Morgan Stanley’s medical plan administered by Cigna and UnitedHealthcare allows enrolled employees and covered dependents to use out-of-network providers for covered services under the plan. Effective January 1, 2024, the allowed amount for the reimbursement of non-network claims, also known as “eligible expenses” for out-of-network services, will be based on 300% of the Medicare rates published by the Centers for Medicare & Medicaid Services (CMS), instead of the current methodology of 90th percentile of “reasonable and customary” charges. That means when you choose an out-of-network provider, you will be reimbursed at rates based on those that Medicare pays. Consider using an in-network provider to avoid higher out-of-pocket costs.
For additional information about this change, refer to the following questions and answers.