• then_three_more@lemmy.world
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    2 days ago

    I’ve had appointments at opening time and they’re still half an hour late. Doctor strolling in 15 minutes after the appointment time.

    • AngryDeuce@lemmy.world
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      2 days ago

      Oh, you see an actual doctor? I haven’t seen an actual doctor in the last like 3 years, always just a physicians assistant or other nurse.

      Still get charged the dr copay though, funny how that works.

      I wouldnt be surprised if the doctor is an AI construct and theyre just running my symptoms through whatever insurance company provided AI bullshit at this point.

      • protist@retrofed.com
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        2 days ago

        Tbf, there is no “doctor copay.” The copay is a visit fee imposed by your insurance company that disincentivizes people from visiting the doctor. It’s also usually a paltry amount compared to the actual amount your insurance will pay the practice, and reimbursement fees for NPs and PAs are absolutely lower than for MDs

        • AngryDeuce@lemmy.world
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          2 days ago

          My bills literally list them as separate line items, theres the clinic copay, then the doctor copay.

          Occasionally I even get two separate bills, one from the hospital, one from the Dr. Guessing their practice is the source of the one and the hospital system is the other?

          Either way its fuckin annoying to be paying out of pocket 30+ bucks only to be told the equivalent of “gee i dunno take Tylenol I guess”.

          • protist@retrofed.com
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            18 hours ago

            I’ve worked in healthcare for decades and have literally never seen this. Are you sure you’re not thinking of coinsurance? Coinsurance and copays are two different things, a copay is a set fee dictated by your insurance that you pay up front, whereas coinsurance is usually the percentage you owe of anything billed to your insurance, which includes both facility and provider fees

            • AngryDeuce@lemmy.world
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              15 hours ago

              I’d have to look at my bill(s) but long story short, every time I visit the doctor, I get billed by two seemingly separate entities for merely visiting them. Everything else they do is a separate line item on their respective bills. So if it’s not a copay, what is it? A visit fee? All I know is I either pay it or I get harassed incessantly so I pay it.

        • Zink@programming.dev
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          21 hours ago

          I have a “fun” american anecdote for you then! The office that gave me crap for being late a while back is also coincidentally the expensive one.

          I’m on a biologic medication that I get every month via IV. I get the infusions at a cancer treatment center at the local hospital. The chairs are comfy and the nurses are amazing. They will actually give me free snacks and drinks too. I am typically there for about two hours.

          The amount they charge my insurance company? About a new BMW.

          What my insurance company actually pays them? Surprisingly, about a new Honda!

          • BurntWits@sh.itjust.works
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            17 hours ago

            Did you have to pay the difference out of pocket? Or is there a discounted price for insurance providers to pay that laypeople aren’t approved for?

            Whenever I go to the doctor, hospital, etc I just give them my health card (which is freely provided to every Canadian citizen) and they punch in the number into their system, then that’s that. I don’t have to pay or contact insurance or anything. Some stuff doesn’t count such as the dentist but dental care is almost always provided through work benefits.

        • JusticeForPorygon@lemmy.blahaj.zone
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          2 days ago

          Depends on about a billion of different factors, but the answer could range from “yeah it’s an exaggeration” to “its actually a pretty generous estimate”