I have an employer provided high deductible health insurance.
I visited Doctor #1 in March and they referred me to Doctor #2 as I needed a procedure that Doctor #1’s office didn’t have. Doctor #1 billed me $500 basically just for the referral.
Now, Doctor #2 doesn’t do the procedure directly based on the recommendation of Doctor #1. So, I had to take a consultation appointment with Doctor #2 (for which I had to wait 2 months) and he charged me for the visitation. All of this is still fine.
What bugs me here is that although everything is same, why is the plan discount better for Doctor #1 and so poor for Doctor #2? I had the same insurance plan during both visits.
Doctor #1 claim on myuhc : https://pasteboard.co/K25hr8B.png
Doctor #2 claim on myuhc : https://pasteboard.co/K25hKYh.png
From what I understand I may have to visit Doctor #2 a few more times this year including one possible surgery.
More info on my insurance plan: UHC Choice Plus
In-network deductible: $2000
Specialist visit copay after deductible is met: 15% (I have currently not met my deductible and only have these 2 bills for the year)
Thanks a lot for reading!
I am new in the US and don’t understand all this very well, any references to further reading material on this will be very very helpful. Thanks.
submitted by /u/eopif
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I have an employer provided high deductible health insurance. I visited Doctor #1 in March and they referred me to Doctor #2 as I needed a procedure that Doctor #1’s office didn’t have. Doctor #1 billed me $500 basically just for the referral. Now, Doctor #2 doesn’t do the procedure directly based on the recommendation of Doctor #1. So, I had to take a consultation appointment with Doctor #2 (for which I had to wait 2 months) and he charged me for the visitation. All of this is still fine. What bugs me here is that although everything is same, why is the plan discount better for Doctor #1 and so poor for Doctor #2? I had the same insurance plan during both visits. Doctor #1 claim on myuhc : https://pasteboard.co/K25hr8B.png Doctor #2 claim on myuhc : https://pasteboard.co/K25hKYh.png From what I understand I may have to visit Doctor #2 a few more times this year including one possible surgery. More info on my insurance plan: UHC Choice Plus In-network deductible: $2000 Specialist visit copay after deductible is met: 15% (I have currently not met my deductible and only have these 2 bills for the year) Thanks a lot for reading! I am new in the US and don’t understand all this very well, any references to further reading material on this will be very very helpful. Thanks.
submitted by /u/eopif [link] [comments]Read Morer/HealthInsurance