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> doctor who wants to charge $200 and an insurer that wants to pay $100. How should it be resolved? Insured patient: Doctor gets $100, can't bill the insurer's
by ohazi 7y ago
> doctor who wants to charge $200 and an insurer that wants to pay $100. How should it be resolved?
Insured patient: Doctor gets $100, can't bill the insurer's patient any further. If the doctor isn't happy with this, he can refuse service to patients insured by this insurer, or he can find a new line of work.
Uninsured patient: Doctor can bill this patient $200
- jefftk 7y agoYou're describing the way things work in most of the US right now, except that if my doctor doesn't take my insurance I no longer have the option to see them anyway. In the case of surprise bills from hospitals this is a big improvement, but in the normal case of "my work gives me Cigna but my long-term doctor I'm very attached to doesn't take Cigna" it means people can't stick with their doctor.