Re:HHS announces rule to protect consumers from surprise med...
by refurb on Friday July 02, 2021 @09:40PM
(#27718664)
It typically doesn’t drop to $0?
At least all the insurance I’ve had will pay using some formula like “we will cover 80% (instead of 90%) of charges up to the allowed amount (what an in-network would receive”.
The issue is that many providers balance bill, so everything above that is billed to the patient and since some negotiated rates are 50% or less of charges, the patient can own more than the insurance.
Basically insurance and providers fuck over the patients together.
At least all the insurance I’ve had will pay using some formula like “we will cover 80% (instead of 90%) of charges up to the allowed amount (what an in-network would receive”.
The issue is that many providers balance bill, so everything above that is billed to the patient and since some negotiated rates are 50% or less of charges, the patient can own more than the insurance.
Basically insurance and providers fuck over the patients together.