hospital visits are different from clinic visits

来源: cxz2509 于 2015-03-06 14:55:48 [] [博客] [旧帖] [给我悄悄话] 阅读数 : (594 bytes)
本帖于 2015-03-06 19:23:53 时间, 由普通用户 cxz2509 编辑
回答: 我也来控诉一下美国的医疗保险 由 宴客 于 2015-03-06 14:41:25

If someone is admitted to the hospital and is seen by the on-call providers/specialists, the insurance has to pay since it is considered as an emergency. You may need to pay a copay for in-network providers, but the insurance should pay 100% for all out-of-network providers in the hospital.

This is different from clinic visits. The insurance can deny the claim if you see an out-of-network doctor in non-emergent situation.

If you have to pay, you only need to pay the amount shown in the EOB (Explanation of Benefits) sent from your insurance company.

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• 谢谢您的解释 -宴客- ♀ 给 宴客 发送悄悄话 (1065 bytes) () 03/06/2015 postreply 15:28:40

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