The New York Times has reported that New York's Attorney General Andrew Cuomo is investigating several insurance companies, including AETNA, for underestimating the "reasonable" rate of medical charges when a patient uses an out-of-network provider. Typically, in such cases (including my out-of-network plan) insurers pay 80% of what they determine to be the prevailing rate for a given service. It is precisely this that Cuomo is charging is underestimated, requiring consumers to pick up much of the tab, in a climate in which these companies are making record profits.
Here is the link .
–Suzanne Verderber
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