New employer, new insurance that is out of network all doctor’s in state—what should I do?

Hi all,

I just accepted a new job & I will be changing health insurance. I think it’s a pretty good plan—EPO plan and PPO plan.

EPO – no deductible – $20 appointment visits

PPO – $250 deductible – $20-30 appointment visits

However, I looked at the provider directory from the public website and the insurer does not have any in-network providers in my state—NC. I compared and the EPO will have a less reducible than EPO ($250 vs. PPO) and there’s a 60% coinsurance for receiving care.

I know that health insurers have contracted rates with in net-work providers. Since all of my doctors are out of network, does this mean I will pay the full price billed up to $250 (PPO plan) then pay 60% of the full price of care going forward?

Also, would you recommend I open a FSA to save a bit of money?

Thanks!!

submitted by /u/iTend2Lurk
[link] [comments]
Hi all, I just accepted a new job & I will be changing health insurance. I think it’s a pretty good plan—EPO plan and PPO plan. EPO – no deductible – $20 appointment visits PPO – $250 deductible – $20-30 appointment visits However, I looked at the provider directory from the public website and the insurer does not have any in-network providers in my state—NC. I compared and the EPO will have a less reducible than EPO ($250 vs. PPO) and there’s a 60% coinsurance for receiving care. I know that health insurers have contracted rates with in net-work providers. Since all of my doctors are out of network, does this mean I will pay the full price billed up to $250 (PPO plan) then pay 60% of the full price of care going forward? Also, would you recommend I open a FSA to save a bit of money? Thanks!!
submitted by /u/iTend2Lurk [link] [comments]Read Morer/HealthInsurance

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