Would anyone care to explain the attributes of these so-called “networks” (are they the same as “exchanges?”) Why would some networks be better than others, and if there’s supposedly some minimum standards under the ACA, why wouldn’t a doctor want to be in as many networks as possible?
posted on 07/19/2013 8:44:08 AM PDT
by Lou L
(Health "insurance" is NOT the same as health "care")
To: Lou L
Why would some networks be better than others, and if theres supposedly some minimum standards under the ACA, why wouldnt a doctor want to be in as many networks as possible?
With Medicare Advantage, there are various plans with varying deductibles and premiums, depending on what they cover. Medicare negotiates the coverage and premiums with each state individually.
Probably, the same will be true with policies through Obamacare exchanges.
My doctor will accept some state approved MA plans, but not others. That is his choice. It partly has to do with the requirements/restrictions a plan or a provider imposes on the doctor.
posted on 07/19/2013 8:57:28 AM PDT
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