It doesn’t work that way. Provider contracts (i.e., contracts between carriers and providers which outline how much providers will be paid for each service) are different, or at least can be different for each policy. Carriers don’t offer contracts on every policy to every provider and providers don’t necessarily accept each contract offered. So even if a carrier offers a similar policy both on and off an exchange, their reimbursement contracts to providers can be different for each, possibly resulting in at least slightly different provider networks. All perfectly legal.[/quote]
I was just commenting on what’s even accepted, not any rate/payments or reimbursement contracts. More of the “Do you take [fill in the blank insurance plan]?”
So as an example, I was saying if, say UCLA medical center doesn’t take Blue Shield ACA, then no matter what Blue Shield health plan you have, UCLA medical will never take it since they don’t have a provider/insurance contract with Blue Shield.
At least that’s what I’ve read.
Again, this is all self purchase and company plans might be different.
