Is it possible to be reimbursed for a medical provider that is out of network that I paid out of pocket for?

Question

I have United Health Care. I have been seeing a dr or two that is NOT in the network so they will not pay them anything. I have heard of something called Super Billing.. But not sure what to do. I called Them and they said it was possible but not probrobable. Whatever that means.

Answer 1

It is possible if you had no other choice, you were in an area with no providers and need emergency care, you need a specialist (they usually approve this first though) and they did not have a single one in their plan.   This happens sometimes when you have a very rare disease, only a few doctors in the county can help you.

It is "not probable" because those situations are not probably.   It is more likely you just decided to see a doctor outside your plan.

Answer 2

It means, if you have one chance in a thousand, it's possible, but not probable.

It's possible you'll open your front door in the morning, and there will be an envelope there with $10,000 in cash.  But it's not probable.

That's what they're telling you.  Count on being reimbursed, like you're counting on that envelope in your door.

Answer 3

If you have out of network coverage then sure part of the bill would possibly be covered.  If you don't, then no you won't.