Andrew Cuomo Takes On Insurers

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We had this exact same situation happen to us with UnitedHealth in Texas. What made it all the more unethical is that the "reasonable and customary" charge was applied to an ER visit at a hospital that is considered in-network, and which my wife had just been released from, prematurely as it turned out, on the request of UnitedHealth. However, in the ER, a patient is billed by the doctor directly for his services. But there is no opportunity to select and choose an ER doctor, neither can one possible determine if the doctor is in- or out-of-network. This kind of practice should be outlawed immediately.

AgentG of TX 1:37AM February 29, 2008