Do you make 'enough' money?

[Spexxvet]

Originally Posted by xoxoxoBruce

... At least until I get the receipt from the insurance company that says for almost $700 in tests, they paid $36.... and the lab accepted it. I wonder how good a job they did on checking for problems?

Yeah, the "real" price should be somewhere between the two. My Doc charges $120 for an exam, which is what a "self-paying" patient pays. Medicare pays 80% of their $110 allowable, but most of the private insurance companies pay $32 to $50. I think that if you accept Medicare, it's illegal to charge someone a discounted price, if they're a "self-pay".

[TheMercenary]

Originally Posted by Spexxvet

Yeah, the "real" price should be somewhere between the two. My Doc charges $120 for an exam, which is what a "self-paying" patient pays. Medicare pays 80% of their $110 allowable, but most of the private insurance companies pay $32 to $50. I think that if you accept Medicare, it's illegal to charge someone a discounted price, if they're a "self-pay".

Technically you are correct. A few places I work do it. Why? to help the patient, not because they are getting rich off of this group of patients.