“Patients would save billions of dollars a year if medical specialists were not allowed to bill out-of-network rates” reads the opening statement of a BenefitsPro article. More precisely, the article states that these out-of-network bills accumulated to roughly $40 billion annually.
So what options do you and your employees have for out-of-network claims?
If your health plan utilizes a traditional PPO plan, it’s crucial to educate employees about in-network versus out-of-network providers. Equally important is ensuring that employees know about and have easy access to searching for in-network providers. Luckily, employees can find this information on medben.com under “Members,” or can find the telephone number and/or website to their PPO on the back of their ID card.
Another way to combat out-of-network claims is to utilize an alternative reimbursement strategy such as reference-based pricing or direct-to-employer contracting with local facilities in your area… both of which are rapidly growing and are proven to be as efficient as traditional PPOs.
For more information, contact MedBen Sales and Marketing at 1-888-623-2365.