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xplorer  
#21 Posted : Wednesday, November 29, 2017 2:27:56 PM(UTC)
xplorer

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In regard to posting #12, I was told in a phone call to Aetna that it does not matter whether a provider is in or out of network, as long as the provider is participating in Medicare. If they are participating (as almost all are, in my area) then Aetna pays whatever Medicare does not pay.
fedspouse  
#22 Posted : Wednesday, November 29, 2017 5:31:52 PM(UTC)

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Xplorer... that is correct. If you are on Medicare you can go to any Dr as long as they accept Medicare assignment. For someone not on Medicare they would have to go to an in network doctor.
jagfan  
#23 Posted : Thursday, November 30, 2017 6:03:57 AM(UTC)

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Originally Posted by: xplorer Go to Quoted Post
In regard to posting #12, I was told in a phone call to Aetna that it does not matter whether a provider is in or out of network, as long as the provider is participating in Medicare. If they are participating (as almost all are, in my area) then Aetna pays whatever Medicare does not pay.


There may come a time when you may see a "non-participating" provider. In that scenario, if the provider does NOT accept Medicare assignment and has NOT OPTED OUT of Medicare, then you would pay the difference between the “limiting charge” or the physician’s charge (whichever is less) and Aetna's payment combined with Medicare’s payment.

Edited by user Thursday, November 30, 2017 6:04:38 AM(UTC)  | Reason: spelling

RickBinABQ  
#24 Posted : Wednesday, January 30, 2019 7:20:54 AM(UTC)
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I'm a brand new FEd employee [well, will be in a couple weeks or so], in my mid 50's and in excellent health so far.

I am reading all these posts, and think I will take the GEHA HDHP which has a HSA of $1800/yr for my wife and I.
Really like the idea of the HSA, which is under my control.
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