Question:
Getting In Network Benefits Paid

   — Jeannie J. (posted on May 17, 2001)


May 17, 2001
Jeannie, usually plan doctors perform services at an agreed upon rate with the insurance companies. Since your Dr. is out of plan, he does not have to accept the agreed upon amount and maybe that is where the $5700.00 comes in to play. It is above and beyond that fee. Have you checked with your plan to see if they will cover a doctor out of plan? Can they refer to you to one since they DID approve the surgery? I have heard Aetna is supposed to be pretty good to deal with. If your Dr. will not budge on the cost, will he accept payments? Good luck...
   — Betty M.




Click Here to Return
×