“I said, ‘You don’t expect me to ask somebody when I’m going under the blade, ‘Are you in-network? Are you not in-network?’ when there are six people in the surgery room,” Anand explained.Īnand called Northwestern Medicine and he said they told him the out-of-network charge was “under review.” Months ticked by with no response, until a collection notice arrived in the mail. Now, his insurance statement said one of the PA's was out of network, leaving Anand with the bill. Illinois’ Fair Patient Billing Act is clear: Patients must be notified of out-of-network costs before a surgery takes place.īut Anand said Northwestern Medicine had told him they were in-network for his insurance plan. That extra charge was for a member of the Northwestern Medicine’s surgery team, a physician’s assistant that his insurer, Cigna, said was out-of-network. “Surgery was excellent, the service was great, and the surgery was successful,” Anand said.īut two months post-surgery, Anand said he received a surprise: His bill for the procedure included an extra $2,600 out-of-pocket charge he was not anticipating.Īnand said, “The amount they asked me to pay was way more than what they said I should anticipate as out-of-pocket.” Anand went to Northwestern Medicine for the procedure and said the procedure was a success. It all started with a surgery on his right wrist last summer. The provider admitted the error “was a mistake” after NBC 5 brought it to their attention. ![]() ![]() Sign up for the weekly Chicago Catch-Up newsletter here. Feeling out of the loop? We'll catch you up on the Chicago news you need to know.
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