Posts Tagged ‘ out of network charges ’

United Healthcare Out of Network Settlement – Progress Update

June 7th, 2010. By AbiK

Ok. So one of our readers, Scott, asked a great question in his comment on my first United Healthcare (UHC) Settlement post. To paraphrase, he asked how you’re supposed to handle dependents for this settlement if you’re the policy holder and you had claims for dependents.

Hey—I’m in the same boat! And I’ve already submitted my request for my information (January 1, 2002 to May 28, 2010 only)—but under MY policy number only. Another “oh crap!”moment in this process. So here we go…

My UHC Out of Network Settlement Experience: DAY 2

Upon scanning the FAQ’s for the UHC out-of-network settlement, I see this one:

(Note: the FAQ’s are not on the unitedUCRsettlement.com website—that would be too easy; they’re over at the Claims Administrator’s website, berdonclaims.com)

Q12: I am a primary insured. Should my claim have information for the medical services and supplies I personally used, or those used by my family (myself and the dependents listed in my coverage)?

A: You need to submit one claim form for each Insurance Policy ID number. Your claim should include information for all family members covered by your policy.

Hmm. Ok. So the next question is…

What are the Insurance Policy ID numbers for all of my dependents? Do I have them? Where do I find them?

Lucky for me, I’m anal-retentive when it comes to saving files. I hate paper. I hate clutter. I love CYA (“cover your ass” for those of you in the dark on that one). So I go Read the rest of this entry »

Tags: out of network charges, UHC, UHC Settlement, United Healthcare
Posted in Drugs/Medical, Emerging Issues | 388125 Comments »2010-06-07+14%3A50%3A19AbiK

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