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- #41
Do you know how much of the $130.00 billed was allowable under the coverage?
No i don't...and i really don't understand how the insurances work. But it just doesn't seem right that they can charge a different prices than what would be charged without the insurance. But they do and they can get away with it...
They can't charge a different rate for self-pay. It's illegal. Whatever the explanation is is lost somewhere in the tons of stuff you don't understand about how insurance works, and didn't bother to find out in favor of going for "how it seems". Congratulations, you just thought like a liberal.
Why don't you try asking the biller for the doctor's office how it works?
"It's illegal."
What is illegal is asking the patient to pay the difference between the government allowance and the doctor's fee.
If the doctor or hospital accepts a patient in association with a government program, he is committed to accepting the pay schedule.
When I was in Lancaster, Pa. I learned that the Amish make a deal with local hospitals to pay for services in cash. They get a low group rate. The are not covered by government plans and do not accept same.