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To: Myrddin

The entire point of joining a PPO vs. an HMO is so that you can get coverage for out-of-network providers!


5 posted on 11/11/2016 5:11:15 PM PST by Yossarian
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To: Yossarian

not true. you just don’t need a pcp to refer you. networks are the pricing mechanism for the insurance companies.
Hold Harmless
An agreement with a provider not to bill the subscriber for any difference between billed charges for covered services (excluding coinsurance) and the amount the provider has contractually agreed with a BCBS Plan as full payment for those services.


12 posted on 11/11/2016 5:57:42 PM PST by kvanbrunt2 (all your base are belong to us)
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