Don’t Let Out-of-Network Balance Billing Happen to Your Team
… to use an out-of-network facility. The dialysis company’s justification for these ludicrously high charges was that the private health insurance market subsidizes the lack of money they make off of negotiated Medicare rates and the uninsured, which often pay significantly less than the cost of services. Subsequently, private health plan participants who go out-of-network can be subject to a nasty balance-billing surprise, and while some states have protections in place against surprise balance billing, these are limited by federal law. Most of our clients don’t have an issue finding in-network care but …
https://www.epicbrokers.com/insights/dont-let-out-of-network-balance-billing-happen-to-your-team/