Comments on: http://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Gasmanhttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60327 Gasman Mon, 13 Mar 2006 17:37:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60327 Like almost everything else in life, access and choice do have a cost. <br/><br/>The in-network or preferrred provider designation is merely our formal arangement of what elsewhere is still managed in the same way one gets a good table by slipping the head waiter a 20. Like almost everything else in life, access and choice do have a cost.

The in-network or preferrred provider designation is merely our formal arangement of what elsewhere is still managed in the same way one gets a good table by slipping the head waiter a 20.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60291 Anonymous Sun, 12 Mar 2006 16:39:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60291 I had a similar experience to anon. 3:15. Had a 7 week wait to see a surgeon, his office tells me he's in-network. At office on appointment day, his receptionist accepts my insurance card. Surgeon tells me to come back in a month for follow-up. Only then does 2nd receptionist tell me that he'll be out-of-network in 1 month. 3rd receptionist says, "Oh yeah, we ought to start telling patients about the insurance change." Physician's assistant takes pity on me, and gets me appointment at 26 days. Another instance of clueless receptionists. I decided to go see another surgeon after this.<br/><br/>My current insurer does send out notices to patients if a doctor is dropping out a plan, if that patient has ever gotten a referral for that doctor. For some reason, I'm getting these about-to-be-out-of-network notices for doctors I've never seen. I had a similar experience to anon. 3:15. Had a 7 week wait to see a surgeon, his office tells me he’s in-network. At office on appointment day, his receptionist accepts my insurance card. Surgeon tells me to come back in a month for follow-up. Only then does 2nd receptionist tell me that he’ll be out-of-network in 1 month. 3rd receptionist says, “Oh yeah, we ought to start telling patients about the insurance change.” Physician’s assistant takes pity on me, and gets me appointment at 26 days. Another instance of clueless receptionists. I decided to go see another surgeon after this.

My current insurer does send out notices to patients if a doctor is dropping out a plan, if that patient has ever gotten a referral for that doctor. For some reason, I’m getting these about-to-be-out-of-network notices for doctors I’ve never seen.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60288 Anonymous Sun, 12 Mar 2006 03:47:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60288 "Usually the surgeon just writes off the 40%."<br/><br/>Where do they do this at? Not where I live. I paid this 40% and your an ass! “Usually the surgeon just writes off the 40%.”

Where do they do this at? Not where I live. I paid this 40% and your an ass!

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60274 Anonymous Sun, 12 Mar 2006 01:30:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60274 "My ins. had dropped him just a few days before my visit. Instead of this surgery being covered at 100% it was only covered at 60%"<br/><br/>Usually the doctor just writes off the additional 40%; I notice that the patient above didn't mention this part...i am sick of ingrate patients. “My ins. had dropped him just a few days before my visit. Instead of this surgery being covered at 100% it was only covered at 60%”

Usually the doctor just writes off the additional 40%; I notice that the patient above didn’t mention this part…i am sick of ingrate patients.

]]> By: ChinaLawBloghttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60272 ChinaLawBlog Sun, 12 Mar 2006 00:36:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60272 This is great stuff you are coming up with on China's medical situation. This is great stuff you are coming up with on China’s medical situation.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/03/in-china-there-is-extra-charge-to.html#comment-60262 Anonymous Sat, 11 Mar 2006 20:15:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20192.html#comment-60262 I'am wondering how this is any different than when we prefer to have a surgeon that is not in our ins. network?<br/><br/>I had surgery a few years back and since I had not had any prior general surgery, I picked one that was in our provider directory and made an appt. When I went in for an office visit I asked the receptionist to make sure this Dr. was still in our plan, (you know how they change who is and is not part of your plan all the time)I was told that "Yes, he is."<br/><br/>Well turns out he wasn't! My ins. had dropped him just a few days before my visit. Instead of this surgery being covered at 100% it was only covered at 60% because he was now considered out of network..Hard to keep up with who is and who isn't in network all the time. I’am wondering how this is any different than when we prefer to have a surgeon that is not in our ins. network?

I had surgery a few years back and since I had not had any prior general surgery, I picked one that was in our provider directory and made an appt. When I went in for an office visit I asked the receptionist to make sure this Dr. was still in our plan, (you know how they change who is and is not part of your plan all the time)I was told that “Yes, he is.”

Well turns out he wasn’t! My ins. had dropped him just a few days before my visit. Instead of this surgery being covered at 100% it was only covered at 60% because he was now considered out of network..Hard to keep up with who is and who isn’t in network all the time.

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