Doctor stops accepting insurance, posts prices online

Discussion in 'Blazers OT Forum' started by SlyPokerDog, May 28, 2013.

  1. maxiep

    maxiep RIP Dr. Jack

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    So, physicians should have no choice how they practice? "Swing low, sweet chariot..."
     
  2. mobes23

    mobes23 Well-Known Member

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    I think it sounds sensible enough for regular check up/minor health issues, but having had a family member with severe medical problems, I don't think that approach works in that situation. It's difficult enough to navigate the health care system, but being seriously ill and trying to figure out coverage and the insurance claims process would be a disaster.

    Purely from a customer standpoint, if I planned on switching doctors and was considering two different docs, all things being equal, I'd pick the one who handles insurance claims to avoid the hassle.
     
  3. maxiep

    maxiep RIP Dr. Jack

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    I think self-selection is an intentional part of the tactic.
     
  4. Haakzilla

    Haakzilla Well-Known Member

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    ...so, doctors are starting to follow the MMJ model?! :dunno:
     
  5. mobes23

    mobes23 Well-Known Member

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    I'm guessing that you were referring to the second paragraph of my post? Obviously, no one knows when they might suddenly get diagnosed with a serious, fast moving disease and they might regret the choice they've made. That said, more often than not in that situation, you'd probably get referred to a specialist anyway (and the specialist could handle the insurance.)
     
  6. Denny Crane

    Denny Crane It's not even loaded! Staff Member Administrator

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    You would buy catastrophic health insurance with a $15,000 deductible. You doctor would refer you to a hospital. Your insurance pays, and you end up with $15K of debt, which shouldn't bankrupt you.
     
  7. mobes23

    mobes23 Well-Known Member

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    Right on. I'm thinking more of my case, where I have insurance through work and going to that doctor would mean that I'd personally have to make insurance claims and work with the insurance company to figure out what's covered and what's not.
     
  8. The_Lillard_King

    The_Lillard_King Westside

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    "Catastrophic health insurance" . . . there is a loaded term.
     
  9. Denny Crane

    Denny Crane It's not even loaded! Staff Member Administrator

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    Your paycheck would be bigger. Your doctor bills would be $75 for most things.

    Look at the guy's prices:

    http://www.ciampifamilypractice.com/Our_Prices.html

    Many things $20. $200 for a house call.

    Health care isn't expensive - insurance and govt. interference are
     
  10. Mediocre Man

    Mediocre Man Mr. SportsTwo

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    This is where I am at on it.

    Some people have amazing insurance. See union workers and select other individuals. However, most don't. I know where my wife works they have a HSA plan that she would have to pay $300 a month for, just to have the plan, then pay a negotiated rate when she or the family had a dr's visit. one of her co workers has the insurance and pays $1000 a month for the plan and prescriptions and such.

    Howver, one area I see that could be a tough go is in the catastrophic cases. I just got out of the hospital, and my bill before insurance was $60k. How would a non insured patient pay for something like that?
     
  11. The_Lillard_King

    The_Lillard_King Westside

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    It is not the bills from general practitioners that drives the need for medical insurance. It is when an expert or hospital stay in necessary that most need medical insurance.

    Then there is prescription medication . . . pharmaceutical companies do have the right to make a profit. :)
     
  12. Denny Crane

    Denny Crane It's not even loaded! Staff Member Administrator

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    You can pay the $300/month or $1000/month for a cadillac plan that gets you $15/month prescription payments. Sure.

    Do the math, though.

    This guy http://tightfistedmiser.com/2011/12/13/how-much-does-individual-health-insurance-cost/ says it would cost $80/month for catastrophic insurance with a $5K deductible.

    $300 * 12 = $3600
    $80 * 12 = $960
    You save $2640, or enough to pay for over $200/month in prescription drugs.

    Or to have one of those $200 house calls per month :)
     
  13. The_Lillard_King

    The_Lillard_King Westside

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    What happens if he tears a tendon or cartilidge, gets food poisoning, breaks an arm, gets a dog bite, gets a soft tissue injury, has foot problems, needs bloodwork done.

    A house visit by a general practitioner for $200? Guessing I get get better answers on the internet for zero money. The answer by the house call doctor is a prescription for vicodin and to send you to a specialist.

    A country where people only have catastrophic insurance as defined by the insurance company . . . heaven for some here, hell for others.
     
  14. Denny Crane

    Denny Crane It's not even loaded! Staff Member Administrator

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    A torn flexor tendon surgery might cost $50,000. You'd pay the deductible, insurance pays the rest.
     
  15. The_Lillard_King

    The_Lillard_King Westside

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    So torn flexor tendon is considered catastrophic? Don't think every insurance company would agree on that. Hold off on that surgery while lawyers battle out in court how to interpret the insurance policy.

    What does one do with a torn ACL . . . guessing some "experts" out there will explain how an ACL is not necessary to live a normal productive life.

    We don't need a system where individuals are only covered for "catastrophic injuries" . . . yet give people the choice and so many are so financially strapped or only think short term that they don't get any other coverage. Heck many won't even buy catastrophic injury insurance. Then when they get injuried, let them suffer or die for being short sighted?
     
  16. Denny Crane

    Denny Crane It's not even loaded! Staff Member Administrator

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    Catastrophic only means that you've paid up to the deductible out of pocket. Anything beyond that, they pay.

    With a traditional policy, they may not pay for the first few days in the hospital or only pay 80%. It's a scam.
     

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