Quote:
Originally Posted by fintstone
It seems to me that going "out of network" is "shopping around"...for higher costs.
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In my co-worker's case, her doctor directed her to that outpatient surgical center. They told her to pay whatever amount she was comfortable paying for her co-pay, knowing that her insurance was about to get screwed with a ridiculous out of network surgical charge that the insurance would be on the hook for.
There are way too many parties that are gaming the system, from insurances denying legit procedures, doctors upcoding to get a higher reimbursements and on and on.