You might really be asking two questions here.
1. Is it legal, as in can the provider find himself with criminal charges for doing it
2. Does the Insurance Company permit it? Could the provider lose his HMO or PPO contract?
Clarification of DHS Copay Guidelines Providers cannot deny services to recipients unable to pay a copay. A provider must accept a recipient's assertion that he or she is unable to pay a copay and cannot require additional documentation of inability to pay. An unpaid copay is considered to be unpaid debt, and the provider is not required to continue to serve recipients with outstanding debt. If it is the provider's general practice to refuse to serve all individuals with outstanding debt, and the provider gives the recipient advance notice and a reasonable opportunity to pay the debt, and the recipient does not pay the copay(s) owed, the provider can then refuse to provide care. Recipients retain the ability to seek services from other enrolled MHCP providers. Providers may choose to continue to serve recipients who are unable to pay the copays. Note: If the recipient is unable to pay the copay, providers may accept payment of the copay on behalf of the recipient from another source.
http://www.dhs.state.mn.us/main/groups/business_partners/documents/pub/dhs_id_010456.hcsp
for more information see www.steveshorr.com
Even in the Minisota rules - it appears the provider cannot waive fees, except under special circumstances
That doesn't sound right. Call your insurance carrier or consult your insurance manual for the exact details.
Some do and some do not. You have to check with each individual doctor.
The doctor bills insurance for your office visit. Insurance will pay the doctor their contracted rate and the rest is written off. if you are billed for charges after the insurance paid, call your insurance company.
You can check the details with your insurance company, but the surgery would need to be proven medically necessary. You can discuss that with your doctor.
When a doctor or hospital sends a bill to an insurance company, the insurance company in turn sends them an offer of a lesser amount to pay the bill. The doctor or hospital then decides whether or not to accept the offer or "assignment." Most of the time they accept it so they can get paid without any problems.
You need to check with your doctor to get a more accurate price as far as cost to you for this surgery. Cost all depends on what type of insurance coverage you have, what they cover, and what they won't cover. Sometimes if you are lucky you can get it 100% covered by your insurance company including the cosmetic surgery afterwards to remove the excess skin that will be left behind if your doctor deems your surgery medically necessary.
A surgery doctor is a Doctor Who performs surgery in a specific area.
A surgery doctor is a doctor who performs surgery in a specific area.
If money is an issue that is stopping you from getting bariatric surgery, then talk to your doctor. Bariatric surgery financing is usually not dealt with through insurance companies, but if the doctor can prove it is medically necessary, sometimes the insurance company will put it through. Some doctors will let patients set up a payment plan so they can have the surgery. If you own a credit card, you might want to consider putting the surgery on your credit until you can pay it off.
To find out if your insurance covers a gastric bypass surgery you should call your insurance company. If you can not reach them by their telephone number I suggest you see if they have a website. You could also consult a doctor, they usually know what insurance companies cover certain surgeries.
Sure hope so. I am in the same boat
Yes. You need to take steps to get into treatment sooner if the only holdup is an insurance issue.