Home
Forums
New posts
Search forums
What's new
New posts
Latest activity
Members
Current visitors
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Install the app
Install
Home
Forums
The Competition
FedEx Discussions
Sit Down Before Reading The New Health Plan
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="MassWineGuy" data-source="post: 4222933" data-attributes="member: 44554"><p>Here’s what my HR guy sent me re: out of area emergency or urgent care:</p><p></p><p>“*If you use an out-of-network emergency room Anthem and Cigna will pay up to a percentage of the maximum reimbursable charge (MRC) on their respective fee schedules in certain situations, such as an emergency. The fee schedules are based on a methodology using 110% of national Medicare reimbursement rates or negotiations when Medicare rates are unavailable. If the charge is more than the MRC, the portion of the charge above the MRC will not be covered by the benefit plan, and the health care professional may bill you for the remaining amount.”</p><p></p><p>Since most doctors have complained for years how low Medicare reimbursements are, I question if this is adequate.</p></blockquote><p></p>
[QUOTE="MassWineGuy, post: 4222933, member: 44554"] Here’s what my HR guy sent me re: out of area emergency or urgent care: “*If you use an out-of-network emergency room Anthem and Cigna will pay up to a percentage of the maximum reimbursable charge (MRC) on their respective fee schedules in certain situations, such as an emergency. The fee schedules are based on a methodology using 110% of national Medicare reimbursement rates or negotiations when Medicare rates are unavailable. If the charge is more than the MRC, the portion of the charge above the MRC will not be covered by the benefit plan, and the health care professional may bill you for the remaining amount.” Since most doctors have complained for years how low Medicare reimbursements are, I question if this is adequate. [/QUOTE]
Insert quotes…
Verification
Post reply
Home
Forums
The Competition
FedEx Discussions
Sit Down Before Reading The New Health Plan
Top