I really find it hard to believe that Blue Cross pays more than 3 times as much for a procedure than Medicare. I have had the Blue Cross Federal employees plan for more than 40 years, and now that I am over 65, my Blue Cross preferred providers are limited to the Medicare approved amount even though I do not have Medicare Part B. This is the law. But, I have not had any trouble being treated by preferred providers, and I have not seen a tremendous drop in the reimbursement amounts that they receive.
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