Bills after OOP has been met

I have Meritain Health through work, which is a subsidiary of Aetna. I had ACL repair surgery and have met my out of pocket max for the year. I received another bill from the anesthesiologist after hitting the max OOP. When I explained this to the provider’s office, they told me to call Meritain. After going in circles for 30 minutes, all the Meritain rep could tell me is that the service was only covered at 80% and I owed the 20% coinsurance. When I asked if coinsurance goes towards the OOP, he said yes. So when I asked why I am still being charged more than my OOP, he just continued to say it is only covered 80%. Does max OOP not mean what I think it means – pay my $1500 and be done with medical bills for the year? Are there better questions I should have been asking the Meritain rep? (The Meritain rep confirmed I had met my deductible and OOP, so I am not waiting on a claim to be finalized before they acknowledge that it has been met.)

submitted by /u/curledribbons
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