When Jennifer Basham was pregnant, she took advantage of a program called the Stork Rewards Program through her work, which offered to pay her co-pay at the hospital during delivery.
Basham, a teacher with Cumberland County Schools, is part of the State Employee Insurance Program that offers the rewards plan. When the participant does everything the program requires, the hospital co-payment of $233 will be waived at the time of delivery.
"I did the phone calls; I answered all the questions, and circled all the messages I needed to do," she said. "When I delivered, I asked if I needed to fill out any paperwork and they said no."
Baby Reagan was born at the end of May. Afterwards, Basham said when she got her bill from the hospital, her co-payment wasn't waived. So she called the customer service number.
"The customer rep was very friendly," Basham said. "She said she would resubmit your claim and that was toward the third week in June."
However a month later, Basham said she received another bill with the co-payment still on it and this time it went into delinquent status.
"The second customer service rep explained to me my claim that was resubmitted had been denied because the dates wouldn't correspond," she said. "By the time I delivered she was outside the dates that I was able to participate in the program. At that point, I realized I wasn't going to get any answers so I contacted you."
I got in touch with representatives from the state health plan, and Basham got a call.
"They explained that it would be taken care of and they were very sorry," she said. "I'm very happy, I'm very, very happy. Now it's one less thing I have to check off the list."
Basham said the rep with the state health plan told her the delay in payment was due to a clerical error.