Search results

  1. T

    Company layoffs are coming. How would 9 weeks of severance impact my PPO HSA plan that has met the deductible ?

    @davecave Are you covering any dependents? If so, will they also be covered under your Cobra plan?
  2. T

    Do in-network costs count towards out of network OOP maximum?

    @resjudicata This is an INSANE generalization, I wouldn't rely on it. Is this just coming from your experience with one employer's plan?
  3. T

    Do in-network costs count towards out of network OOP maximum?

    @holl Nobody can answer this for you. It entirely depends on how the employer/insurance company set it up. There's 3 possible setups: INN applies to both INN and OON (in-network applies to OON) OON applies to both OON and INN (out of network applies to INN) INN and OON cross apply (both...
  4. T

    Really need help understanding why my doctor is charging me more than my EOB says I should owe (+ other questions).

    @downtherabbithole When a provider is in-network, they're contractually obligated and can't charge any more than the allowed amount. When a provider is out-of-network, there's no contract. Your doctor can LITERALLY charge WHATEVER they want. 10 minute office visit? They could charge you...
  5. T

    Really need help understanding why my doctor is charging me more than my EOB says I should owe (+ other questions).

    @downtherabbithole Sounds like a balance billing issue For out of network care, providers can bill whatever they want. Your insurance plan isn't going encourage them inflating their prices, so they have schedules to determine what's "usual and customary" or "reasonable and customary". Simple...
Back
Top