What is the name of your state? OR
I'm writing this on behalf of my Godmother. She recently switched both insurance and primary physicians. Her new insurance provides up to $1000.00 dollars a month to cover all medical costs(visits, prescriptions, etc.). After that, all expenses are the patient's responsibility.
Her new doctor informed her of his standard office visit cost when she first started seeing him. However, it seems he actually bills "ala carte" for separate consultations, topics of discussion, etc., within each visit.
Without notifying her of these additional charges, he used up her entire coverage amount for the month in just two 40 minute visits, including the first "new patient" visit.
Question #1: Is this legal/ethical/heard of?
She now faces urgency care and prescription charges incurred in that month.
Question #2: Does she have any recourse to take with her insurance company? (either against the doctor, or to force payment by the insurer)
Thank you for your time.
I'm writing this on behalf of my Godmother. She recently switched both insurance and primary physicians. Her new insurance provides up to $1000.00 dollars a month to cover all medical costs(visits, prescriptions, etc.). After that, all expenses are the patient's responsibility.
Her new doctor informed her of his standard office visit cost when she first started seeing him. However, it seems he actually bills "ala carte" for separate consultations, topics of discussion, etc., within each visit.
Without notifying her of these additional charges, he used up her entire coverage amount for the month in just two 40 minute visits, including the first "new patient" visit.
Question #1: Is this legal/ethical/heard of?
She now faces urgency care and prescription charges incurred in that month.
Question #2: Does she have any recourse to take with her insurance company? (either against the doctor, or to force payment by the insurer)
Thank you for your time.