General Discussion
In reply to the discussion: A doctor who won't take any insurance or Medicare? Yank their license, plus imprisonment. [View all]Honeycombe8
(37,648 posts)If I complain that I can't find a repair shop to defer payment and handle my ins. claim directly with the ins. company., and therefore the govt should force them to do that..that's the same thing as saying repair shops have a duty to take and handle my insurance. Which they do not have. It's good business for them to do that, but they don't have to do that.
SOME drs have decided not to contract with insurance companies (PPOs and HMOs). If they do decide to contract with them, they have agreed to lower fees in accordance with that contract, and the drs will usu. handle the paperwork, since they are the ones with that contract with the ins. co. But they don't have to enter a contract with ins. cos.
I don't know what to do about people who can't find care providers who have contracted with ins. cos. But I do not believe that situation exists. Give me a city....I'll provide you with a long list of drs in that area that have contracted with ins. cos. (PPOs and HMOs).
I think this is a situation that may have existed in one or two instances, where a person's favorite or long term doctor dropped its PPO or HMO contract. Give us the doctor's name....we'll look up if he takes NO insurance, or just stopped taking that particular patient's insurance.
Doctors, just like you and me and everyone, deserve to get paid for their services. If a dr stops taking insurance, all that means is that they stopped entering into lower-fee arrangements with ins. cos. The patient still has insurance and can turn in a claim for an out of network doctor. THE PATIENT STILL HAS INS. My doctor's office confirms my ins. every year when I make new appt over the phone, to ensure there have been no changes....if I've changed insurance, or if they have quit taking my insurance.