Results 1 to 3 of 3

Thread: Doctor sending personal bill after insurance covered 75% of bill?

  1. #1
    New User Level 0
    Join Date
    Jun 2010
    Posts
    1

    Default Doctor sending personal bill after insurance covered 75% of bill?

    I was wondering if it is illegal for my ENT doctor to bill me personally after my Insurance only paid them 75% of what they billed the insurance. Prior to my visit in March I was never told that I would have any other payments to make nor did I have any papers to sign regarding it.

    I visited in March and now they are billing me again in June 2010? Isn't there suppose to be a doctor's write-off?

    I have never had any doctor or dentist do this before and the insurance never pays them fully ever.



  2. #2
    Super Moderator
    Level 10
    xrac's Avatar
    Join Date
    Sep 2009
    Location
    Indiana
    Posts
    1,031

    Default

    The doctor can do that unless he has an agreement with the insurance compamy to accept what they pay. It is not common but not unheard of either.

  3. #3
    Senior Member Level 3
    Join Date
    May 2010
    Location
    Phoenix, Arizona
    Posts
    337

    Default

    Quote Originally Posted by christran View Post
    I was wondering if it is illegal for my ENT doctor to bill me personally after my Insurance only paid them 75% of what they billed the insurance. Prior to my visit in March I was never told that I would have any other payments to make nor did I have any papers to sign regarding it.
    Like most people you probably have never read your plan or policy and have no clue as to the coverages, terms, and conditions.

    Nobody has to "tell" you anything, it's all in your policy. You need to read it and be prepared for billing contingencies.

    Quote Originally Posted by christran View Post
    I visited in March and now they are billing me again in June 2010? Isn't there suppose to be a doctor's write-off?
    That depends on the terms and conditions of the plan or policy. But, no, not usually.

    Quote Originally Posted by christran View Post
    I have never had any doctor or dentist do this before and the insurance never pays them fully ever.
    That doesn't obligate your current doctor to waive the bill.

    If your policy doesn't cover it you'll need to pay it or be sent to collections and possibly sued.

Similar Threads

  1. What can be covered for Home insurance?
    By amith in forum Home & House Insurance Forum
  2. will my lose be covered by insurance?
    By openmp2000 in forum Car & Auto Insurance Forum
  3. Wisdom from my Doctor
    By Mark Rosenthal in forum The Lounge
  4. Do I need personal liability insurance?
    By kbmoose1 in forum General Insurance Forum
  5. Between You and Your Doctor: the Private Health Insurance Bureaucracy
    By Karmal in forum Health & Medical Insurance Forum

Share This Thread!

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •