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Kimberly Michalski

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Doc Robbery

Posted by Kimberly Michalski Posted on: 08/12/08

Doc Robbery

    I'm getting that agitated feeling- the one that generates a little heat under my collar. From time to time it intensifies my propensity to blither and blather without first being reasonable. I know me well enough to ignore the agitation, stand back, look at the big picture, apply some logic - (sometimes count to ten) maybe do a little research, and then and only then proceed to blither and blather. Having applied most of those steps, I'm still feeling that little agitated feeling.

    It's that time again. Every three months David has a medcheck with his pediatrician before he refills his script. No problem, even though sometimes it seems like three months comes way too soon.  During his medcheck doc checks things like heart rate, BP, listens to his heart/lungs, records height /weight and asks me a bunch of questions.

    A few weeks ago I received a postcard in the mail informing me that David needed his yearly physical. During his physical, doc checks things like heart rate, BP, listens to his heart/lungs, records height/weight and asks me a bunch of questions.

    I call doc to schedule David's appointment for his medcheck and physical. Only much to my chagrin this is going to require two separate appointments.

    "WHAT?" I asked the receptionist on the phone?

    "Well, for insurance purposes we need to make two separate appointments."

    I think what she meant to say was they wanted to commit highway robbery and they needed  cooperation and consent to inconvenience my son and me in the process. But, I didn't want to be inconvenienced, which meant I had to call the insurance company.

    Today I called doc's office again to schedule David's physical and medcheck at the same time. They wanted to know if my insurance would pay them for the two separate exams. The insurance company assured me they will indeed pay.

    It's true that medicine is more complicated than ever. Everything must be coded perfectly before insurance companies will pay. But, today I'm feeling more sympathetic towards insurance companies than previously I have. Say what you want about processing paperwork, bureaucracy, coding, and medical law etc. etc. I have a lot of respect for all my medical providers, but highway robbery is still highway robbery. And I think the heat under my collar does not require a diagnosis. Thanks heavens!   


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  • A pain especially given that a physical is normally covered 100% without the need of a copay. In theory if they give you the physical you should not need the copay, but instead they are giving you med-check with the copay and throwing in the physical.
    By The Photo Ranger on August 12, 2008 22:12

  • I got one for ya. My sister in law is on diabetes medication and needed her insulin refilled. She is 100% insulin dependent. The doctor was on vacation and didn't leave a prescription for her at the office. So, the nurse told her that they would be "happy" to call it in for her. When my sister in law agreed to this and was getting the pharmacy phone # the nurse said, "Oh, and don't worry. We will bill the $20.00 to your account. "$20?" she asked. There is a $20 charge for the prescription to be called in, the nurse replied. When my sister in law pointed out that the dr. had screwed this up and she would just come in and get it, the nurse said she had to make an appt. $30 co pay just to come in to see a dr to get a paper script....so either way...she paid...and it wasn't her mistake!
    By vanessa on October 18, 2008 03:27

  • WOW! Oh, this is so wrong on many level, Vanessa. :|
    By Kimberly Michalski on October 18, 2008 13:05

  • If you really want something that falls into the category of "highway robbery" from doctors (and hospitals) consider the "Facility Fee" that is added to each bill. I mean, if the doctor is going to charge me to visit HIS office, maybe he should just start to consider housecalls, and charging per-diem. And paying this "facility fee" to hospitals? Why, can't they make the rent. BTW - facility fees can range from $50 for a Dr. visit, to as much as $1500 a day for pallitative care. Can you spell RIPOFF????
    By Ron Goodwin on November 19, 2008 16:04

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