Special Needs

***REOM***

I'm hoping you were able to get good news about your insurance but just in case I had a thought.  For my insurance at least we still have coverage by out of network providers it's just a higher percentage and then a new and higher yearly out of pocket maximum.  If it would be costly simply for the premium under your husbands policy it might be worth checking out your out of pocket maximum for out of network providers to help determine your best option.

Of course I hope it's all a moot point and you're providers will still be covered even if the hospital is dropped.

Re: ***REOM***

  • Thanks for thinking of me!

    I contacted them, and they 'aren't sure' if our providers are going to stay in network themselves. They have a different billing code from the hospital, so I'm hopeful. They did say that they won't be able to use the hospital (where they are located) for my DD's routine MRIs, bloodwork, or admission, if necessary. I have to find out if they have rights at another hospital...

    I asked about going out of network, and we would have to pay a deductible, and then 20% of what is considered 'fair and reasonable', not the billed amount. I assume that is typically the insurance company contract amount?  My husband has open enrollment next month (conveniently) so we are going to crunch some numbers once we see what the premium costs are exactly.

    Thanks again for thinking of me!

    DD1 12.18.06 DD2 9.18.08 DD3 EDD 5.10.2012 BabyFruit Ticker
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