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Thread: My suggestions for dealing with doctors and health care in 2019 in the US

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    My suggestions for dealing with doctors and health care in 2019 in the US

    John Mehaffey's recent experience with being forced to sign a form at a doctor's office promising not to give bad Yelp reviews reminded me of what a mess our healthcare system has become.

    Mind you, socialized medicine would be even worse at this point (especially built on top of our existing system), but there are lots of clear flaws with our system.

    Here are my suggestions regarding visits to healthcare providers:

    - Check the reviews beforehand. Just google the doctor's name and the city he's in, with the word "reviews". If there are a number of credible-sounding bad reviews, don't go. People in general tend to give doctors better reviews than they deserve, so if you see a doctor with a lot of bad reviews, it's trouble.

    - Double and triple check that they take your insurance. Check both your insurance company's website AND ask the doctor's office both on the phone and during your first visit. If it ends up that they don't take your insurance, YOU will be the one responsible, regardless of what the insurance website or your doctor's office said. Sad but true.

    - Do not ever overpay now with the agreement that they'll refund the difference later. You will almost always get screwed this way. Only pay charges you agree are correct.

    - In the event of a billing dispute, play hardball, and pretend you don't care about your credit. Maintain a tough stance that you absolutely won't send a penny above what you feel you owe, and that you won't even pay the existing bill at all until it's corrected. Never agree to send in a partial payment if the bill is incorrect. Your only power is your threat to withhold money entirely if they won't play ball.

    - You can negotiate ER bills down. Try it.

    - In the event a dispute can't be resolved, try calling your insurance company and asking them to make a one-time exception to pay the amount in dispute. They will sometimes agree to do this in order to solve the problem, especially if the amount of money is under $300.

    - Always ask for the cash rate for expensive tests and procedures. They may be cheaper than doing it through your insurance, in which case, do not give your insurance info and just pay cash.

    - Never give your social security number to a doctor or healthcare facility for any reason. They don't need it. They want this for collection purposes. Don't fall for it.

    - Avoid giving your workplace info to a doctor or healthcare facility for any reason. Same as above. They want this for collection and other legal purposes. Simply put "self employed", unless you're part of a work insurance plan, then you can put your employer down.

    - Do not automatically agree to tests prescribed to you. They can be shockingly expensive, and sometimes dangerous and/or painful. Make sure you fully understand each test, its approximate cost, and the need for it. Provided your situation isn't urgent, go home and google this stuff.

    - Never agree to surgery without at least a second opinion.

    - See a doctor between the ages of 35-55, if possible. You want someone old enough to have experience, yet young enough to be open to new discoveries and new ideas. You also want their mind to be sharp. Especially avoid doctors over 70.

    - Do not see a D.O. or foreign-educated doctor. Usually these are doctors who were American-born but could not get into US medical school. If you are sure that they are foreign-born and went to a respected foreign medical school, then this doesn't apply.

    - Do not ever go to an office with a bad reputation for scamming or major billing issues. Yes, it will happen to you, too.

    - Attempt to figure out which specialist you need, and then go directly to that specialist, if your insurance allows it.

    - Avoid using Urgent Care unless it's for something minor and/or simple. The nut low doctors work there.

    - Always sanity check any diagnosis by looking everything up on the internet after-the-fact. If it really seems your doctor is wrong, he/she probably is.

    - Be aware that many doctors will attempt to give a diagnosis and treatment, even if your symptoms reveal nothing specific. This is because most patients hate inaction. Don't fall into this trap. If you have something difficult to diagnose, such as abdominal pain, don't let the doctor just guess at something and make that your diagnosis. Ask them how certain they are, and then sanity check it yourself.

    - Do not use an office which makes you see a nurse practitioner or physician's assistant in place of the doctor. For small things, this is fine, but if this is their common practice, find a different doctor.

    - If getting a "free" annual physical, do not ask any questions of the doctor, and do not bring up any other health concerns. This will allow them to bill you for one or more items, even if the discussion lasts 10 seconds. In fact, state at the beginning of the physical (to the scheduler) that you don't want any additional charges, and that you want the free annual physical, and nothing else.

    - Be more skeptical of the doctor wanting you to do tests or procedures at their office. This is how they profit the most. If you're sent elsewhere for tests, still be skeptical, but the upside for the prescribing doctor is much less.

     
    Comments
      
      BCR: Agree with all these with the exception of the physical part. It seems you’ve ran bad with that. If you do your homework on the doctor, that shouldn’t be an issue. All concerns should be discussed during a physical.
      
      Tellafriend:
      
      Sanlmar: Really solid. I will change some things as a result

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    Plutonium lol wow's Avatar
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    calm down grandpa

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    Something tells me that you even sanity check the girl bagging your groceries at whole foods.

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    Canadrunk limitles's Avatar
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    Quote Originally Posted by Dan Druff View Post
    John Mehaffey's recent experience with being forced to sign a form at a doctor's office promising not to give bad Yelp reviews reminded me of what a mess our healthcare system has become.

    Mind you, socialized medicine would be even worse at this point (especially built on top of our existing system), but there are lots of clear flaws with our system.

    Here are my suggestions regarding visits to healthcare providers:

    - Check the reviews beforehand. Just google the doctor's name and the city he's in, with the word "reviews". If there are a number of credible-sounding bad reviews, don't go. People in general tend to give doctors better reviews than they deserve, so if you see a doctor with a lot of bad reviews, it's trouble.

    - Double and triple check that they take your insurance. Check both your insurance company's website AND ask the doctor's office both on the phone and during your first visit. If it ends up that they don't take your insurance, YOU will be the one responsible, regardless of what the insurance website or your doctor's office said. Sad but true.

    - Do not ever overpay now with the agreement that they'll refund the difference later. You will almost always get screwed this way. Only pay charges you agree are correct.

    - In the event of a billing dispute, play hardball, and pretend you don't care about your credit. Maintain a tough stance that you absolutely won't send a penny above what you feel you owe, and that you won't even pay the existing bill at all until it's corrected. Never agree to send in a partial payment if the bill is incorrect. Your only power is your threat to withhold money entirely if they won't play ball.

    - You can negotiate ER bills down. Try it.

    - In the event a dispute can't be resolved, try calling your insurance company and asking them to make a one-time exception to pay the amount in dispute. They will sometimes agree to do this in order to solve the problem, especially if the amount of money is under $300.

    - Always ask for the cash rate for expensive tests and procedures. They may be cheaper than doing it through your insurance, in which case, do not give your insurance info and just pay cash.

    - Never give your social security number to a doctor or healthcare facility for any reason. They don't need it. They want this for collection purposes. Don't fall for it.

    - Avoid giving your workplace info to a doctor or healthcare facility for any reason. Same as above. They want this for collection and other legal purposes. Simply put "self employed", unless you're part of a work insurance plan, then you can put your employer down.

    - Do not automatically agree to tests prescribed to you. They can be shockingly expensive, and sometimes dangerous and/or painful. Make sure you fully understand each test, its approximate cost, and the need for it. Provided your situation isn't urgent, go home and google this stuff.

    - Never agree to surgery without at least a second opinion.

    - See a doctor between the ages of 35-55, if possible. You want someone old enough to have experience, yet young enough to be open to new discoveries and new ideas. You also want their mind to be sharp. Especially avoid doctors over 70.

    - Do not see a D.O. or foreign-educated doctor. Usually these are doctors who were American-born but could not get into US medical school. If you are sure that they are foreign-born and went to a respected foreign medical school, then this doesn't apply.

    - Do not ever go to an office with a bad reputation for scamming or major billing issues. Yes, it will happen to you, too.

    - Attempt to figure out which specialist you need, and then go directly to that specialist, if your insurance allows it.

    - Avoid using Urgent Care unless it's for something minor and/or simple. The nut low doctors work there.

    - Always sanity check any diagnosis by looking everything up on the internet after-the-fact. If it really seems your doctor is wrong, he/she probably is.

    - Be aware that many doctors will attempt to give a diagnosis and treatment, even if your symptoms reveal nothing specific. This is because most patients hate inaction. Don't fall into this trap. If you have something difficult to diagnose, such as abdominal pain, don't let the doctor just guess at something and make that your diagnosis. Ask them how certain they are, and then sanity check it yourself.

    - Do not use an office which makes you see a nurse practitioner or physician's assistant in place of the doctor. For small things, this is fine, but if this is their common practice, find a different doctor.

    - If getting a "free" annual physical, do not ask any questions of the doctor, and do not bring up any other health concerns. This will allow them to bill you for one or more items, even if the discussion lasts 10 seconds. In fact, state at the beginning of the physical (to the scheduler) that you don't want any additional charges, and that you want the free annual physical, and nothing else.

    - Be more skeptical of the doctor wanting you to do tests or procedures at their office. This is how they profit the most. If you're sent elsewhere for tests, still be skeptical, but the upside for the prescribing doctor is much less.
    This break down of what to do when visiting a doctor in the U.S. is too much work and worry
    when dealing with health and sickness. The profit motive works for many things but it doesn't for your military and shouldn't for health care. You should ask your doctors questions and bring up health concerns during a medical that's why people go to doctors.

    Put as much thought into why a single payer system isn't better than what you've got and we have a discussion.

    Out of the 18 or so talking/worrying points you've listed 15 are not even on the radar for universal health care system users.
    Last edited by limitles; 10-06-2019 at 06:03 AM.

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    Diamond TheXFactor's Avatar
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    Isn't Druff still on ObamaCare?

    If Druff doesn't like socialized medicine, why doesn't he cancel it and get some sort of health insurance through Kaiser Permanente? (Kaiser runs a lot of hospitals throughout California)


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    Quote Originally Posted by Dan Druff View Post
    John Mehaffey's recent experience with being forced to sign a form at a doctor's office promising not to give bad Yelp reviews reminded me of what a mess our healthcare system has become.

    Mind you, socialized medicine would be even worse at this point (especially built on top of our existing system), but there are lots of clear flaws with our system.

    Here are my suggestions regarding visits to healthcare providers:

    - Check the reviews beforehand. Just google the doctor's name and the city he's in, with the word "reviews". If there are a number of credible-sounding bad reviews, don't go. People in general tend to give doctors better reviews than they deserve, so if you see a doctor with a lot of bad reviews, it's trouble.

    - Double and triple check that they take your insurance. Check both your insurance company's website AND ask the doctor's office both on the phone and during your first visit. If it ends up that they don't take your insurance, YOU will be the one responsible, regardless of what the insurance website or your doctor's office said. Sad but true.

    - Do not ever overpay now with the agreement that they'll refund the difference later. You will almost always get screwed this way. Only pay charges you agree are correct.

    - In the event of a billing dispute, play hardball, and pretend you don't care about your credit. Maintain a tough stance that you absolutely won't send a penny above what you feel you owe, and that you won't even pay the existing bill at all until it's corrected. Never agree to send in a partial payment if the bill is incorrect. Your only power is your threat to withhold money entirely if they won't play ball.

    - You can negotiate ER bills down. Try it.

    - In the event a dispute can't be resolved, try calling your insurance company and asking them to make a one-time exception to pay the amount in dispute. They will sometimes agree to do this in order to solve the problem, especially if the amount of money is under $300.

    - Always ask for the cash rate for expensive tests and procedures. They may be cheaper than doing it through your insurance, in which case, do not give your insurance info and just pay cash.

    - Never give your social security number to a doctor or healthcare facility for any reason. They don't need it. They want this for collection purposes. Don't fall for it.

    - Avoid giving your workplace info to a doctor or healthcare facility for any reason. Same as above. They want this for collection and other legal purposes. Simply put "self employed", unless you're part of a work insurance plan, then you can put your employer down.

    - Do not automatically agree to tests prescribed to you. They can be shockingly expensive, and sometimes dangerous and/or painful. Make sure you fully understand each test, its approximate cost, and the need for it. Provided your situation isn't urgent, go home and google this stuff.

    - Never agree to surgery without at least a second opinion.

    - See a doctor between the ages of 35-55, if possible. You want someone old enough to have experience, yet young enough to be open to new discoveries and new ideas. You also want their mind to be sharp. Especially avoid doctors over 70.

    - Do not see a D.O. or foreign-educated doctor. Usually these are doctors who were American-born but could not get into US medical school. If you are sure that they are foreign-born and went to a respected foreign medical school, then this doesn't apply.

    - Do not ever go to an office with a bad reputation for scamming or major billing issues. Yes, it will happen to you, too.

    - Attempt to figure out which specialist you need, and then go directly to that specialist, if your insurance allows it.

    - Avoid using Urgent Care unless it's for something minor and/or simple. The nut low doctors work there.

    - Always sanity check any diagnosis by looking everything up on the internet after-the-fact. If it really seems your doctor is wrong, he/she probably is.

    - Be aware that many doctors will attempt to give a diagnosis and treatment, even if your symptoms reveal nothing specific. This is because most patients hate inaction. Don't fall into this trap. If you have something difficult to diagnose, such as abdominal pain, don't let the doctor just guess at something and make that your diagnosis. Ask them how certain they are, and then sanity check it yourself.

    - Do not use an office which makes you see a nurse practitioner or physician's assistant in place of the doctor. For small things, this is fine, but if this is their common practice, find a different doctor.

    - If getting a "free" annual physical, do not ask any questions of the doctor, and do not bring up any other health concerns. This will allow them to bill you for one or more items, even if the discussion lasts 10 seconds. In fact, state at the beginning of the physical (to the scheduler) that you don't want any additional charges, and that you want the free annual physical, and nothing else.

    - Be more skeptical of the doctor wanting you to do tests or procedures at their office. This is how they profit the most. If you're sent elsewhere for tests, still be skeptical, but the upside for the prescribing doctor is much less.
    Ya better get over the no NP thing quick Druff because reality is likely by 2030 nearly all primary care is going to be handled by DNPs (the NP programs are being shifted from 1 yr post grad to 3yr programs basically it’s med school without the first tedious year because any BSN Nurse or above should already know that shit) plus a year residency requirement under an MD after which states are slowly allowing them legitimate independent practice not under an MD. It’s coming and going to be reality. MD students willing to be the usual primary care/Intrrnal Med MD is just not happenjng they all want to be specialists in surgery or orthopedics or neuro or cardiac. More money from insurnsce and copays from patients.

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    Quote Originally Posted by TheXFactor View Post
    Isn't Druff still on ObamaCare?

    If Druff doesn't like socialized medicine, why doesn't he cancel it and get some sort of health insurance through Kaiser Permanente? (Kaiser runs a lot of hospitals throughout California)

    Only got one thing to say FUCK KAISER. Those HMO Hypercontrolling fucks should be out of business for some of the things I’ve seen friends put through worse. They are the most dysfunctional cost controlling tight asses I’ve ever seen. They will do everything they can to delay tests and treatments even if it’s necessary hoping the patient will be cured miraculously. When there are law practices that only deal with malpractice against Kaiser that tells you all you need to know. They are that bad.

     
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      Dan Druff: agree. they suck

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    Quote Originally Posted by Dan Druff View Post
    - Avoid giving your workplace info to a doctor or healthcare facility for any reason. Same as above. They want this for collection and other legal purposes. Simply put "self employed", unless you're part of a work insurance plan, then you can put your employer down.
    In my small amount of experience, I just want to note that listing yourself as "self employed" can theoretically come with it's own set of problems/annoyances.

    There was a "friend of mine" who stayed on his wife's family plan while he was self employed as a sole proprietor. Now he was legit self employed. For several years, every single claim - whether it be something major or even something minor like a follow up doctor appointment, was shot back to the family mailbox wanting more info.

    Every. Single. Claim.

    This was very annoying and at times created a huge hassle because the insurance company insisted/demanded that his claim should be filed with his own supposed self-employment insurance rather than the family plan. Apparently, from what I heard from him, some bills were in limbo for weeks or even months at a time.

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    Quote Originally Posted by TheXFactor View Post
    Isn't Druff still on ObamaCare?

    If Druff doesn't like socialized medicine, why doesn't he cancel it and get some sort of health insurance through Kaiser Permanente? (Kaiser runs a lot of hospitals throughout California)
    Oops... I forgot one more:

    - Don't sign up for an HMO unless you're under 40

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    Owner Dan Druff's Avatar
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    Quote Originally Posted by Gordman View Post
    Quote Originally Posted by Dan Druff View Post
    - Avoid giving your workplace info to a doctor or healthcare facility for any reason. Same as above. They want this for collection and other legal purposes. Simply put "self employed", unless you're part of a work insurance plan, then you can put your employer down.
    In my small amount of experience, I just want to note that listing yourself as "self employed" can theoretically come with it's own set of problems/annoyances.

    There was a "friend of mine" who stayed on his wife's family plan while he was self employed as a sole proprietor. Now he was legit self employed. For several years, every single claim - whether it be something major or even something minor like a follow up doctor appointment, was shot back to the family mailbox wanting more info.

    Every. Single. Claim.

    This was very annoying and at times created a huge hassle because the insurance company insisted/demanded that his claim should be filed with his own supposed self-employment insurance rather than the family plan. Apparently, from what I heard from him, some bills were in limbo for weeks or even months at a time.
    Don't know what was going on there, but you are not required to have insurance through your own business if self-employed. It is perfectly fine to say you're self-employed and have an individual plan and that only.

    Standing on the corner washing windows of cars at traffic lights for $1 tips counts as "self employed".

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    Quote Originally Posted by BCR
    Agree with all these with the exception of the physical part. It seems you’ve ran bad with that. If you do your homework on the doctor, that shouldn’t be an issue. All concerns should be discussed during a physical.
    Maybe where you live, this isn't an issue, but in California it's a HUGE problem, and not just with shady doctors.

    It has become standard practice with basically all general practitioners to bill for other things during physicals. So you get asked the leading question, "Any other concerns you'd like to talk about?", and then you get billed for each of these "concerns" you express.

    Therefore, it's super important before your physical to tell the office that you only want the free physical and nothing else billed, so you can be assured that you won't be billed extra for saying the wrong thing.

    If you really do have a major concern (one which you would have visited the doctor for anyway), then by all means bring it up and save yourself a second trip, but be aware you'll be billed for it.

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    Gold abrown83's Avatar
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    Quote Originally Posted by Dan Druff View Post
    Quote Originally Posted by TheXFactor View Post
    Isn't Druff still on ObamaCare?

    If Druff doesn't like socialized medicine, why doesn't he cancel it and get some sort of health insurance through Kaiser Permanente? (Kaiser runs a lot of hospitals throughout California)
    Oops... I forgot one more:

    - Don't sign up for an HMO unless you're under 40
    I believe most HMO plans are now Open Access. They changed the policies because 97% of referrals automatically happen. I believe in most states HMO basically mean statewide network and PPO means national network.

    A lot has changed in the last 24 months in insurance.

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    Quote Originally Posted by Dan Druff View Post
    Quote Originally Posted by Gordman View Post
    In my small amount of experience, I just want to note that listing yourself as "self employed" can theoretically come with it's own set of problems/annoyances.

    There was a "friend of mine" who stayed on his wife's family plan while he was self employed as a sole proprietor. Now he was legit self employed. For several years, every single claim - whether it be something major or even something minor like a follow up doctor appointment, was shot back to the family mailbox wanting more info.

    Every. Single. Claim.

    This was very annoying and at times created a huge hassle because the insurance company insisted/demanded that his claim should be filed with his own supposed self-employment insurance rather than the family plan. Apparently, from what I heard from him, some bills were in limbo for weeks or even months at a time.
    Don't know what was going on there, but you are not required to have insurance through your own business if self-employed. It is perfectly fine to say you're self-employed and have an individual plan and that only.

    Standing on the corner washing windows of cars at traffic lights for $1 tips counts as "self employed".


    Well, that may or may not be, but that didn't stop the health insurer (who is a major one in the US btw), from making it a huge fucking annoyance of repetitively asking for other insurance since he was listed as self employed.

    BTW, It was quite a while ago so I dont remember all of the details (my memory has been getting pretty bad the past couple of years), but i do remember him talking about how self employment insurance WAS required by the regular family-plan insurance company. When you are self employed, that is inherently a shady red-flag area for many business institutions . I'm not sure if it varies state to state, but i believe he was required (by the rules of the family insurer) to have his own self health Insurance if he was self employed. Let me clarify: they may have been assuming that his claims were work related (buuuut, no matter what he told them, it rang on deaf ears). I can't remember the whole deal for sure for the above reasons stated. However, they treated every single claim as something that should go through his supposed self-employment plan. Let me ask someone about it tonight/tomorrow to hopefully jog my memory.

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    Quote Originally Posted by abrown83 View Post
    Quote Originally Posted by Dan Druff View Post

    Oops... I forgot one more:

    - Don't sign up for an HMO unless you're under 40
    I believe most HMO plans are now Open Access. They changed the policies because 97% of referrals automatically happen. I believe in most states HMO basically mean statewide network and PPO means national network.

    A lot has changed in the last 24 months in insurance.
    I'll have to look into that. My PPO actually just killed out-of-state coverage except in emergencies, which sucks for me because of the time I spend in Vegas.

    I always knew HMOs to be insurance which requires you to get all of your care at their facilities, with few exceptions.

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    Owner Dan Druff's Avatar
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    Quote Originally Posted by Gordman View Post
    Quote Originally Posted by Dan Druff View Post

    Don't know what was going on there, but you are not required to have insurance through your own business if self-employed. It is perfectly fine to say you're self-employed and have an individual plan and that only.

    Standing on the corner washing windows of cars at traffic lights for $1 tips counts as "self employed".


    Well, that may or may not be, but that didn't stop the health insurer (who is a major one in the US btw), from making it a huge fucking annoyance of repetitively asking for other insurance since he was listed as self employed.

    BTW, It was quite a while ago so I dont remember all of the details (my memory has been getting pretty bad the past couple of years), but i do remember him talking about how self employment insurance WAS required by the regular family-plan insurance company. When you are self employed, that is inherently a shady red-flag area for many business institutions . I'm not sure if it varies state to state, but i believe he was required (by the rules of the family insurer) to have his own self health Insurance if he was self employed. Let me clarify: they may have been assuming that his claims were work related (buuuut, no matter what he told them, it rang on deaf ears). I can't remember the whole deal for sure for the above reasons stated. However, they treated every single claim as something that should go through his supposed self-employment plan. Let me ask someone about it tonight/tomorrow to hopefully jog my memory.
    Something is wrong here. I've never heard of any of this crap.

    Self-employed is a very generic term. It can range from running your own active business with full-time employees all the way down to being unemployed but occasionally doing gigs to support yourself. Poker pros are self-employed, for example.

    Your insurance company can try to hassle you all they want to get other insurance if you're self-employed, but you are never required to do this. It is possible that some companies try to verify first that the self-employed person doesn't also have company-based insurance, but again, that's never happened to me. In fact, my insurance company never even sees my "self-employed" designation on doctor's forms. They simply see that I'm putting them down as my individual insurance when I visit the doctor.

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    [
    - Never give your social security number to a doctor or healthcare facility for any reason. They don't need it. They want this for collection purposes. Don't fall for it.



    My wife had her Identity stolen because they hacked her Physican's office

    -

    - Be more skeptical of the doctor wanting you to do tests or procedures at their office. This is how they profit the most. If you're sent elsewhere for tests, still be skeptical, but the upside for the prescribing doctor is much less.[/QUOTE]

    Disagree with this. Actually, the doctor usually loses money by doing it in his/her office. Usually, the write a R/X for a test to be done at a diagnostic center (which they own with a couple of friends). If they do the tests in their office, the insurance carrier considers it part of the visit and the Doctor only gets paid for the visit. Now, the Diagnostic center may be the next office over, but technically it is a separate entity with a separate tax id#.

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    You're living in a fucked up world of autistic navel gazers(trying to be nice)
    if you would actually employ any suggestions from the OP

    The OP is a nut case. OK, it takes one to know one.
    This "short story" we're supposed to digest, may be
    something to pay attention to if we were living in
    Zambia. But no, it's the richest country struggling
    to deal with health care

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    Quote Originally Posted by limitles View Post
    You're living in a fucked up world of autistic navel gazers(trying to be nice)
    if you would actually employ any suggestions from the OP

    The OP is a nut case. OK, it takes one to know one.
    This "short story" we're supposed to digest, may be
    something to pay attention to if we were living in
    Zambia. But no, it's the richest country struggling
    to deal with health care

    Hmmm, but yet you're living in a country with supposed amazing healthcare, yet they have been apparently struggling for years to deal with your mental health/substance abuse issues.

  19. #19
    Canadrunk limitles's Avatar
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    Quote Originally Posted by Gordman View Post
    Quote Originally Posted by limitles View Post
    You're living in a fucked up world of autistic navel gazers(trying to be nice)
    if you would actually employ any suggestions from the OP

    The OP is a nut case. OK, it takes one to know one.
    This "short story" we're supposed to digest, may be
    something to pay attention to if we were living in
    Zambia. But no, it's the richest country struggling
    to deal with health care

    Hmmm, but yet you're living in a country with supposed amazing healthcare, yet they have bee
    apparently struggling for years to deal with your mental health/substance abuse issues.
    Just logged on to rip lil wee a new one when I saw this

    Mental/substance abuse issues are not considered region specific.

    But never mind, you are an idiot

    What kind of health/mental care is available for the non-insured in the U.S.
    Don't take a day to respond you mental midget

  20. #20
    Canadrunk limitles's Avatar
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    Quote Originally Posted by Gordman View Post
    Quote Originally Posted by limitles View Post
    You're living in a fucked up world of autistic navel gazers(trying to be nice)
    if you would actually employ any suggestions from the OP

    The OP is a nut case. OK, it takes one to know one.
    This "short story" we're supposed to digest, may be
    something to pay attention to if we were living in
    Zambia. But no, it's the richest country struggling
    to deal with health care

    Hmmm, but yet you're living in a country with supposed amazing healthcare, yet they have bee
    apparently struggling for years to deal with your mental health/substance abuse issues.
    Just logged on to rip lil wee a new one when I saw this

    Mental/substance abuse issues are not considered region specific.

    But never mind, you are an idiot

    What kind of health/mental care is available for the non-insured in the U.S.
    Don't take a day to respond you douchebag moron

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