Thứ Hai, 22 tháng 9, 2025

No surprise act - cost of service out of pocket vs via insurance

Whatever happened to "No surprise act"? Given that my corporate insurance has a high deductible plan, 99% of times we won't meet it. Now, given that situation, I try to find out the out of pocket cost of a given service, which many of the providers will just not tell me and try to go through insurance most of the times. They don't tell me how much it will cost through insurance, saying they don't know, go find out from your insurance and the insurance company will say, we don't know, what it will be. Now, I worked in repricing for a bit (so I know there are middle men who send how much % the insurance has to pay to the provider) so there was a NSA which these parties had to comply to, question is how can they avoid telling me the costs or even approximate amount? My goal is to go out of pocket if cost via insurance is going to be higher. Do any of you do anything similar and have any tricks to get the actual costs known before choosing one vs other?



https://ift.tt/V7rJOim Submitted September 22, 2025 at 01:43AM by Gl_drink_0117 https://ift.tt/x1MvYaq

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