People complain Obamacare is confusing? As opposed to the current mess?

[Scuba]

http://www.leftcoastsportsbabe.com

Anthem says they pay 70% for non-participating providers, but actually pay closer to 20%, because they decided a California ob-gyn doctor should only charge $90 for a new patient comprehensive exam. Their response to a complaint: "The amount is determined according to the non-participating provider section in your Evidence Disclosure Form from March 1, 2013, on page 131...."

#weneedsinglepayer


(regarding that page 131... wonder how many pages are in the form?)

[pangaia]

1. Exactly. It took me months to figure our Medicare

before I eventually decided which plan I wanted and then which company to go with for a supplement. or even if I NEEDED a supplement.

[gtar100]

2. That is it in a nutshell. The current system is the real disaster.

"Health" is the last thing insurance companies are concerned about, except in their marketing department. Then it's just a tool.

[Hoyt]

3. Go outside a health plan's network and you are asking for financial trouble.

The insurer will likely pay 70% or so of their allowable for a given service, and you are responsible for everything else up to the provider's charge. It is not uncommon for a provider to charge 2, 3 or more times an insurer's allowable. If they are an in-network provider, they will accept the allowable and write-off the amount above the allowable. If not in-network, better make a deal with them before the service, and hope they abide by that deal.

It was this way long before the ACA.