Yes, It happened to me also. I am suggesting navigation under the existing plan. I don't feel guilty because the system is working out of control.
UHC Fleecing Customers?
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Yes, It happened to me also. I am suggesting navigation under the existing plan. I don't feel guilty because the system is working out of control.
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Because the services are even further discounted than they are if the client was enrolled in an Off exchange plan. I received a notice about a procedure that was costing over $ 39K. On the summary it specifically stated HIX discount of $ 35K for the procedure.
There is a lot of confusion in the provider world regarding networks, reimbursements, cost sharing, etc.. There was a conference for practice managers in Fl last year that scared the hell out of administrators regarding the 90 day grace period on Exchange.
This is an old survey from 2014 but it gives some of the reasons Dr.s offices do not want to deal with exchange patients.
In particular, respondents said exchange coverage made it more difficult to verify patient eligibility, obtain cost-sharing and network information, and gather information about a plan's provider network to facilitate patient referrals.
One practice, in fact, commented that it was going to have to hire additional staff "just to manage the insurance verification process." Another called the process of identifying ACA plans "an administrative nightmare."
Patient cost-sharing also has created issues for some practices. "Patients have been very confused about benefits and their portion of the cost," reported one practice, adding that some patients have cancelled appointments or procedures after finding out what their deductible would be.
This is an old survey from 2014 but it gives some of the reasons Dr.s offices do not want to deal with exchange patients.
In particular, respondents said exchange coverage made it more difficult to verify patient eligibility, obtain cost-sharing and network information, and gather information about a plan's provider network to facilitate patient referrals.
One practice, in fact, commented that it was going to have to hire additional staff "just to manage the insurance verification process." Another called the process of identifying ACA plans "an administrative nightmare."
Patient cost-sharing also has created issues for some practices. "Patients have been very confused about benefits and their portion of the cost," reported one practice, adding that some patients have cancelled appointments or procedures after finding out what their deductible would be.
