4 years ago
I was not allowed to make any decision regarding m...
I was not allowed to make any decision regarding my anesthesiologist -- I selected an "In network" surgeon and ensured services were performed in an "in network" hospital. No one could tell me who the anesthesiologist would be but was assured that this is normal. Naturally, Allied Anesthesia was out of network and ended up being the anesthesia provider for my surgery. Though out of network, my insurance did make payment based on some "Non par reimbursement" program. I had already expended all of my "out of pocket" expenses for the year due to a serious accident earlier in the year. Allied would not reasonably negotiate a compromise in their "full amount billed" -- I was agreeable to paying what a normal contract rate is (less what my insurance had already paid) -- they would not accept any reasonable negotiation even though EVERYONE has agreed that I had no choice in the matter of who anesthetized me. Furthermore, since all of this began, Allied now has a contract with my Insurance carrier and will not accept that contracted rate as payment -- they want the "full amount billed for services" prior to the new contracted rate.
Oh, and did I mention that my insurance paid 110% of what would be charged had I been a Medicare patient.