Talk of The Villages Florida - View Single Post - Federal Retired Employee - Medicare - which plan
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Old 05-02-2018, 02:43 PM
jnieman jnieman is offline
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Originally Posted by retiredguy123 View Post
I am very surprised that you encountered an anesthesiologist or doctor in the emergency room who were not preferred providers for the FEP Blue Cross plan. Can you provide their names, so I can avoid them? When I go into a hospital, I always verify that the hospital is a preferred provider, and that the surgeon and the anesthesiologist are also preferred providers. You absolutely have the right to ask and verify this information. But, I have found that almost all competent medical providers accept the FEP Blue Cross as preferred providers and I have not yet found a single provider so far in The Villages who are not. Even the urgent care facilities in The Villages are preferred providers.
For me most recently it was an anesthesologist at the Santa Fe Surgery Center. It also happened to me a couple of years ago at The Villages Hospital. I don't have records of their names. I would have to pull out tax records and sort through bills. The one at Villages hospital was an emergency room doctor.

When I confronted the Santa Fe Surgery center about it they took my name, contacted the doctor then called me back and said to pay the amount Blue Cross paid me and it would be settled. In some cases they will bill you just to see if you will pay it. To me that is preying on seniors. That was not the case for the emergency room visit. It cost me around $600 for that. I had read something recently that this happens across the country at hospitals and that some states are making laws that they can no longer bill you more than what the insurance pays when the doctors are out of network practicing in in-network hospitals. Not sure if Florida has joined those states as of yet.