northeastern Ohio | Boone & Crockett - 11/26/2024 08:06
Fairly certain this is not the suggested/approved method. All CHM’s are sharing agreements, they are not insurance plans. Therefor discounts are to be negotiated directly between the CHM and the provider, and the patient will get balance billed after this had all been worked out. You were lucky and got away with one.
What I described above was the way I was instructed to do it at the time. That was 5 years ago. It looks like CHM has changed to make it easier for their members. Some members did not like to negotiate the bills, even though CHM would help if they were asked. That makes it even easier for me to recommend them.
You are correct, it is not insurance. It is sharing. Insurance companies make sure that they make a profit above all costs by overcharging. CHM is a non-profit. Each year, they match their plan cost to the cost of medical bills they paid. No profit. Members pay exactly what is paid out divided by the number of members. Sharing costs. There are no stockholders to pay dividends. This is not a big corporation like Cigna, Humana, United Health, Blue Cross, ect. with huge advertising bills, bloated executive departments, overpaid CEO's, and hungry stockholders.
Edited by Jay NE Ohio 11/26/2024 11:50
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Health insurance?
