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Don't out of pocket maximums only apply to in-network care most of the time? I think you're still on the hook for the full coinsurance amount if you're at a ho
by mariojv 6y ago
Don't out of pocket maximums only apply to in-network care most of the time?
I think you're still on the hook for the full coinsurance amount if you're at a hospital and a doctor from out of your network happens to step in the room without telling you they're out of network.
- maxerickson 6y agoYeah. I'm certainly not trying to defend the US system, just trying to paint a clearer picture of how it works. Totally fair to always discuss the huge caveat of out of network providers getting involved without any opportunity to refuse their care alongside the out of pocket maximums for in-network services.