So I went to a doctor that was marked in-network on my plan. Doctor said she would not bill insurance – but provided all the information so I could do so. I thought I would be fine, since it said in-network.
Anyways, fast forward a few weeks, and apparently, they are in-network for only specific services. Insurance company is pushing back on any reimbursement.
The visit fee is something I can manage, but the labs they ordered were quite expensive.
I saw the medication they ordered went under my insurance, and I have provided the insurance information to the lab provider (post them billing me) – but I am not sure if that will be covered. I have not even seen the request come through in the insurance yet, and insurance company says they cannot say for sure until they see the claim.
I guess bottom line question: Generally, are medications/labs for in-network vs out-network provider treated differently? Or is it only the visit itself where that matters?
Insurance is a high-deductible UHC plan.
Thanks very much,
submitted by /u/beyondwhatis
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So I went to a doctor that was marked in-network on my plan. Doctor said she would not bill insurance – but provided all the information so I could do so. I thought I would be fine, since it said in-network. Anyways, fast forward a few weeks, and apparently, they are in-network for only specific services. Insurance company is pushing back on any reimbursement. The visit fee is something I can manage, but the labs they ordered were quite expensive. I saw the medication they ordered went under my insurance, and I have provided the insurance information to the lab provider (post them billing me) – but I am not sure if that will be covered. I have not even seen the request come through in the insurance yet, and insurance company says they cannot say for sure until they see the claim. I guess bottom line question: Generally, are medications/labs for in-network vs out-network provider treated differently? Or is it only the visit itself where that matters? Insurance is a high-deductible UHC plan. Thanks very much,
submitted by /u/beyondwhatis [link] [comments]Read Morer/HealthInsurance