Fair Health Consumer: A tool to take back some power

Fair Health Consumer

Excerpt below is sourced directly from Fair Health Consumer and provided as education. You must contact your insurance company directly for specific information relating to your policy and benefits. 

Most health plans have a “network,” a group of doctors, hospitals and other healthcare providers who agree to take your insurer’s rate. Some plans may not cover any services you get from providers who are not in the network. Others cover part of your care when you get services from other providers. But, plans may differ in how they decide how much they will pay out-of-network providers. Many of them develop their own “usual, customary and reasonable” (UCR) charges to help work out what they will pay out-of-network providers. Others use Medicare’s payment (fee) schedule.

To learn more or to search Fair Health Consumer visit the website at www.fairhealthconsumer.org. 

Author
Heather Travis Chief Operating Officer

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