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#1
Jun 09, 2017, 07:13 PM
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my pdoc moved to become the medical director of a drug rehab center .. he said he was going to see his regular patients ... so he asked us to follow him ... so last month I had my first office visit ... regular check up with new scripts written ...
got the statement from the insurance co today ... now they are paying it all ... but he charged them a $400 and a $600 dollar charge for the 20 min office visit .... sure wish I was a pdoc ... I am going to give them till monday to explain themselves ... and if I am not happy I going to the medical lic'ing board ... " can you say fraud" ... I am thinking of posting his full name on here ... any opinions ... can we say Tigger is Pi**ed ... now I know why insurance is so expensive ... |
 Anonymous41403, gina_re, still_crazy, Sunflower123
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#2
Jun 09, 2017, 07:19 PM
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So just to clarify, you don't have to pay any of these fees, but you are upset that the pdoc is making so much? I don't understand.
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#3
Jun 09, 2017, 07:23 PM
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Quote:
this is the kind of thing that prices peoples insurance premiums so high ... |
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#4
Jun 09, 2017, 08:11 PM
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I'll believe anything with regard to tdocs and pdocs and their fees.
__________________
Lamictal Rexulti Wellbutrin Xanax XR .5 Xanax .25 as needed |
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#5
Jun 09, 2017, 08:41 PM
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I'm kinda curious who you're talking about just bc I live in same area as you
__________________
schizoaffective bipolar type PTSD generalized anxiety d/o haldol, prazosin, risperdal and prn klonopin and helpful cogentin |
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#6
Jun 09, 2017, 09:01 PM
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A thou for a 20 minute office visit! Holy cow! That's a bit steep even for a new patient which you're not. I'd question 2 charges too.
__________________
Nammu …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann |
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#7
Jun 09, 2017, 09:49 PM
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My pdoc charges $180 for 20 minutes, but I only have a $20 copay. So from my experience, $1000 per visit seems extremely high. Even my intake session, which was the most expensive session of all, cost me $250/hr when I had a deductible.
I hope you do get a real answer because I agree that $1000 for a 20-minute session is EXTREMELY suspicious. Something isn't right, especially with two separate charges. Let us know what your pdoc's "answer" is. I'm sorry you have to deal with this bullsh_t. 
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#8
Jun 09, 2017, 09:58 PM
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This seems way too high! For my pdoc I pay out of pocket and it is only $150. Yes, I know different parts of the country charge different amounts, still $1000?
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#9
Jun 09, 2017, 10:05 PM
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Any doctor can charge a ridiculous amount but the insurance company will only "allow" a certain amout , Period .
Example I worked for a GP years ago ... His office visit for a new patient was 140.00 .. Most all insurance plans only allowed 89.00 so if a patient had medicare they only pay 20% of the ALLOWABLE charge. The same way works with people who have copays. You have to also understand the amount of money a doctor makes might seem like alot .. But the below are things to consider They have Malpractice insurance to pay. They pay there staff They pay rent for the office and all the utilities They have to pay for supplies for the office Im just saying that Doctors do not "make" the money they charge.
__________________
Helping others gets me out of my own head ~ |
 BeyondtheRainbow, rwwff, scatterbrained04
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#10
Jun 09, 2017, 10:39 PM
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Good for you for looking into it. I hope you get some answers. Best wishes.
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| still_crazy
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#11
Jun 10, 2017, 04:23 AM
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He might not even know what you are being billed. The Treatment Center would be doing the billing since he is now part of the group.
__________________
"Do you know what’s really scary? You want to forget something. Totally wipe it off your mind. But you never can. It can’t go away, you see. And… and it follows you around like a ghost." ~ A Tale of Two Sisters (Janghwa, Hongryeon) (2003) "I feel like an outsider, and I always will feel like one. I’ve always felt that I wasn’t a member of any particular group." ~ Anne Rice |
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#12
Jun 10, 2017, 07:41 AM
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It's worth looking into.
I also think it's important to clear this up in order to clear up how you feel about your pdoc. It's difficult to entrust our care to someone we view as committing a "fraud." WC |
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#13
Jun 10, 2017, 07:55 AM
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Now is the $400 and $600 what he billed or what the insurance actually paid? Like Christina said, all insurance companies have negotiated rated with providers. They can bill as much as they want, but they don't actually get paid that, and they can't bill the patient for the remainder. In an essence, what they bill out doesn't actually matter.
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#14
Jun 10, 2017, 08:57 AM
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Having relatives with MD's; I can assure you, pdoc's have some of the lowest take home pays of any specialty. Career folks in school will counsel against going into psychiatry for specifically that reason.
__________________
BD 1; Abilify, Wellbutrin |
| ~Christina
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#15
Jun 10, 2017, 10:34 AM
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what I got was the insurance statement ... they have already paid these bills ... I had a $20 copay at the time of service ..
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#16
Jun 11, 2017, 06:18 AM
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If you're going to a medical center of any sort, there will be a few the doctor charges and a fee the treatment center charges. It's like going to the hospital. There's a few for the doc's services and a few the hospital charges.
But if your insurance company actually paid that amount, it's nuts! Regardless, you are right that things like that are what drive up the cost of healthcare and insurance premiums. That, and Latuda costing $33/pill. I still can't get over that one.
__________________
Meds: Latuda, Lamictal XR, Vyvanse, Seroquel, Klonopin Supplements: Monster Energy replacement.  Also DLPA, tyrosine, glutamine, and tryptophan
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#17
Jun 11, 2017, 06:25 AM
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Quote:
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#18
Jun 11, 2017, 06:30 AM
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If I remember correctly, Latuda should be generic in 2018. ETA: I just checked, and it is 2018. I'm not sure what month, but my guess is the market will be flooded with competitors who want to get a piece of that pie. Might be a year or less.
__________________
Meds: Latuda, Lamictal XR, Vyvanse, Seroquel, Klonopin Supplements: Monster Energy replacement. Also DLPA, tyrosine, glutamine, and tryptophan
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#19
Jun 11, 2017, 07:01 AM
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Before yall get excited about latuda generic, generic abilify, which has been around a little while now, is still $800/month retail price.
__________________
BD 1; Abilify, Wellbutrin |
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#20
Jun 11, 2017, 03:26 PM
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Quote:
__________________
Qui Cantat Bis Orat ingrezza 80 mg Propranolol 40 mg Benztropine 1 mg Vraylar 3 mg Gabapentin 300 mg Klonopin 1 mg 2x daily Mania Sept/Oct 2024 Mania (July/August 2024) Mania (December 2023) Mixed episode/Hypomania (September 2023) Depression, Anxiety and Intrusive thoughts (September 2021) Depression & Psychosis (July/August 2021) |
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