u/leatherpup630

Can someone explain how this can happen

I made an appointment to see a cardiologist who was in my insurance network. The doctor is affiliated with the hospital that is also in network.

He prescribed an outpatient procedure and a CT scan.

The insurance company tells me the radiology dept and the surgical department where I was going to have the procedure are both out of network even though they are at the hospital where the doctor works.

TL/DR: How can a doctor and his affiliated hospital be in network but departments at the affiliated hospital be out of network. It makes no sense to me.

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u/leatherpup630 — 1 day ago