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Re: Insurance Company HELL » Dinah

Posted by Ted on November 8, 2002, at 18:21:58

In reply to Re: Insurance Company Purgatory » Ted, posted by Dinah on November 8, 2002, at 17:49:04

Hi Dinah (and Mair),

> My pdoc is off network and they reimburse at a low rate.

Ditto. Really low. Like NEARLY ZERO! All the pdocs in the network are scumbags with horrid reputations and questionable business practices.

I am supposed to get 50% of the "Reasonable and Customary" fee reimbursed for the first 10 appts, then zero. They must measure the "R & C" fee based upon fees in Wichita, KS, not the SF Bay Area. My pdoc charges $120 for a 15 minute appt, which is an average price around here. I get around $45 reimbursed.

(BTW, a quick calculation gives around $750 000 a year salary assuming 4 weeks vacation and 20% overhead for his tiny office. Pretty nice, eh?)

> My therapist isn't reimbursed by insurance at all.

Nor mine. She is supposed to be, at least for 10-20 visits per year, but see my previous post if you need an explanation why I have given up trying.

> But it sounds very frustrating.

That term is just not quite right.
Try ~hopeless~

> But gosh darn it Ted, you're just too funny.

Ummmm.... thanks. :-)

"Laughter is the best medicine"

"If you can't beat 'em, join 'em". I do things to baffle and confound my insurance company as often as possible. But with such morons, baffling them is child's play.

>Your post made me laugh so that it was hard for
>me to keep a proper sense of sympathy and
>empathetic frustration.

My point indeed. :-)

> Thanks for the smiles.

You're welcome. Anytime.

Ted



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