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Re:HHS announces rule to protect consumers from surprise med... by LorenPechtel on Friday July 02, 2021 @02:49PM (#27715278)
I believe they count what it would have been in-network.

As for saying you should have driven hours with bleeding you couldn't stop--do you have any sort of appeal process? That certainly doesn't sound right.

Re:HHS announces rule to protect consumers from surprise med... by handrous on Friday July 02, 2021 @03:09PM (#27715521)
It's pretty common for providers not to cover anything except ER visits, out of your home state. And that only because (I think) they're required to. And I bet they interpret that as narrowly as possible ("heart attack, went to the ER, but then moved to a bed in a normal room? We'll cover the ER care but not the room or any care that took place there, have fun with bankruptcy").

An urgent care might not count.