The difference between in- and out-of-network costs for employees has increased substantially since 2011, according to the 2010 Medical Plan Trends Report conducted by HighRoads and reported in Market Watch.
The study revealed that out-of-network primary care physician co-pays are now 53 percent higher than in-network physician co-pays, compared to a difference of just 16 percent in 2011. Michael Byers, CEO of HighRoads, said employees may need to reevaluate going out-of-network for certain services due to rising co-pays.
According to the report, 49 percent of health plans have in-network out-of-pocket maximums of $2,500 or higher for individual coverage.
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The study revealed that out-of-network primary care physician co-pays are now 53 percent higher than in-network physician co-pays, compared to a difference of just 16 percent in 2011. Michael Byers, CEO of HighRoads, said employees may need to reevaluate going out-of-network for certain services due to rising co-pays.
According to the report, 49 percent of health plans have in-network out-of-pocket maximums of $2,500 or higher for individual coverage.
Related Articles on Coding, Billing and Collections:
One-Third of Colorado Residents Have Inadequate Insurance, Survey Shows
Out of Network Illinois Surgery Center Battles Aetna Over $3.4M in Bills
AAPC's Deli Parham: Don't Let Missed Appointments Hurt the Bottom Line