How come I have to pay full price with cash, but if someone has medicaid or some other type of health insurance, the insurance company only pays (for example) $52.00 of an office call that I have to pay $80.00. Isn't that discrimination to people that pay cash?
2006-10-31 12:59:51 · 12 answers · asked by dt_05851 3 in Business & Finance ➔ Insurance
No, it's not discrimination.
When a doctor agrees to accept a certain type of insurance, they also agree to the fee schedule provided by the insurance company, and each insurance company has a different fee schedule. That's one of the reasons why doctors refuse or accept different insurance coverage.
When you self-pay a Dr, you are paying full price. You aren't reaping the benefit of a volume discount that is provided by being a member of an insured group.
2006-10-31 14:16:01 · answer #1 · answered by BoomChikkaBoom 6 · 1⤊ 0⤋
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RE With no health insurance . . .?
How come I have to pay full price with cash, but if someone has medicaid or some other type of health insurance, the insurance company only pays (for example) $52.00 of an office ...show more
2014-09-24 01:01:25 · answer #2 · answered by Anonymous · 0⤊ 0⤋
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RE :With no health insurance . . .?
How come I have to pay full price with cash, but if someone has medicaid or some other type of health insurance, the insurance company only pays (for example) $52.00 of an office call that I have to pay $80.00. Isn't that discrimination to people that pay cash?
Follow 12 answers
2016-08-26 13:57:24 · answer #3 · answered by ? 6 · 0⤊ 0⤋
You may not understand insurance so well, especially if you do not have it. There is a part of the contractual agreement, the employee pays what is called a "copay" which means his / her share of the cost of the visit. The insured pays one part, the insurance company, paid by the employer, the other part.
So the bill for the visit is $100, the employer has in most cases already paid $80, and the employee limps in and pays $20 to square up with the doctor to make the full amount of his fee
2006-10-31 13:34:05 · answer #4 · answered by The Advocate 4 · 0⤊ 0⤋
Get insurance quotes
2014-12-31 17:49:10 · answer #5 · answered by ? 1 · 0⤊ 0⤋
NOT the way it works....
If you are "self pay," then you make agreements with them and they take MUCH less than they take for those who have insurance.
Most hospitals in my area settle for 10 percent of the actual charges for those with no insurance.
2006-10-31 13:04:40 · answer #6 · answered by Mary G 6 · 0⤊ 0⤋
That's the age old arguement about Walmart, too. It's about buying power. How come you can get certain meds at Walmart for $5, but if you go to a mom & pop pharmacy it costs $30?
Pre-negotiated volume discount prices, that's what it's all about.
2006-10-31 13:41:39 · answer #7 · answered by Anonymous 7 · 0⤊ 0⤋
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2014-06-15 00:43:24 · answer #8 · answered by Anonymous · 0⤊ 0⤋
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2016-04-19 21:55:03 · answer #9 · answered by Anonymous · 0⤊ 0⤋
I totally AGREE!it isn't fair!
2006-10-31 13:01:24 · answer #10 · answered by happy1here♥ 5 · 0⤊ 1⤋