Quote:
Originally Posted by thebmw
This is not true. Providers are not the insurance company and they cannot tell you exctly what a patient's out of pocket will be. Obviously, provider offices try to be transparent but many times it backfires and patients blame the providers for lying. That is simply because when an insurance says a specific service is covered, that is not a guarantee of payment and that is listed on every approval. That is how the insurance companies are able to do a bait and switch and avoid lawsuits because it is in the fine print that approval or coverage has no connection with payments and patient responsibility.
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Call the provider. The insurance provider. Tell them what procedure you are having done and they will tell you specifically if and what they will cover, including how your deductible and co-pays may come into play. This isn't that hard.