That's what I would have thought. But they are balance billing even though they take assignment, sending the bills to the IFP claims dept., and saying they're not in network.
Total pain in the ass. I'm trying to work through a bunch of unpaid bills for a client from 2007! Several providers have either threatened or have gone to collection.
As I said, the concept is great. An HSA for Medicare. But it hasn't worked in practice. If it did work, the Wellpoint companies would certainly have continued the plans.
Rick
Perhaps what you say may be true for Anthem, but I doubt it would apply to other carriers, especially Coventry.
Coventry, at least in the midwest, has a good reputation for claim settlement.
There is an Anthem BCBS franchise in eastern MO, and I understand it has similar poor performance on claims... they must recruit their bean-counters from the same source.