Posts Tagged ‘ health insurance ’

Paying Out of Network the Aetna Way: How Out-of-Network Charges are Determined

May 9th, 2009. By LucyC

If youâ€™re wondering how some of those big-name insurance companies figure out out-of-network medical fees, look no further than the Aetna website; better yet, read on—we did the search & click for youâ€¦

We blogged about the company Ingenix being a part of UnitedHealth. Aetna does disclose the relationship between UHC and Ingenix and the recent settlements with the NY Attorney Generalâ€™s office. It wonâ€™t increase how much reimbursement youâ€™ll get on your out-of-network medical expenses, but hey, at least theyâ€™re upfront about it. Read the rest of this entry »

Tags: Aetna, health insurance, out of network charges, United Health
Posted in Drugs/Medical | 671 Comment »2009-05-09+14%3A26%3A47LucyC

Making Sense of Out of Network Medical Overcharges: Get it, Got it, Good!

May 5th, 2009. By LucyC

Hereâ€™s a riddle: whatâ€™s something you never want to be without but you can never quite â€œgetâ€?

Answer: Health Insurance.

Particularly if you live in New York and youâ€™ve been trying to â€œgetâ€ your out of network Explanation of Benefits statements. The recent NY Attorney General’s Health Care Report determined the database used by many big-name insurers (think Aetna, Blue Cross Blue Shield, Cigna, Health Link, Unicare, United Health Care, Wellpoint/Anthem) to compute out-of-network fees has been understating â€œusual and customaryâ€ rates. Translation: you may have paid more than you shouldâ€™ve when going out-of-network.

How so? Hereâ€™s an exampleâ€¦ Read the rest of this entry »

Tags: Aetna, Blue Cross, Cigna, health insurance, out of network medical charges, United Health Care
Posted in Drugs/Medical | 523 Comments »2009-05-05+23%3A55%3A07LucyC