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> If you have a percentage copay, say 10%, they will tell you to pay $25k because it's 10% [of $250k], but they might only pay $75k [after negotiating the $250k
by axiosgunnar 5y ago
> If you have a percentage copay, say 10%, they will tell you to pay $25k because it's 10% [of $250k], but they might only pay $75k [after negotiating the $250k down to $75k].
That's fraud.
- jzwinck 5y ago250k not 2.5M. But yes I agree the practice seems fraudulent.
- axiosgunnar 5y agooops yes you're right, fixed.
- londons_explore 5y agoIf you have enough $$$'s, you can probably argue that in court and win... But you'd just win a refund of some of the copay.
- Cthulhu_ 5y agoNope, it's fraud and the insurance company will / should be destroyed. But they will probably settle out of court for the damage + a little extra to not be stuck in court for a decade.
- deleted 5y ago[deleted]
- PragmaticPulp 5y ago> That's fraud. Yes, exactly, which is why it doesn’t actually happen. I’m not sure where the OP got this idea, but this isn’t how insurance billing works in the United States.
- deleted 5y ago[deleted]