Billing > Billing
doctor charging more than co-pay
Michele:
If he feels that he is worth more then his issue should be with your insurance carrier not you. He signed a contract with them agreeing to accept that amount AND agreeing NOT to charge you more than the copay. If he is doing this with other patients and any one of you report him to your insurance carrier they will most likely drop him from their panel immediately. This is definitely a breech of contract. It would have been different if he had told you that he was considering resigning from your insurance carrier and that he may not be in network after XX date but he cannot request you pay him more because he is "worth more".
PMRNC:
I certainly would not want a therapist like that! I deal mostly with mental health professionals and I can tell you that you can find much better! Your not sunk unless you want to be sunk. What he is doing is not only unethical but it's against his contract with the insurance company and he's holding YOU hostage to it. JMHO, but he should not be able to do this, and I'm sure it's not only you he's doing it with.
slcoop1234:
Of course, I know you are right, but please consider that I have a long-standing relationship with this guy. If I do anything, particularly if my carrier drops him, I lose my therapist. My relationship with him is of quite a bit of value, don't you think? I know I can't do anything without damaging that, and may be even losing my coverage completely, but I just wish that there were some way the carrier could make him stop, without him knowing I had anything to do with it and without the carrier dropping him. It does make me resentful of him and mistrustful of him, which also damages the relationship, but I still need to talk to him. He is pretty sleazy in this way, I think.
PMRNC:
You can speak with your carrier and explain the situation, I don't believe they necessarily tell them who made the complaint.
slcoop1234:
He will know that I was the one who claled since I just brought this up with him last week, objecting to his demand.
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