Hello,
I was quoted $30,000 by an out-of-network provider for a procedure I need. I have Anthem BlueCross, and my out-of-network deductible is $6,000 and my out of pocket maximum is $12,000. The operator I spoke with looked up the allowed amount using the CPT codes I provided and said that they can cover only up to $5800. My out-of-network co-insurance is 30%, so I’ll be responsible for ~$25,000 out of pocket. This provider works in a highly specialized field and is my only option for this surgery; there is no in-network alternative.
Is there anything I can do to get better coverage? Could anyone offer some advice?
submitted by /u/uchiha_9
[link] [comments]
Hello, I was quoted $30,000 by an out-of-network provider for a procedure I need. I have Anthem BlueCross, and my out-of-network deductible is $6,000 and my out of pocket maximum is $12,000. The operator I spoke with looked up the allowed amount using the CPT codes I provided and said that they can cover only up to $5800. My out-of-network co-insurance is 30%, so I’ll be responsible for ~$25,000 out of pocket. This provider works in a highly specialized field and is my only option for this surgery; there is no in-network alternative. Is there anything I can do to get better coverage? Could anyone offer some advice?
submitted by /u/uchiha_9 [link] [comments]Read Morer/HealthInsurance