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The ACA IS NOT a type of insurance, it is an exchange where insurance can be obtained. A doctor has no way of knowing if my insurance was purchased direct, from an agent, or off of the exchange. My wife has BC/BS and I ham on Medicare, I can assure you tomorrow I'm going to check prices on the exchange versus what we are currently paying. If we can get her policy cheaper we will go that way, our doctors could care less as long as they get paid.
You must be listening to too much far right BS to even ask the question.
I realize this is an exchange. The practice I know of stated they won't accept new patients who get their insurance coverage through the ACA. This is a fairly large practice well over 300 which I would imagine will impact quite a few people. This group does not take medicaid due to the low reimbursement. Medicaid patients have had difficulty finding local providers for a long time now. They must be basing this on a reimbursement they feel is too low to accept. I haven't found any information on how they will know where one purchases insurance but those who do the billing probably have much more information available to them to perhaps they have some way of identifying.
Last edited by ebbe; 10-01-2013 at 07:06 AM..
Reason: addition
I realize this is an exchange. The practice I know of stated they won't accept new patients who get their insurance coverage through the ACA.
As I have as well as others, NO PRACTICE can find out where your insurance was purchased from. If you have BC/BS that's all they care about, it's about the money and will they pay the charges.
Quote:
Medicaid patients have had difficulty finding local providers for a long time now. They must be basing this on a reimbursement they feel is too low to accept.
Most doctors I know would go out of business if it was not for Medicare as it makes up the bulk of their practice. In refusing new Medicare patients the main reason is due to an already overloaded practice. Our GP already has 1,100 families that he and his staff sees, they are not accepting any new Medicare patients and in fact are not accepting anybody new.
I am guessing they will stick with insurance plans that don't participate in the exchange. Medicare is a huge portion of the practice so those patients will continue to be accepted. They are biding their time to see how it all plays out but it will hurt many who will no doubt have to travel farther for health care because this is a very large practice spread over a large geographic area.
I am guessing they will stick with insurance plans that don't participate in the exchange.
You dont seem to be acknowledging GreggT's post.
Quote:
NO PRACTICE can find out where your insurance was purchased from. If you have BC/BS that's all they care about, it's about the money and will they pay the charges.
If the practice has told you differently they are wrong - with the possible exception of Medicaid and Medicare.
Tried to log on today in the insurance market place. It failed. Just a warning for anyone who will select an insurance plz investagate the companies. It is not clear which Doctors and Hospitals are contracted with the insurances on the marketplace. If you just pick and click for a certain ins. company without looking into the company you may have to travel a long way to an office or hospital. If no one can give you information on doctors or hospitals before selecting an insurance co. just what. there is no need to sign up right of way due to the policy will not be in affect unti 1/1/2014
I think it will be obvious who purchased through the exchange and who has coverage from an employer, because insurance cards generally say who the employer is.
One of my mom's doctors says she is going to go bankrupt because of the whole thing...she's been telling my mom sob stories about it for a couple of years now. My mom believes everything she hears from doctors and from right wing radio talk shows. I don't see how it's going to change things that much for doctors...the reimbusement rates are already pretty low and my insurance pays my doctor a lot less than I did when I was a cash patient.
Doctors don't have to be a political jerk simply by declining Medicaid patients. If they are fed up with the poor reimbursement, they are have legitimate reasons to decline Medicaid patients to run their practice. But it seems to me that doctors announcing that they won't accept patients through the exchange are doing nothing but putting their political agenda first on their practice and far from achieving anything practical. It's just like putting a sign "If you are cared by Obama, you won't be cared by me" on their door. What a jerk.
That's probably not illegal, but I will be disappointed if many doctors do that (which I doubt). Beyond the law, I try to see people's conscience first. The laws are, after all, subjective. I can imagine, back in old days, some doctors' offices having such signs as "whites only." That was probably not illegal at that time...
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