Posted by Zyprexa on April 16, 2008, at 22:32:22
In reply to Re: True or Not About Docs And Self Pay????? » Zyprexa, posted by Phillipa on April 16, 2008, at 19:35:12
I've got a PPO, and if the doctor is out of network. You pay the $500 out of network deductible the the insurance covers 70% of what is left. So doctor bill is $120, pay $40 copay, the the insurance only covers say $70 for a visit. That means only $30 goes on deductible, you pay the rest, $40 copay + $50 not covered + the amount that was on deductible. So $30 toward deductible, after the 16th apointment the insurance pays part of the cost till the end of the year when the deductible gets reset and you start all over again. Insurance or not you pay about the same.
HMO would not even have anything to do with it.
poster:Zyprexa
thread:821395
URL: http://www.dr-bob.org/babble/20080412/msgs/823701.html