Looking for a doctor
Posted By: gaijinPinho overcharges. You may find your insurance less relevant than you thought.
How does one overcharge - you go in, pay the co-pay, and that should be it.
Steve said:
Posted By: gaijinPinho overcharges. You may find your insurance less relevant than you thought.
How does one overcharge - you go in, pay the co-pay, and that should be it.
Three weeks later you get a bill from the Doctors office for what your insurance doesn't cover. Happens to me almost every time I go to the doctor and it sucks. I like the doctors I have so I just pay.
GGartrell said:
Steve said:
Posted By: gaijinPinho overcharges. You may find your insurance less relevant than you thought.
How does one overcharge - you go in, pay the co-pay, and that should be it.Three weeks later you get a bill from the Doctors office for what your insurance doesn't cover. Happens to me almost every time I go to the doctor and it sucks. I like the doctors I have so I just pay.
If your doctor is in network you do not have to pay any additional fee over the insurance company negotiated rate. Only if you have out of network coverage do you need to pay the rest.
ramzzoinksus said:
GGartrell said:
Steve said:
Posted By: gaijinPinho overcharges. You may find your insurance less relevant than you thought.
How does one overcharge - you go in, pay the co-pay, and that should be it.Three weeks later you get a bill from the Doctors office for what your insurance doesn't cover. Happens to me almost every time I go to the doctor and it sucks. I like the doctors I have so I just pay.
If your doctor is in network you do not have to pay any additional fee over the insurance company negotiated rate. Only if you have out of network coverage do you need to pay the rest.
I have fought that battle with both my doctors office and my insurance company many times and lost. You may very well be right but that is not how it has worked out for me. To be clear we are not talking about office visits. Its almost always some test or procedure. It usually amounts to 30 or so bucks but this last time it was $170 for a nuclear stress test. UHC paid for the stress test and the evaluation but not the injection that was necessary.
I've never had any additional out of pocket charges in excess of my co-pays for in-network providers. Sorry this has happened to you.
Steve said:
I've never had any additional out of pocket charges in excess of my co-pays for in-network providers. Sorry this has happened to you.
The difference is probably "in network" vs "accepts my insurance".
That's balance billing and if you're only getting hit with small charges, be grateful! I've known doctors who charged non-network patients about triple what the insurance paid and balance billed the difference.
Steve said:
That's balance billing and if you're only getting hit with small charges, be grateful! I've known doctors who charged non-network patients about triple what the insurance paid and balance billed the difference.
They would only have the opportunity to do that once. As much as I like my doctors, I can find others.
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Bhalodia, Manish
Desai, Rajendra
Evans, Eugene
Frankel, Trina
Gantz, Kenneth
Jonglo, Anita
Kulkarny, Prathiba
Mendola, John
Mesnard, William
Moaven, Nader
Paolino, James
Pinho, Paulo
Sampson, Ruby
Shapiro, Sofia
Solomon, Richard
Wallen, Marven
Anyone have any experience with any of these? Recommendations? Any other docs whom people recommend (the search functionality of my insurer's web directory is, to say the least, rather poor).
Thanks in advance.