OPM to Provide Additional Protections in 2009 for FEHB Enrollees Who Use Out-of-Network Surgeons
"... OPM is taking this action in response to concerns over a change in coverage in the Blue Cross Blue Shield reimbursement that would have established a $7,500 co-pay for out-of-network surgeries. The agency had negotiated this change to address situations where enrollees could be billed tens-of-thousands of dollars for non-emergency surgeries performed by out-of-network providers, a practice known as
Reference: opm.gov
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