Hi folks,
I just got put on my wife’s health insurance (United). When I submit out of network claims for my therapist (CPT Code 90834) the EOBs are saying the allowable amount is $200 (which is what my therapist charges) and its contributing the full $200 to my deductible.
Like many insurances, United says they determine the allowable amount based on medicare’s fee schedule. Medicare’s fee schedule in my area (10036/Manhattan NY) says the fee should be $111.
Is this a glitch that’ll catch up with me or is it just a very good insurance policy? Should I expect to really get $200 checks (less co-insurance) once I hit my deductible next month?
submitted by /u/MarketMan123
[link] [comments]Hi folks, I just got put on my wife’s health insurance (United). When I submit out of network claims for my therapist (CPT Code 90834) the EOBs are saying the allowable amount is $200 (which is what my therapist charges) and its contributing the full $200 to my deductible. Like many insurances, United says they determine the allowable amount based on medicare’s fee schedule. Medicare’s fee schedule in my area (10036/Manhattan NY) says the fee should be $111. Is this a glitch that’ll catch up with me or is it just a very good insurance policy? Should I expect to really get $200 checks (less co-insurance) once I hit my deductible next month? submitted by /u/MarketMan123 [link] [comments]Read Morer/HealthInsurance