fbpx

Funny Thing About Having Health insurance

Daniel Paull MD shows us how you can be punished for having health insurance.

February 28, 2023

A funny thing can happen when you have health insurance.

Let’s say that you have a high deductible, and that you and your family are healthy and you don’t plan on meeting your deductible. Also, let’s say you only have a month left before your deductible resets for the given year.

You need a small procedure done, and being the smart person you are, you ask what their cash price is, which comes out to something reasonable.

You get the procedure done, and then find out that you owe thousands more than the price that they quoted for cash. When you ask why, they tell you that you have insurance, and with your insurance that is what you have to pay.

Well, you say, why can’t I just pay cash? And they tell you that they are contractually bound to run it through your insurance, even though the insurance negotiated rate is much higher than what you would have paid with cash.

You call the insurance company, who then tells you that their right to negotiate supersedes yours.

Part of this is because they want to spend more because they can only keep 20% of premium dollars. The more they spend the more they get to keep (80/20 rule from the ACA).

The end result is that you and your company paid thousands upon thousands only for you to get a raw deal when getting medical care.

Punished for having health insurance? Exactly.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. For more information, or to submit your own opinion, please see our submission guidelines or email opmed@doximity.com. Do you have a compelling personal story you’d like to see published on SoMeDocs? Find out what we’re looking for here and submit your writing, or send us a pitch.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. Do you have a compelling personal story you’d like to see published on SoMeDocs? Submit your own article now here.

Share

Leave a Reply

Your email address will not be published. Required fields are marked *

This learning experience is powered by CMEfy - a platform that brings relevant CMEs to busy clinicians, at the right place and right time. Using short learning nudges, clinicians can reflect and unlock AMA PRA Category 1 Credit.

Of Interest

Subscribe To Our Newsletter

Get updates and learn from the best

Dana Corriel, MD

Speaker: Dana Corriel, MD

Dr. Dana Corriel is a physician entrepreneur who has built her own digital startup from the ground up and has grown physician communities. She can lecture on most topics, where it comes to the healthcare digital space.

Side Ventures [SERIES]

Side Ventures [SERIES]

Coming Soon: Guests will discuss the side ventures they’ve taken on, from the books they’re writing, to the podcasts they host, to other extracurriculars they’ve taken on.

Kimberly Parks, DO

Kimberly Parks, DO

I am a physician health care entrepreneur disrupting conventional medical care through integrative well care.

Want More?

Be a part of our healthcare revolution. Don't miss a thing SoMeDocs publishes!

Disclaimer: SoMeDocs assumes no responsibility for the accuracy, claims, or content of the individual experts' profiles, contributions and courses. Details within posts cannot be verified. This site does not represent medical advice and you should always consult with your private physician before taking on anything you read online. See SoMeDocs' Terms of Use for more information.

follow us

© 2024 SoMeDocs. All Rights Reserved.

Soak up content & grow

Educational reflections..

Drop your email address below and we’ll email you the link for continuing opportunity pathways from CMEfy. Check your spam folder if you do not receive our email. We’ll also add you to our Sunday newsletter, so you can receive even more of our unique content!

Support A Platform that Celebrates Real Doctors

For just $10 a month, you can help keep this openly accessible site available to all & help us sponsor in more doctors.

Interested in subscribing
to our unique content?

Interested in subscribing to our unique content?

Play Video
Our Founder Answers Your BURNING Question

SoMeDocs

“Why should I become a member of SoMeDocs if I already have my own space online?”

Site SoMeDocs Logo, square

WANT TO STAY IN THE LOOP?

DON'T MISS A SINGLE CONTENT PIECE.