<p>^This is correct unless he is subject to a deductible that has not been met. Then the entire out of network amount could subject to that deductible. Depending on coverage that deductible may be quite high.</p>
<p>^^^yes, but that info should also appear on the EOB.</p>
<p>This thread confirms me in my belief that eventually a single-payor government health plan is the only feasible solution. The unfairness, waste, abuse, and administrative cost of the current system is (a) unforgivable, and (b) completely unnecessary.</p>