Posts Tagged ‘ out of network medical charges ’

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

May 5th, 2009. By

 

Here’s a riddle: what’s something you never want to be without but you can never quite “get”?

 

Answer: Health Insurance.

 

Particularly if you live in New York and you’ve been trying to “get” 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 “usual and customary” rates. Translation: you may have paid more than you should’ve when going out-of-network.

 

How so? Here’s an example… Read the rest of this entry »

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