A Florida health insurance provider has filed a lawsuit against Blue Cross Blue Shield Florida for not paying the correct reimbursement rates for treating patients. The lawsuit suggests that the carrier is artificially deflating the cost of the treatment. Other carriers have been recognized to use the same practices like Aetna, CIGNA, and United Health One.
When a Florida health insurance member goes out of network, the physician has to persuade the patient to pay the rest as the current reimbursements are to low from the carrier. The charges are called usual and customary, but they are anything but that according to the lawsuit.
This does not put the patient at any risk. But this Florida physician is not willing to be bullied anymore by big corporations. Now he is taking action.