True, in part. AA has negotiated a "managed health care system" from United Health Care. UHC takes care of all the billing, and AA benefits from the power of UHC's multiple contracts with health care providers. The providers agree to UHCs rates. UHC in turn accepts a management/administrative fee from AMR, PLUS the cost of the health care service as paid.
So, if a health care provider bills the UHC-AA account for 375.00 but the covered service is contracted from that health care provider for 25.00, the health care provider accepts a payment of 25.00 from UHC, and most likely writes off the rest. Due to such minimal contract restrictions, the health care providers jack up the cost of their services sky high, and therein lies the problems for the uninsured.
Therefore, UHC in turn bills AA either monthly or quarterly, whatever the contract states, for the amount of 25.00 plus an administration fee. So, that 25.00 may carry a 10% fee totaling a bill to AA of 27.50 for that service - a far cry from the 375.00 However, for the purposes of providing each employee with a "Total Value Statement" the 27.50 is not the figure they show you, the 375.00 is.
It's inflated, and there is a purpose for it, and it doesn't take a rocket scientist to figure out that the purpose is laden with ulterior motives.
On the upside, after going over her medicals to see how all this works, I was extremely beside myself to find that, other than the prescription drug plan, AA has negotiated what appears to be an extremely beneficial health care plan for employees - for the most part. Again, I've looked at that prescription drug plan and for the expensive drugs the plan pretty much sucks, but the rest of it isn't too bad at all.
I can imagine that the COBRA for this plan is quite a bite in the ass though!