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Reply to "PCP sudden monthly charges"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]That is bizarre. Are they billing you or insurance? I can't believe that insurance would pay this, and I don't think they can balance bill you for this?[/quote] Medicare indeed paid approx 20% of it, my secondary denied it, and now I am being billed for the remainder for each month's fees. Very odd. [/quote] I'm shocked Medicare would for literally nothing. Are they in-network with your secondary? I don't think they're allowed to just bill you for things that are not in their contract with the insurance company?[/quote] They are in network with our secondary, and the secondary refused it. Interestingly enough, our secondary rarely pays any residual fees left over from Medicare as they claim the practice has agreed to accept Medicare so neither they or we are liable for anything above what Medicare approves and pays. And it is stunning how little Medicare pays. So the odd thing is that our specialists, which are crucial, are getting next to nothing (!) from us, while this PCP practice is charging more, but doing nothing for it. So weird navigating all this. [/quote]
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