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If I Go To The Out-of-network Doctor And Have Medical As The Secondary Is It Going To Be A Prob

Can you go to another state to see a doctor and use the insurance you have?

Often, that’s very possible. If your health plan has reciprocity arrangements with networks in other “out of area” locations, or a national wrap around plan, you can usually do so at will.If you aren’t sure, and your company sponsors your health plan and is self-funded / self-insured, call human resources.If you belong to a PPO, and your card has a MultiPlan, PHCS or First Health Logo or a little suitcase emblem for Blue Cross Blue Shield plans, expect the answer to be “yes.”If you are on a state exchange plan, doubtful as most have no out of area coverage other than for emergencies, and some don’t even have that.If you need help to coordinate your trip and travel and care appointments or to find a specialist and get rates and clarify the ability to use your insurance, I can help. Look me up online for my contact details so I don’t break the rules on Quora.

Medical Insurance Not Paying My Medical Bills?

So last summer, I broke my ankle pretty bad, displaced fracture and at the time I had limited insurance. They claimed to pay up to 1k in ER visit, 250 for anaestesia, 2k in doctor visits, and up to 20,000 for secondary care. This happened last august and they JUST paid the ER 1000 dollars after I had to file some paperwork. This company is a subsidiary of Aetna, and instead of denying claims they just ignore them. At the time I was out of work for 4 and a half months because my job involved me walking and my car was a manual transmission. Usually they auto deducted my payments out of my paycheck every week but I had to pay them by credit card while I was not working. I have a receipt for my payments all the way to 11/9. They sent me a partial denial of my doctors bill on 11/16/07 because I was not up to date with my insurance and could no longer afford insurance as I just got a job back. My questions are how do I get them to pay and is physical therapy considered secondary care?

Can any type of doctor do your annual physical exam or can only a primary care doctor do that for you?

ALL medical doctors are trained in the criteria for a physical exam.. this is learned and rehashed throughout medical school and in internship.

That said, specialists like your neurologist, gastroenterolgoist, or podiatrist do NOT routinely perform this type of work that is now relegated to Internal medicine doctors (ie: General Practitioners/Primary Care Physicians).

You will certainly come out cheaper with a GP/PCP than a specialist, and you would just have to contact your 'new' insurance to verify if there is any problem with ANY medical doctor meeting there requirements for a physical exam (there shouldn't be an issue technically) -- but with insurance companies you never know.

A physical exam is really quick, and non invasive (aside from perhaps a blood draw.. but the doctor isn't typically going to be doing this part of it anyways) -- I would just pick a doctor that is convenient , close to you, and call their office and explain you need an annual physical for your new insurance.

I understand wanting to be comfortable with a doctor, but it is really hard to judge your comfort level with doctors that you can only see their names (and sometimes pictures if you look hard enough). It often takes several trial and error appointments to find a PCP/GP you finally find that fits you.

Also, if your insurance company has no issues with a specialist (which is definitely first and foremost an M.D.) performing the physical -- then call the offices of your other 3 doctors to see if the doctor would have any problem giving you a basic physical exam. I would tend to think the neurologist would be the best fit for this--- though they are all very much qualified to do it.

Take care,

Is there any other way to make 300k a year without becoming a doctor/dentist/pharmacist/nurs...

You "know" wrong. Each physician contract is different. The largest local group around here starts ALL docs at $75k/year. If production goes above that, then they are paid on production.

Dentists aren't handed a $140k/year contract automatically. If a dentist opens his own practice, he might only make $35k his first year. Of course, he might also join a successful practice and get paid a flat salary of $200k.

No one, in any field, is guaranteed a damn thing.

You've posted in health care and the jobs that pay over $300k will be pharma upper management, possibly pharma development, hospital management, insurance upper management, upper level management or development for an IT company, or a product inventor. That's not counting fringe things like a nutritionist who writes a best selling diet book.

Edit: Lol. Uh, ok. You go ahead and keep thinking that when you get out of residency, the federal government mandates that you make $150k/year. I know plenty of docs who will be happy to wait in line for that. Lol. I don't think medicine is for you - it requires critical thinking.

On the Office, why did the doctor say Phillip wasn't Dwight's son?

For anyone who has watched the american show The Office, you'll know that Dwight believed Angela's child with the senator was actually his son, which would explain why they pretended that the baby was premature. When the doctor gets the DNA sample results back, he tells Dwight that he's not the father. But in the second-to-last Season 9 episode, A.A.R.M., Dwight sees Schrute characteristics in Phillip and begins to ask questions. Angela continues to say that he is not the father until Dwight proposes to her out of only love, which is when she reveals the truth--that Phillip is his son.
So why did the doctor say that DNA test came back negative?

Laser Spine Institute - have you had this problem?

Hi “Living in Utah”, my name is Julie Borm and I am representative at Laser Spine Institute. I am sorry to hear you had an unpleasant experience, but I wanted to help answer a few of the concerns you had outlined.

I would like to first address some of your concerns about our diagnostic testing procedures. Diagnostic testing provided prior to surgery consists of physicals, MRI discussions and other diagnostic tests. In-person diagnostic testing allows our staff to receive the most updated test results and also allows them to experience the patient’s pain first-hand. From the preliminary diagnostic testing our medical staff may also determine if additional testing is necessary. We cannot legally order this testing for the patient unless they have already been classified as a Laser Spine Institute patient. We are only able to do this by having their original diagnostic testing performed at one of our facilities.

We apologize if you felt you had to repeat yourself. Patients generally will deal with several of our professional staff leading up to the scheduled surgery including a patient coordinator and scheduling coordinator to ensure cases are addressed in an efficient manner. This may mean you might have to repeat some personal information, but this precaution allows us to ensure accuracy of your medical history.

I hope you will find this information useful. Please do not hesitate to contact us at 866-362-7574 ext. 321 during normal business hours, should you have any additional questions or concerns.

Thank you,
Julie

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