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Old 04-27-2014, 06:29 AM
 
32,023 posts, read 36,782,996 times
Reputation: 13300

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Quote:
Originally Posted by Finn_Jarber View Post
What is an obamacare policy?
There is no such animal.

 
Old 04-27-2014, 06:35 AM
 
Location: Florida
76,971 posts, read 47,621,806 times
Reputation: 14806
Quote:
Originally Posted by arjay57 View Post
There is no such animal.
Exactly, so basically this doctor discriminates based on where his patients purchased their insurance.
 
Old 04-27-2014, 06:40 AM
 
24,832 posts, read 37,340,970 times
Reputation: 11538
Quote:
Originally Posted by Finn_Jarber View Post
Exactly, so basically this doctor discriminates based on where his patients purchased their insurance.
More to the point......how that insurance pays.

When I work one of the first questions I ask is where is my payment coming from.

Sometimes what we do is cover under the home owner's house insurance.

I charge more for those jobs......there is more work dealing with the insurance company.
 
Old 04-27-2014, 06:43 AM
 
Location: Florida
76,971 posts, read 47,621,806 times
Reputation: 14806
Quote:
Originally Posted by Driller1 View Post
More to the point......how that insurance pays.

When I work one of the first questions I ask is where is my payment coming from.

Sometimes what we do is cover under the home owner's house insurance.

I charge more for those jobs......there is more work dealing with the insurance company.
They are insurance policies just like the ones people buy outside the exchanges.
 
Old 04-27-2014, 06:45 AM
 
24,832 posts, read 37,340,970 times
Reputation: 11538
Quote:
Originally Posted by Finn_Jarber View Post
They are insurance policies just like the ones people buy outside the exchanges.
There is a problem someplace.

Maybe you could contact this doctor and go over things with him????
 
Old 04-27-2014, 07:13 AM
 
11,186 posts, read 6,506,034 times
Reputation: 4622
Quote:
Originally Posted by Finn_Jarber View Post
They are insurance policies just like the ones people buy outside the exchanges.
Along with others, I posted links to articles reporting that reimbursement rates are lower for exchange plans. From the Kaiser Health News ---

"Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors."

Doctors Complain They Will Be Paid Less By Exchange Plans - Kaiser Health News
 
Old 04-27-2014, 07:16 AM
 
32,023 posts, read 36,782,996 times
Reputation: 13300
Quote:
Originally Posted by Finn_Jarber View Post
Exactly, so basically this doctor discriminates based on where his patients purchased their insurance.
Yep. He has that right, of course, but it sounds like he's just trying to make a political statement.

According to Blue Cross Blue Shield, his reimbursement rate would be the same regardless of where the plan was purchased.
 
Old 04-27-2014, 07:18 AM
 
11,768 posts, read 10,261,651 times
Reputation: 3444
Quote:
Originally Posted by jazzarama View Post
Along with others, I posted links to articles reporting that reimbursement rates are lower for exchange plans. From the Kaiser Health News ---

"Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors."

Doctors Complain They Will Be Paid Less By Exchange Plans - Kaiser Health News
From the article:

Quote:
Dr. David Martin did not want to answer any questions. Blue Cross Blue Shield says his reimbursement rate would be the same regardless of where the plan is purchased so Julie thinks this is a political statement.
 
Old 04-27-2014, 07:18 AM
 
Location: Foot of the Rockies
90,297 posts, read 120,747,599 times
Reputation: 35920
Quote:
Originally Posted by jazzarama View Post
Along with others, I posted links to articles reporting that reimbursement rates are lower for exchange plans. From the Kaiser Health News ---

"Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors."

Doctors Complain They Will Be Paid Less By Exchange Plans - Kaiser Health News
Key word-SOME-plans. Blue Cross says otherwise for this situation.
 
Old 04-27-2014, 07:22 AM
 
19,838 posts, read 12,099,283 times
Reputation: 17572
Quote:
Originally Posted by arjay57 View Post
I am showing my naivete here because I have never heard of a $250 deductible. That's almost dollar one coverage!

Seems like the premium would have to be astronomical or heavily subsidized in some way. Or perhaps there is extremely careful screening of the insureds to verify that they don't have anything wrong with them or a history of getting sick.
I have a $200 deductible...have for years.
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