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DhhD

(4,695 posts)
Thu Jul 3, 2014, 11:33 AM Jul 2014

Blue Cross Blue Shield In One State Is Allowing Doctors To Take Only Self Paying Persons Even Though

Last edited Fri Jul 4, 2014, 09:20 PM - Edit history (2)

They Have An Health Care Insurance Company Issued Card.

http://www.democraticunderground.com/107819310

Edited: to add that the health care insurance card is the Blue Advantage Bronze Plan of Obamacare.
And if you see online that the doctor is accepting patients on BCBS of TX web page and then you call that doctor to ask for an appointment, and then are told that there are plenty of appointments. You ask what is the charge for a self pay appointment. Then you tell the receptionist that you with one of the 4 Obamacare Plans (Bronze-Silver-Gold-Platinum). And the reply is, the doctor is not taking any one on the Obama Plans. They have just set up an appointment a few minutes earlier and the two of you reviewed several different time openings that were available. But all of a sudden they will not see you because then the office would have to go through BCBS of TX in order to get paid after you pay the copay.

Tax payer money is going to BCBS of Texas for this kind of medical service, preventative care and treatment. ACA is a law; and being on an Obamacare Plan is a creed. After the self pay office visit, I want to be reimbursed by BCBS of TX, to include travel expenses for distances between the county hospital district taxing office and the doctor's office that is on the medical card that BCBS of TX sent to me after I paid my first premium.

Why did BCBS of Texas Send me such a card if the doctor does not have to honor the contract that he or she made with BCBS of Texas? BCBS of TX will indeed pay the doctor and reimburse me. BCBS of TX pays for an emergency room visit at the hospital that has given privilege to the doctor on your card, your PCP-Primary Care Physican.

12 replies = new reply since forum marked as read
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Blue Cross Blue Shield In One State Is Allowing Doctors To Take Only Self Paying Persons Even Though (Original Post) DhhD Jul 2014 OP
My dh's doc YarnAddict Jul 2014 #1
Close friend is a doc who does not take medicare CincyDem Jul 2014 #2
He can probably get away with employing YarnAddict Jul 2014 #3
residency salaries greymattermom Jul 2014 #8
My doctor is taking no more patients on Medicare CountAllVotes Jul 2014 #5
disparity in income is a crime when this happens Stargazer99 Jul 2014 #4
Some doctors take no insurance of any sort, private or public. JayhawkSD Jul 2014 #6
If your car is out of gas, is the filling station allowed to charge whatever they want? Thor_MN Jul 2014 #7
Actually, yes they can. JayhawkSD Jul 2014 #9
How long have you worked for a health insurance company? DhhD Jul 2014 #10
Triple? Doubt it. Ten times? Bullshit. And you are answering a question I didn't ask. Thor_MN Jul 2014 #11
Teachers take an Oath; and work 65 to 70 hours a week; what ever it takes to make sure DhhD Jul 2014 #12
 

YarnAddict

(1,850 posts)
1. My dh's doc
Thu Jul 3, 2014, 11:38 AM
Jul 2014

no longer accepts Medicare patients. It has to do with low reimbursement rates. I don't think there is anyway to legally force a doctor to accept low reimbursement patients.

CincyDem

(6,363 posts)
2. Close friend is a doc who does not take medicare
Thu Jul 3, 2014, 11:43 AM
Jul 2014

His point - he makes less money overall but without all the aggravation of dealing with the government regarding the payments. In his mind, the cost to actually receive those low payments makes it not worth it.

greymattermom

(5,754 posts)
8. residency salaries
Fri Jul 4, 2014, 09:47 AM
Jul 2014

Almost all residents are paid by medicare. We could ask them to sign an agreement to accept medicare patients or forego being paid during their 3-8 years of residency after medical school.

CountAllVotes

(20,876 posts)
5. My doctor is taking no more patients on Medicare
Thu Jul 3, 2014, 12:12 PM
Jul 2014

My doctor said I'd be kept but no one else is being accepted.

Practice is closed to Medicare patients as the doctor doesn't feel he is getting paid enough money for his work.

...

Stargazer99

(2,585 posts)
4. disparity in income is a crime when this happens
Thu Jul 3, 2014, 11:50 AM
Jul 2014

It is time to have the government train up and coming doctors with the requirement that they serve the underclass for a time
But then the doctors will have a glut of providers of their services and their income will go down. Better to let people suffer, right?
Capitalism, what an excuse for a monetary system

 

JayhawkSD

(3,163 posts)
6. Some doctors take no insurance of any sort, private or public.
Fri Jul 4, 2014, 02:07 AM
Jul 2014

Is that not their right? Is there something about doctors that gives them less freedom than any other Americans? That dictates to them how they must conduct their business?

What is it that I have a need and therefor you must meet that need? If I run out of gas, is a service station obliged to fill up my tank whether or not I can pay for the gas, meely because I need it? If I say to him that I need the gas because I am on an errand of desperate urgency, does that outweigh his right to make a living by selling gas?

And yet we are saying in two threads here that doctors in private practice are evil if they say that they need to be paid adequately for their services. We are saying that they do not have the right to determine for themselves what constitutes adequate payment. We say that without knowing what their costs are for rent, utilities, staff, supplies, etc... We demand that they treat all patients regardless of how much or how little they get paid for doing so.

We do not make that demand of any other business. Only of doctors,



 

Thor_MN

(11,843 posts)
7. If your car is out of gas, is the filling station allowed to charge whatever they want?
Fri Jul 4, 2014, 08:16 AM
Jul 2014

Can they charge you $10 per gallon, because they know your tank is empty? Can a grocery store sell you a $20 gallon of milk because they know you have children?

 

JayhawkSD

(3,163 posts)
9. Actually, yes they can.
Fri Jul 4, 2014, 08:33 PM
Jul 2014

Hotels triple their rates when big events are in town, and sometimes increase their rates tenfold. No one seems to get very excited about that, although I think the practice is despicable.

Gasoline price increases are routinely blamed on "increased demand," which is simply saying that people have become willing to pay more. An increase in demand neither requires or justifies gasoline producers raising prices, it simply permits them to do so and "increased demand" is absolutely never challenged as a reason for the increase in prices. Not by the media, and not by any liberal blogger than I have ever encountered.

Nor have I ever encountered any liberal blogger complaining about grossly increased hotel rates on holiday weekends.

We only complain when doctors refuse to accept reduced payment for their services.

 

Thor_MN

(11,843 posts)
11. Triple? Doubt it. Ten times? Bullshit. And you are answering a question I didn't ask.
Fri Jul 4, 2014, 09:16 PM
Jul 2014

You dodged milk, wonder why? If gas prices increase beyond a reasonable amount, there will be investigation into gouging. They are not free to charge whatever they want, which is the question I asked.

Medical prices are all over the place with no logical explanations and now some doctors want discriminate based on how they are getting paid, which is a pretty good surrogate for other things. I expect some doctors are now going to develop deeply held religious beliefs as well.

DhhD

(4,695 posts)
12. Teachers take an Oath; and work 65 to 70 hours a week; what ever it takes to make sure
Fri Jul 4, 2014, 09:45 PM
Jul 2014

that our,"kids" are learning and are successful in the sociology of the classroom, and of the school, which equates to society.

Being in the, "business of," doctoring, and teaching, are both common to - the well being and future of the American people which is the greatest part of the compensation.

A contract is a contract; to do what ever it takes. ACA has a contract with BCBS of TX. BCBS of TX has a contract with the doctor and with me since it sent me the healthcare card.

No ONE is relieved of their responsibilities. And the story gets around fast!

There are others in society that work for the well being and future of a better tomorrow. The mission of ACA is to provide medical care so that everyone is served get healthier as the time goes by. Where does greed come in to the mission of healthcare and oaths of service and success?

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