce out-of-pocket costs, but having multiple health plans isn't always a great situation. Paying two premiums and deductibles and juggling two provider networks and health plan benefits may be costly and a health insurance headache.

What happens if you have more than one health insurance policy? ›

Having multiple insurance plans means one plan will be your primary coverage, and the other will be secondary. As the names imply, your primary coverage activates first, and your secondary coverage picks up any unaddressed expenses if necessary.

What is double insurance? ›

Double insurance refers to the method of getting insurance of same subject matter with more than one insurer or with same insurer under different policies. This means that one can get insurance policies on a subject matter more than its value. Double insurance is possible in all types of insurance contracts.

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