Hello Gurus.
I have a client I'm quoting for a UHC MAPD In Georgia. He is already on A/B and has group coverage through BCBS but wants to leave plan. I've called Broker Support and read the EOC.
Client has arthritis and receives a Remicade infusion every 8 Weeks at a hospital clinic. He does not see a doctor during this time and it is a fairly quick procedure. He pays $0 for the treatment on his current plan.
I have scoured the EOC for UHC H8748-008. Under Section 4 Page 32, it says he would pay 20% of the Pt B drug cost in addition to the appropriate copay for PCP, Spec, Outpatient - in this case Outpatient.
Is there something I'm missing? Something I'm not factoring in?
I have a client I'm quoting for a UHC MAPD In Georgia. He is already on A/B and has group coverage through BCBS but wants to leave plan. I've called Broker Support and read the EOC.
Client has arthritis and receives a Remicade infusion every 8 Weeks at a hospital clinic. He does not see a doctor during this time and it is a fairly quick procedure. He pays $0 for the treatment on his current plan.
I have scoured the EOC for UHC H8748-008. Under Section 4 Page 32, it says he would pay 20% of the Pt B drug cost in addition to the appropriate copay for PCP, Spec, Outpatient - in this case Outpatient.
Is there something I'm missing? Something I'm not factoring in?