Thread: Insurance
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Old Jul 15, 2014, 03:57 PM
tealBumblebee's Avatar
tealBumblebee tealBumblebee is offline
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Member Since: Jul 2013
Location: USA
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Does a T get more money when they use insurance? Here's a hypothetical example of my situation not using 'real' numbers, but exact proportions.

In the beginning, T didn't take insurance and charged "$500". T used a sliding scale and I paid $192 of that. With changes/accreditation, etc. T's price went up to $658 and my price remained the same.

T no longer takes sliding scale, and i'm still paying "$192" out of pocket when her now normal fee is over $650 - which leaves about an 70% adjustment. If I switch to insurance, they pay 80% of the fee after deductible and my copay would be like 18% of the total fee (about $119 in this scenario) - I don't know where the rest of the money goes.

So, seeing as I would be paying less to T when filing insurance - would she still technically be making more money via insurance regardless because she's getting my payment and theirs; even though there is some money missing somewhere?

Edit: I'm not sure why there is an angry face there - total accident.
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Last edited by tealBumblebee; Jul 15, 2014 at 04:03 PM. Reason: Accidental frowny face
Thanks for this!
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