Fun with health care billing (RANT)

[lizbud]

Puck, perhaps it's like the health care provider I use......99.9% of their docs are covered under my ins. plan as the big umbrella "charitable" org that runs they system is normally completely covered by my ins., however, particularly if there's a new specialist involved, they might not be in the PPO list. I only get a PPO list once a year, and I'm fairly certain the list changes more often than that.

You're right LH, that's how it works. My primary care Dr works for the (my)Insurance group.

[Grace]

My primary care Dr works for the (my)Insurance group.

That's how it is for me, also. And my private insurance is excellent. When I need a referral, they never go out of network unless it's absolutely necessary. They're very aware of the insurance coverage problems.

Considering the 'network' consists of physicians in a major med school, we're pretty much assured of quality care without having to leave.