Billing > Billing
doctor charging more than co-pay
PMRNC:
Here's an idea.. why don't you play dumb.. :) Don't be insulted, I mean when you go for your next appt, and go to pay him, pay him the copay your plan says to pay, and then say this.. Oh, I did have a chance to check with my carrier and they said I can only pay the copay that is in my policy plan, I can't pay anymore as it's against my policy plan provisions. :) It really would be a violation of your plan's policy contract, so let him connect the dots that he too is violating his contract by trying to collect more. He will :) I really would hate to see you be blackmailed into staying with this provider, and that's exactly what you would be doing if you gave in and gave him the difference. You also set a precedent that he can get away with it and you are probably not the only one he's doing it to.
slcoop1234:
I am going to try that; thanks for the idea. I know he is doing it to toher people with thisplan. He told me that he is and that those other people are paying even more than I am (by way of coersion). I'm also sure that he knows that he is breaking his contract. He's very smart but he doesn't care. But I am cgoing to try your idea and see if that persuades him or shames him. Thanks.
PMRNC:
If he's doing it to others with the same plan, than he may not know it would be you to call them and let them know. Please remember that he's not only taking advantage of you, but others as well as the insurance carrier, in the long run, this contributes to abuse of the system overall and higher premium's.
rdmoore2003:
providers like this is one of the reasons healthcare costs have skyrocketed. You alos have an obligation to your insurance company to give them this information. I work in mental health also and unless you have a long term intense diagnosis, 10 years may be a bit much and maybe he is not the "therapist" for you. If he thinks is worth more, than he can renegotiate his contract but you need to decide either way.
PMRNC:
--- Quote ---providers like this is one of the reasons healthcare costs have skyrocketed. You alos have an obligation to your insurance company to give them this information. I work in mental health also and unless you have a long term intense diagnosis, 10 years may be a bit much and maybe he is not the "therapist" for you. If he thinks is worth more, than he can renegotiate his contract but you need to decide either way.
--- End quote ---
I agree completely. If this was one of our clients we'd even be LEGALLY obligated to report it.
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