Current Events > My doctor billed my insurance $826 for a routine visit

(+) Yeah! (+)

Spent no more than 30 minutes there for a check up. My out of pocket responsibility for this is $263.

It was literally cheaper to just pay the doctor cash before I had health insurance, back before the ACA was made law. Back then the same exact visit was $75 to $150 depending on how busy the doctor's schedule was and how long the ear examination took.

Daily reminder that whenever leftists get involved in something, the price will go up and everyone in the middle and lower class will get shafted.

Hmm, sounds like your doctor overbills because he can
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Your stupid political bullshit aside, that's when you call the fraud line of your insurance company.
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Find a new doctor.
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P4wn4g3 posted...

Your stupid political bullshit aside, that's when you call the fraud line of your insurance company.

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Literally blaming my doctor even though this is the result of the ACA inflating the costs of going to the doctor.

So your doctor hoes you out and it's LIBRULS fault. Okay.

In this specific case your anger is in the wrong direction
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thishappened.meme
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Medussa posted...

thishappened.meme

I can post a screenshot of the medical claim from my health insurance company, if you really don't believe me.

QuantumScript posted...

Medussa posted...

thishappened.meme

I can post a screenshot of the medical claim from my health insurance company, if you really don't believe me.

then you should take the advice given you in the topic, because your doctor is committing a crime.
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QuantumScript posted...

Literally blaming my doctor even though this is the result of the ACA inflating the costs of going to the doctor.

If you aren't reporting this then doctor con has picked his mark well, and you can continue to cry yourself to sleep at night. Win win.
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What exactly should I report? That he billed me too much?

I haven't had a checkup in like 10 years, I'm 24
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yes. no insurance company is going to pay a thousand dollar checkup. he claimed things he didn't actually do.
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QuantumScript posted...

What exactly should I report? That he billed me too much?

No, you have to call your insurance company and tell them you need to report a case of fraud against your doctor. They have to open a case on it. Just give them any bills and EOBs that are relevant. This is one of the primary functions of an insurance company.
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I sent my friendly neighborhood doctor a holiday fruit basket for Christmas. he replied with a bill for $362.73.

Sent an inquiry to the health insurance company.

Lmao, this topic...
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You should work at getting someone on the phone there so you can see if you and the company will be recouping that money. I can't imagine they will let that slide, though sometimes those investigations take a while.
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QuantumScript posted...

Sent an inquiry to the health insurance company.

let us know what happens for curiousity sake. even if it is a few weeks away we have to see the conclusion.
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P4wn4g3 posted...

You should work at getting someone on the phone there so you can see if you and the company will be recouping that money. I can't imagine they will let that slide, though sometimes those investigations take a while.

I didn't pay anything out of pocket yet. This is just the medical claim filed with the health insurance company. My portion of it will only have to get paid once the doctor sends me a bill in the mail.

kingdrake2 posted...

QuantumScript posted...

Sent an inquiry to the health insurance company.

let us know what happens for curiousity sake. even if it is a few weeks away we have to see the conclusion.

I will. I'm still of the view that it's not medical fraud, but we'll see. I'll try to keep this topic bumped until I get an update.

That's why whenever you go to a doctor you've got to at least lose a limb to make it worth it.
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and now with trumpcare none of us will have insurance and doctor's visits will cost $1000+ for the same time. the 1%er response to that will be "have you tried not being poor?"
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Out of curiosity did you routine visit happen to include any labs or x-rays? That's the only in and out sort of thing I can think of that would cost that much, and it's usually itemized.
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Screw the bill, do yourself a favor and get some bootstraps with your money. You'll thank me later.
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I like how everyone just says this must be fraud without being provided details from his bill or type of insurance coverage he has.
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SK8T3R215 posted...

I like how everyone just says this must be fraud without being provided details from his bill.

Routine visit to a specialist tends to be maybe 250, though that would mostly be for intake (including diagnosis and likely a lab or two) and still itemized properly. Obviously a doctor can charge as much as they want, but there are set standards for cost of care so it's patient responsibility to figure out how much they think their doctor is worth.
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I'm in the wrong business.
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The prices are mainly driven up by big pharma and medical equipment suppliers. Most doctors are good people, not cons. But unfortunately conscience is not allowed in the American healthcare system these days. Doctors are billed by the hour by insurance companies to get the job done. The whole system is a fucking wreck.
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Wow, thought this was a REMercs topic
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QuantumScript posted...

What exactly should I report? That he billed me too much?

Well, that is the definition of "fraud," so yes.
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fenderbender321 posted...

I still dont see why 30 minutes of the doctors time should even cost $200, especially if they dont use any expensive equipment on you.

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Someone hurt my feelings so I went to the doctor to make sure I was OK. They sent me a bill for $841.85.

jk my healthcare is free because my country does it right
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jesus ****ing christ what kind of routine visit costs a thousand dollars, are you a prized racehorse?
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Isn't 75 bucks for 30 minutes still way to high?

Unless they actually treat or cure you why the fuck would they charge so much?
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US healthcare lol
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> 3.5 year old account
> 80 karma

I'm sure this happened. No way this is just a lie to shit on Obamacare.
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Insurance responded to my inquiry. They stand by the charges and don't see anything wrong with the cost. The checkup I get is a routine visit for my ear (need to go in for regular follow-ups for the rest of my life due to two surgeries I had when I was a kid). It used to cost just $70-$150 cash depending on how much time I spent there. It skyrocketed in cost starting 4-5 years ago, though.

The insurance was billed around $650 for the debridement part of the check-up and the rest was the office charge. My out of pocket is $263. That's more expensive than before I had health insurance, when I paid with just cash.

You need to find a new doctor instead of blaming the ACA. He's overcharging you, you nincompoop. Your insurance can only write off so much of the original billed amount.
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unpleasant_milk posted...

US healthcare lol

At least he doesn't have Canadian healthcare, where you get billed way less than half of that for a poutine visit.
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OpheliaAdenade posted...

You need to find a new doctor instead of blaming the ACA. He's overcharging you, you nincompoop. Your insurance can only write off so much of the original billed amount.

That doctor used to charge me $70 at minimum and $150 at most. He's a good man.

the_cajun88 posted...

unpleasant_milk posted...

US healthcare lol

At least he doesn't have Canadian healthcare, where you get billed way less than half of that for a poutine visit.

Not to mention my salary and my side income would both be half of what I make in America.

Someone's getting overbilled

I could pay out of pocket and be way under that
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hockeybub89 posted...

Someone's getting overbooked

That could explain why. If he's overbooked, his time becomes more valuable.