Can I See an Out of Network Provider? | Ep. 17
Your doctor recommends an out-of-network specialist, leaving you with a critical question: Can you see them, and more importantly, what will it cost you? This episode tackles the financial stress and confusion that comes with going out-of-network. Melody breaks down the problem into a simple, two-part framework to help you understand your options and your financial responsibility before you make an appointment.
Learn the exact steps to determine what your insurance will (or won't) cover, how to talk to the specialist's office about payment options, and how to avoid surprise bills. This practical guide empowers you to balance your health needs with your financial well-being.
Featured Topics:
- Understanding the difference between being able to see a specialist and affording one.
- How to check your insurance plan for out-of-network benefits.
- What does it mean if your plan has no out-of-network coverage?
- How to negotiate as a "self-pay" patient.
- The common ways costs increase for out-of-network care include higher copayments and coinsurance.
What You’ll Hear:
- [00:00] The Two-Part Question: Can I See Them vs. Should I See Them?
- [00:48] Step 1: Check Your Insurance Plan for Out-of-Network Coverage.
- [01:10] Scenario A: Your Plan Has NO Out-of-Network Coverage.
- [01:25] Proactive Tip: Talking to the Physician’s Office as a "Self-Pay" Patient.
- [01:54] Scenario B: Your Plan Has Out-of-Network Coverage.
- [02:30] Understanding Higher Financial Responsibility (Copays & Coinsurance).
- [03:15] Balancing Your Health with Your Financial Responsibilities.
Want to Ask Melody? Visit: https://takecarepod.com Don’t forget to subscribe so you won’t miss an episode. If your doctor has ever recommended an out-of-network specialist and you've worried about the cost, this episode is a must-listen.
