William Ehrlich, Dr

★ ☆ ☆ ☆ ☆ 1.0

Apr 19, 2025

My Wife was recommended for Eyelid surgery by our Optometrist. We contacted and met with Dr. Zachary Pierce, DO who is part of the Michigan Oculofacial Specialists, to find out up front what the costs would be. He said insurance would cover the eyelid surgery but recommended additional surgery which Insurance would not cover. He indicated our cost would be about $1000 which we were forced to pay up front. On the day of the surgery, we were told we had a $500 deductible, and additional $141.48 co-insurance, plus another $330 for a portion not covered by insurance. We were forced to pay again up front $971.48. In addition to that they made us pay another $250 for Ambulatory Anesthesia ASSTROY, whatever that is. So originally were were told our portion would be about $1000, so far we have paid $2291.48. Now if that wasn't enough they are billing us for an additional $586.13.

I took a look at the insurance claims made for the eyelid surgery and it breaks down as follows:
$7493.64 billed (by all of the players)
$4183.67 allowed (based on negotiated rates)
$3271.06 paid by insurance
$2291.48 paid by us
$5562.65 Total paid

If $4183.87 is the total allowed, and they were already paid $5562.65, why am I still being billed $586.13?

I contacted the billing department and they suggested contacting the insurance company and were no help at all. The surgery went well but I took off 4 stars for the lack of honesty up front and the very questionable billing practices.

Jim Mallinger — google_place

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