At Doctor's Office and Paying With Cash | Page 3 | TigerDroppings.com
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fightin tigers
Downtown Prairieville
Member since Mar 2008
28346 posts

re: At Doctor's Office and Paying With Cash

So this is like getting in a wreck and hiding it from your insurance or not claiming you got in a wreck?

Yeah, I don't see any fraud there.


WDE24
Wright St. Fan
Member since Oct 2010
43744 posts

re: At Doctor's Office and Paying With Cash
quote:

So this is like getting in a wreck and hiding it from your insurance or not claiming you got in a wreck?

No, this is like backing into a pole in a parking lot and paying out of pocket to have your car repaired so that the claim isn't logged on your insurance. Happens all of the time and is not fraud.
This post was edited on 3/28 at 2:31 pm


BestBanker
LSU Fan
stuck in a moment
Member since Nov 2011
3689 posts

re: At Doctor's Office and Paying With Cash
How old are you?


TheOcean
Florida State Fan
Member since Aug 2004
31363 posts

re: At Doctor's Office and Paying With Cash
Except the car is your body
This post was edited on 3/28 at 2:31 pm


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Slagathor
LSU Fan
Gainesville, FL
Member since Jul 2007
16549 posts

re: At Doctor's Office and Paying With Cash
quote:

So this is like getting in a wreck and hiding it from your insurance or not claiming you got in a wreck?


if you back in to your brother's car and you can definitely afford the damage to his bumper or whatever, and he knows you're good for it, etc., you mean you would report it to your auto insurance company?



BestBanker
LSU Fan
stuck in a moment
Member since Nov 2011
3689 posts

re: At Doctor's Office and Paying With Cash
Oh, and by the way, I may have torn my rotator. MRI tomorrow.

Thanks for all the love!

Oh, and will pay cash! so I expect to go through this again.


WDE24
Wright St. Fan
Member since Oct 2010
43744 posts

re: At Doctor's Office and Paying With Cash
quote:

MRI tomorrow.
Time to start reporting to your insurance.

quote:

Oh, and will pay cash! so I expect to go through this again.

How high is your deductible?

I though MRI's were pretty expensive.


Slagathor
LSU Fan
Gainesville, FL
Member since Jul 2007
16549 posts

re: At Doctor's Office and Paying With Cash
quote:

MRI tomorrow.
quote:

Oh, and will pay cash


good luck!



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Bleeding purple
TCU Fan
Athens, Texas
Member since Sep 2007
22775 posts

re: At Doctor's Office and Paying With Cash
If a physician accepts medicare he/she must keep his discounted cash rate at medicare reimburment for the same service. The reason for this is that Medicare reserves the right to reset the reimbursment fee for that service based on the physicians lowered charge.



Thus most cash rates are about 30-40% less than the normal charge and essentially equivalent to Medicare reimbursment rates.

There are exceptions of course where in a special circumstance the physician has the right to drastically lower service fee.


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LSUfan4444
LSU Fan
Mandeville
Member since Mar 2004
43360 posts

re: At Doctor's Office and Paying With Cash
A rotatory cuff surgery will cost about $14,000, not including any MRI or testing done before surgery day. Anesthesia alone is a couple G's...if you can convince the doctor to give you a deal, you still have to work a deal with the hospital or surgery center and the anesthesiologist/group.

That includes doctor and facility fees.

*non discounted*
This post was edited on 3/28 at 2:38 pm


fightin tigers
Downtown Prairieville
Member since Mar 2008
28346 posts

re: At Doctor's Office and Paying With Cash
quote:

if you back in to your brother's car and you can definitely afford the damage to his bumper or whatever, and he knows you're good for it, etc., you mean you would report it to your auto insurance company?


Um, yeah. That is insurance fraud.


BestBanker
LSU Fan
stuck in a moment
Member since Nov 2011
3689 posts

re: At Doctor's Office and Paying With Cash
My deductible is, wait a second! I see what you're doing there.

It's high. And MRI is 600. Not bad, not good, but doesn't hit my annual deductible level yet.


fightin tigers
Downtown Prairieville
Member since Mar 2008
28346 posts

re: At Doctor's Office and Paying With Cash
quote:

Message Posted by BestBanker How old are you?


Not sure how it plays into this, but 30.


medtiger
LSU Fan
Cubs Fan
Member since Sep 2003
17824 posts
Online

re: At Doctor's Office and Paying With Cash
quote:

As far as docs milking the insurance for more money versus just accepting cash, yall really have no clue what yall are talking about.


No shite.


BestBanker
LSU Fan
stuck in a moment
Member since Nov 2011
3689 posts

re: At Doctor's Office and Paying With Cash
quote:

rotator cuff surgery will cost about $14,000


THEN, I will use my insurance!


TheOcean
Florida State Fan
Member since Aug 2004
31363 posts

re: At Doctor's Office and Paying With Cash
quote:

medtiger


Break it down for us.


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WDE24
Wright St. Fan
Member since Oct 2010
43744 posts

re: At Doctor's Office and Paying With Cash
quote:

Um, yeah. That is insurance fraud.

Not typically.


LSUfan4444
LSU Fan
Mandeville
Member since Mar 2004
43360 posts

re: At Doctor's Office and Paying With Cash
You'll need to be careful. Will your insurance pay for a procedure they have no documentation is needed?



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GetBackToWork
LSU Fan
Member since Dec 2007
1153 posts

re: At Doctor's Office and Paying With Cash
The insurance company also wants to have all services and medical history for every patient.

If you pay cash and receive service "off the books" the medical history may not be complete.

As mentioned earlier, it also provides a way for the Doctor to receive non contract pricing or even double charge.


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WDE24
Wright St. Fan
Member since Oct 2010
43744 posts

re: At Doctor's Office and Paying With Cash
quote:

And MRI is 600
Seems pretty cheap. I thought they were around $2000, but I don't know why I thought that. Seems like someone told me that once.


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