• Home
• Insurance Forums
  Auto Insurance Life Insurance Health Insurance Home Insurance Disability Insurance Business Insurance Insurance Frauds Company & Specialty Insurance Insurance Agents The Pub
• Auto Insurance
• Health Insurance
• Life Insurance
• Home Insurance
• Disability Insurance

Out-of-network Doctor at an In-Network Hospital

Message	Author
Add to del.icio.us Add to YahooMyWeb Add to Simpy Add to BlinkList
Posted: Fri Aug 05, 2011 5:57 pm   Post subject: Out-of-network Doctor at an In-Network Hospital   Is it generally possible to have surgery performed at a hospital that is in my plan network but use a surgeon that is out of my network? The doctor regularly performs surgery at this hospital, it's just that he is not in my network. As I understand it the hospital bill would be fully covered by my insurance while I would pay the deductible and coinsurance fees for my doctor. Is this interpretation correct? Are there any possible costs I am not considering or might the insurance company give me a hard time? Any guidance is much appreciated. _________________ Register Now to have your Insurance queries solved.	Larissa Guest
Posted: Thu Aug 18, 2011 11:46 am   Post subject:    You may opt for your preferred doctor to perform the surgery in the network hospital. You have not mentioned the kind of health policy you have. Is it a HMO or a PPO ? Whether your policy allows you to choose your doctor or not, that fact is important. If it does allow you to choose any doctor then, you might even get a part payment on the doctor’s fee, even if he’s out of the network. Thus, as far as I understand, if your policy restricts you to stay within the network doctors, it should not cover your doctor’s fee and you need to cough it up along with the deductibles. _________________ Register Now to have your Insurance queries solved.	jane.ross Guest

Quick Reply
Your Name
Subject
Message body

All times are GMT

Page 1 of 1