I have PPO and there is OON coverage obviously with extremely high deductible and 30% coinsurance.
I rarely go OON but this time I had to for various reasons.
The OON provider I have seen sent me a statement and this is what it looks like –
Original cost $299.00
Insurance discount/adjustments -$182.08
Insurance paid $0.00
Amount due $116.92
Why is there a discount/adjustment when the provider is clearly OON and does not have any contract with my insurance? If I pay the amount due ($116.92), is that pretty much good? Or will the OON provider still balance bill me for the supposedly “discount/adjustment” later? Are there ways to handle this properly that work out in my favor?
submitted by /u/WSBgodzilla
[link] [comments]I have PPO and there is OON coverage obviously with extremely high deductible and 30% coinsurance. I rarely go OON but this time I had to for various reasons. The OON provider I have seen sent me a statement and this is what it looks like – Original cost $299.00 Insurance discount/adjustments -$182.08 Insurance paid $0.00 Amount due $116.92 Why is there a discount/adjustment when the provider is clearly OON and does not have any contract with my insurance? If I pay the amount due ($116.92), is that pretty much good? Or will the OON provider still balance bill me for the supposedly “discount/adjustment” later? Are there ways to handle this properly that work out in my favor? submitted by /u/WSBgodzilla [link] [comments]Read Morer/HealthInsurance