At Doctor's Office and Paying With Cash - Page 6 - TigerDroppings.com

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miab777
Member since Aug 2012
92 posts

re: At Doctor's Office and Paying With Cash


My insurance covers accidents at 100% (up to a certain amount) not subject to deductible. Also, routine visits/labs are paid at 100%. As long as you are aware of what services are applied to your yearly deductible, I don't see a problem with what you are doing.


This post was edited on 3/28 at 9:29 pm


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HarryBalzack
At your mom's
Member since Oct 2012
7672 posts

re: At Doctor's Office and Paying With Cash


If the HIPAA form they give me doesn't say directly that the only way they'll provide my information to a government agency is with a court order, I don't sign it. Half the time this means that I get questioned by the office manager. It's pretty ridiculous. Apparently, most people sign away their privacy rights without giving it a second thought.





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Geauxtiga
NC-Wilmington Fan
No man's land
Member since Jan 2008
27185 posts

re: At Doctor's Office and Paying With Cash


quote:

FWIW, I have never heard of not being able to pay your bill up front if you don't want to. This is not a common thing.








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GeauxTGRZ
LSU Fan
PTal
Member since Oct 2005
3236 posts

re: At Doctor's Office and Paying With Cash


quote:

Ok, say you hit someone's car. Damage is TreeFiddy. Figure that your deductible is more than that so you there is no need to involve insurance. Especially since the claim will make your insurance go up. Wait, what? Why would your insurance go up? Oh right, you are now considered a higher risk because of your accident. So, you HIDE an accident and pay out of pocket to keep your rates low. You lie and coverup an accident. You commit fraud. You are not considered a higher risk because your insurance company doesn't find out about it. You are however getting a better rate because the insurance company think you are something you are not.


Wow.
First thing, the other car would file an insurance claim. Their insurance calls your insurance.
2nd, It is your car. You have the right to claim it or fix it yourself.
No fraud is taking place.






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saderade
New Orleans Saints Fan
America's City
Member since Jul 2005
20945 posts

re: At Doctor's Office and Paying With Cash


Almost everyone pays cash upfront for an initial visit at our office but we are out of network for most major insurance companies.





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fightin tigers
Downtown Prairieville
Member since Mar 2008
20570 posts

re: At Doctor's Office and Paying With Cash


quote:

First thing, the other car would file an insurance claim. Their insurance calls your insurance. 2nd, It is your car. You have the right to claim it or fix it yourself.


Was going on the assumption that you would not report the accident. Basically act like it never happened.






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medtiger
LSU Fan
Cubs Fan
Member since Sep 2003
17366 posts

re: At Doctor's Office and Paying With Cash


Just getting a chance to get back into this thread. First, I don't see how you're coming out ahead by paying cash at doctors visits when you have insurance if you truly only go once or twice per year. As an example, if you come to my office as a new patient and say you don't have insurance, and you'd like to pay cash, you will owe $135 up front before you even see a tech. That's a discounted price we offer to cash patients from our regular fee schedule of $170. However, if you were to file your insurance claim for this visit, you'd end up owing roughly half of that $135 because of the rates insurance companies negotiate with us. Now, if you have a major expense that meets your deductible, and you end up filing all of these claims, then everything is a wash. But since those years are so rare, I can't see how what you're currently doing is in your favor.

As to the rest of the discussion, physicians and insurance companies have agreed upon rates for every type of office visit and procedure. Each company pays their own rates for visits, tests, and procedures. Physicians can't charge different rates for the same procedure to patients with different insurance companies. So, physicians have a fee schedule that they provide to insurance companies with their rates. If the rate for a visit/test is higher than the agreed upon reimbursement, the insurance company only reimburses the agreed upon amount. If the rate is lower than the agreed upon amount, the insurance company only reimburses what I charge on my fee schedule. So, physicians set their fee schedule much higher than the insurance companies' allowed amounts to avoid leaving money on the table from any company.

While it is true that a lot of physicians don't know much about business, myself included, we're also one of the few professions that can't follow basic capitalism, unless a physician is in the unique position of being able to take only cash patients. If a businessman develops a new product, his success is governed by basic supply and demand. If I develop a new procedure that cures a disease, I can only get what insurance companies say they'll pay me if I still want to see patients with other diseases. I'm not crying about it, just shedding a little light on why I think physicians aren't very savvy businessmen.






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fightin tigers
Downtown Prairieville
Member since Mar 2008
20570 posts

re: At Doctor's Office and Paying With Cash


I think there is confusion between what people pay if they pay cash, what the regular fee schedule is, and what the negotiated insurance rate is.

Only time I tried to pay without an insurance card (forgot the new one at the house) I realized how much extra it was going to be paying the cash rate.







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saderade
New Orleans Saints Fan
America's City
Member since Jul 2005
20945 posts

re: At Doctor's Office and Paying With Cash


quote:

While it is true that a lot of physicians don't know much about business, myself included, we're also one of the few professions that can't follow basic capitalism, unless a physician is in the unique position of being able to take only cash patients. If a businessman develops a new product, his success is governed by basic supply and demand. If I develop a new procedure that cures a disease, I can only get what insurance companies say they'll pay me if I still want to see patients with other diseases. I'm not crying about it, just shedding a little light on why I think physicians aren't very savvy businessmen.

One of the only professions that have had an increased workload with less pay






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medtiger
LSU Fan
Cubs Fan
Member since Sep 2003
17366 posts

re: At Doctor's Office and Paying With Cash


quote:

One of the only professions that have had an increased workload with less pay


If the rest of the world worked like medical reimbursement, people would love it. Imagine if the cost of groceries or other goods saw a 65-75% decrease over the past 25 years. That's what's happened to the reimbursement for some of my procedures over that time period. Again, not bitching about it (at least not right now ). I chose this profession. There are plenty of other things I could've done and made much more money by this point in my life.






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GeauxTGRZ
LSU Fan
PTal
Member since Oct 2005
3236 posts

re: At Doctor's Office and Paying With Cash


quote:

Was going on the assumption that you would not report the accident. Basically act like it never happened.

So it is fraud if you don't report it?
I ran into someone.. I didn't report it. They did. Insurance called me. Gave my story. That was it






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fightin tigers
Downtown Prairieville
Member since Mar 2008
20570 posts

re: At Doctor's Office and Paying With Cash


quote:

So it is fraud if you don't report it? I ran into someone.. I didn't report it. They did. Insurance called me. Gave my story. That was it


Did you fill out an insurance application and claim the accident didn't happen?






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WavinWilly
New Orleans Pelicans Fan
Wavin Away in Sharlo
Member since Oct 2010
7035 posts

re: At Doctor's Office and Paying With Cash


quote:

If the rate for a visit/test is higher than the agreed upon reimbursement, the insurance company only reimburses the agreed upon amount. If the rate is lower than the agreed upon amount, the insurance company only reimburses what I charge on my fee schedule. So, physicians set their fee schedule much higher than the insurance companies' allowed amounts to avoid leaving money on the table from any company.


I was coming to post this because I don't think most people understand that. Doctors can charge an astronomical number to the insurance company but they aren't going to receive an astronomical number back from the insurance company.






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WNCTiger
LSU Fan
Member since Aug 2006
2877 posts

re: At Doctor's Office and Paying With Cash


The medical ponzi must end.

The obscene pay scales in that industry will go down. Especially for those in the periphery (ie those that do not directly provide care).

Why does a 5 minute ultrasound with a PA cost $1500? What's the hourly rate on that? fricking bull shite is what it is.

Oklahoma Surgery Center. Straight Cash only.

frick insurance, frick Obamacare, frick medicare and medicaid, and most of all frick overpaid hospital, pharmaceutical, and insurance execs.







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DrEdgeLSU
LSU Fan
Dallas, TX
Member since Dec 2006
5947 posts

re: At Doctor's Office and Paying With Cash


I read this whole thread and I can't get past the feeling that BestBanker is overpaying for every single doctor visit, thinking he is getting a good deal. But hey, he thinks that if I pay $100 to see a doctor using a discounted insurance rate, and he pays $125 cash, then he is responsible and I am not. Keep "taking care of yourself" buddy.





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BestBanker
New Orleans Saints Fan
stuck in a moment
Member since Nov 2011
3031 posts

re: At Doctor's Office and Paying With Cash


So much in this never-dying-thread! Does anyone care how much my shoulder hurts?

Where to start and keep it concise...

1. I don't carry doctor office co-pay coverage. This lowers my annual premium.
2. That lowered annual premium makes up my doctor visit annual bills, and then some.
3. I carry a high major med deductible. Should I get to a monetary point in cost calculation where it benefits me, I will then file all my physicians bills for reimbursement.

The thing some people can't understand is the cost for increased premium by using medical insurance when it is not needed. My premiums have not substantially increased ever, due in part to me not using it like a credit card?

Yes there are negotiated rates that could make my little bill lower. But in the big picture, I am already lowering my out of pocket costs--in the whole.







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BestBanker
New Orleans Saints Fan
stuck in a moment
Member since Nov 2011
3031 posts

re: At Doctor's Office and Paying With Cash


You guys do realize that this thread all started from the receptionist's idiotic statement of "it's illegal", to pay my doctor visit with U.S. currency, instead of using my medical insurance plan...
All of you may think that I'm the idiot here, and I may be, but be that as it may I fully understand the role of insurance as it relates to a transfer of risk. I pay premium and a third party covers my calculatable risk.






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