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New Courier At Fedex Blues...
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<blockquote data-quote="Ricochet1a" data-source="post: 878005" data-attributes="member: 22880"><p>I'll take a stab at it....</p><p></p><p>You are first stuck with the deductables. So, once your deductable is figured, then the your individual responsibility of the percentage of the remainder kicks in. </p><p></p><p>With an out of pocket of $4000 though, that would surpass any maximum out of pocket expense for in-network. This means that there were out-of-network providers doing "work on you", who were compensated at a much different rate that the in-network providers. All what I posted about earlier - you have absolutely no control over who is in-network and who is out-of-network once you are admitted to a facility. The facility doesn't "steer" network providers to providing your care, they use whatever attending physicians on staff as providers of care. Whether those physicians have signed contracts with Anthem - matters not to the hospital or the providers. Once they get your signed admittance form (acceptance of financial responsibility), you are left holding the bag.</p></blockquote><p></p>
[QUOTE="Ricochet1a, post: 878005, member: 22880"] I'll take a stab at it.... You are first stuck with the deductables. So, once your deductable is figured, then the your individual responsibility of the percentage of the remainder kicks in. With an out of pocket of $4000 though, that would surpass any maximum out of pocket expense for in-network. This means that there were out-of-network providers doing "work on you", who were compensated at a much different rate that the in-network providers. All what I posted about earlier - you have absolutely no control over who is in-network and who is out-of-network once you are admitted to a facility. The facility doesn't "steer" network providers to providing your care, they use whatever attending physicians on staff as providers of care. Whether those physicians have signed contracts with Anthem - matters not to the hospital or the providers. Once they get your signed admittance form (acceptance of financial responsibility), you are left holding the bag. [/QUOTE]
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