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Interesting. In the few states I looked, there were no PPO plans (including by BCBS). As for hospitals, I guess it's important to know which hospitals are in ne
by monktastic1 3y ago
Interesting. In the few states I looked, there were no PPO plans (including by BCBS). As for hospitals, I guess it's important to know which hospitals are in network near home and anywhere you might be traveling?
Usually in an emergency I don't have the presence of mind to direct the ambulance to the right hospital (in case the emergency turns into an overnight stay), and it's all the more important if the plan doesn't have good (or any) out of network benefits.
- lotsofpulp 3y agoIn an emergency, all hospitals/doctors/facilities are treated as if in network, so you would not have to direct the ambulance to the in network hospital.
- monktastic1 3y agoBut can't a doc insist on a hospital stay following the emergency, which then isn't covered by insurance as an emergency? By "insist," I mean that leaving would be against medical advice -- and I know some insurance will refuse to pay for the preceding stay. I wish this stuff weren't so hard to make sense of.
- lotsofpulp 3y agoI don’t think so, if you get discharged from the hospital under your own recognizance, you are no longer in an emergency. If you are not discharged, then how could they argue it is not an emergency? Who knows how well it works in practice.