As provider networks continue to shrink and more non-network facilities like free-standing emergency rooms pop up, it’s crucial that brokers explain the importance of staying in network to their clients.
Not everyone likes surprises. And not all surprises are good. Take surprise medical bills, for instance—it seems that nobody is happy to receive one of those in the mail. Unfortunately, they’re more and more common these days, and that means you should prepare your clients in case they receive a surprise bill following a medical procedure.
One of the insurance industry developments this year that have us scrambling for solutions is the number of insurance companies that are reducing health care provider availability within their networks. This is happening by reducing the size of their networks or eliminating out-of-network benefits. These aren’t mutually exclusive: some insurers are doing both.
