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Originally Posted by amandalouise
opting out of ACA exchange isnt about whether or not they must accept insurance. some states decided they do not what to expand their medicaid and medicare programs (lower their income bracket requirements) and they have their own websites where people in their states can sign up for various health care options rather than sending people to the federal website to do that.
short version many dont want the hassle of only being able to use website option a few days out of the year (healthcare.gov is only open so many days a year for people in the USA to register and "shop" for insurance where as individual state websites are "open for business" every day 24\7)
yes there still are a rare few that are still on the no insurance way because it takes time to get certified and get insurance companies to agree to add that physical or mental health agency to their list. insurance companies have a budget to follow and if they have reached their budget then they have to tell an agency sorry we cant add your company to our plans we can put you on the waiting list for a future agency listed with our insurance company.
line in the sand when obama care went into affect it didnt only affect clients, it affected treatment providers and insurance companies alike.
those you see that dont accept insurance probably have not gotten their certification for doing that or are waiting for insurance companies to agree to have them on their list of who they will pay out to.
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Again, I think you are misinformed. While it would seem logical that if all Americans are required to have health insurance, providers must take some form of insurance, I do not think that is the case. After all, Americans don't need to comply with the ACA if they are willing to pay a tax penalty, so why would doctors be required to?
The three therapists and the psychiatrist I saw were all adamant that they would never take insurance. And it made no sense for the anesthesiologist to be in anyone's network, since he was hired by surgical centers, not the patient directly. He was paid through my insurance, but only through balance billing, which is not the same as taking insurance.
I have spent some time Googling what you say and cannot find any official US government website that says all practitioners must take insurance. If you could post such a link, I would be most interested to see it.