Healthcare Association of New York State Files Complaint About Oxford Policy

The Healthcare Association of NY has filed a complaint about an Oxford Health Plans network coverage policy.

The complaint was filed regarding a case in which a woman received a gastric bypass procedure from an out-of-network surgeon at an in-network hospital, and Oxford billed all aspects of the procedure as out-of-network.

Oxford says its policy is that patients who receive care from doctors outside the network must pay out-of-network coverage costs for all health care services rendered, regardless of whether the care is provided in an in-network hospital.