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re: Doctor's Office Scheduled Exam Only If Health Insurance Would Cover It; Wasn't Covered

Posted on 3/11/18 at 3:39 pm to
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 3/11/18 at 3:39 pm to
quote:

This, this is nothing against your physician but they can't possibly know what everyone has coverage on. There's a lot of different options out there, some are great at knowing insurance some are terrible.

You should always consult your insurance before hand.


Apparently y’all missed the part where the doctor’s office indicated they were going to check with the OP’s insurance provider before proceeding.
This post was edited on 3/11/18 at 10:43 pm
Posted by Teddy Ruxpin
Member since Oct 2006
39610 posts
Posted on 3/11/18 at 10:59 pm to
quote:

Apparently y’all missed the part where the doctor’s office indicated they were going to check with the OP’s insurance provider before proceeding.



True, but every health insurance plan requires the patient to be responsible for knowing what is covered and not covered by checking with the plan. That even means if the doctor represents something incorrect to the patient.

It's sometimes unreasonable and shitty at times, but that's the system. It's seems unreasonable to some I'm sure, but you can always call before anything is done and should be your standard practice if you're worried about the cost of something.
This post was edited on 3/11/18 at 11:02 pm
Posted by baldona
Florida
Member since Feb 2016
20535 posts
Posted on 3/12/18 at 10:10 am to
quote:

Apparently y’all missed the part where the doctor’s office indicated they were going to check with the OP’s insurance provider before proceeding.


Verbally sure. Also, its not like the OP asked the billing specialist up front and they confirmed it in writing. It sounds like the OP asked the Doc and the Doc answered leisurely.

Unfortunately that's not really something you can hold the Doc to, is all I'm saying. The Doc office may help them out here, but they may not. Ultimately its the customer's job to know what exactly they are covered for.
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