Off-Topic: the way I see it

Upper Red Lake Topics

(Upper Red Lake Specific)

0 messages

Updated

Off-Topic

Lakes Online Forum

84,091 messages

Updated 11/8/2024 10:28:12 AM

Boat Maintenance

Lakes Online Forum

5,204 messages

Updated 9/14/2024 10:10:50 AM

Upper Red Lake Fishing

(Upper Red Lake Specific)

0 messages

Updated

Jokes

Lakes Online Forum

4,172 messages

Updated 9/9/2024 5:04:44 PM

Sports

Lakes Online Forum

4,262 messages

Updated 11/6/2024 6:43:09 PM

Grilling & Recipes

Lakes Online Forum

2,979 messages

Updated 6/26/2024 5:03:03 AM

Tallapoosa River Topics

Lakes Online Forum

98 messages

Updated 4/15/2024 1:00:58 AM

Forum Usage Rules

Welcome, Guest

Select View Mode: [ classic | beta | recent ]

	Name:	GoneFishin -
	Subject:	the way I see it
	Date:	9/5/2009 3:01:56 PM

Insurance companies traditionally have negotiated physican charges and pay a specific amount irrespective of the charge you see. The question to be concerned is if you have to pay the excess.

If you were to look at a statement from Medicare, you would see Physician Charge, Medicare Approved Amount, and Amount Paid. Under Medicare B which covers physican charges, Medicare pays 80% after the annual deducticle. Having experience with Medicare, I have found the charges are always well in excess of the amount approved by Medicare. Physicians who accept Medicare patients accept the reduced payment and will not bill for the excess.

A person without insurance would pay the higher charges. Insurance Companies and Medicare pay the "wholesale" price because of volume. An individual without insurance pays retail.

An Insurance Company does not make alot of money on the real big corporate accounts. These are typically on a cost plus basis. The Corpration reimburses the Insurance Company each month for the claims paid the previous month plus a prenegotiated amount for administrative costs and profit.