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How To Maximize Use Of A PPO Health Insurance Policy

Negotiate Fees With Out-Of-Network Health Care Providers

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Studies show that the success rate is high enough that it is worth negotiating fees with a health care provider. It may be uncomfortable the first few doctors you ask, but what do you have to lose?

Consider the following:

  • Ask out-of-network providers before a service if provided if he or she will accept the in-network fee for services or accept what Medicare pays. To find out what Medicare pays for the procedure, see www.cms.hhs.gov offsite link. Then look for physician's fee schedule.
  • Keep in mind that the American Medical Association says doctors have an obligation to compassionately consider the patient's ability to pay.
  • Most doctors have different fee schedules for the same service depending on who is paying for the service. 

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