gspurge wrote:
Have you considered requesting that wording along the lines of
"Your insurer's failure to recognise the the AMA (or practice) schedule
of fees will leave you with out of pocket expenses of /$x/. This is
despite the practice having discounted your fee /$y/"
I believe Medicare has stolen the debate with their use of the term "gap
payment". If you wish to give the patient extra information, I think you
should use the opportunity to present the information, reflecting what a
poor insurer medicare is. Otherwise many patients take the view that
they have been overcharged because the nonsense that is the Medicare
Benefits Schedule has not been used as the basis of your fee.
nice spin :-) you don't work for a bureaucracy do you ?
i think we are (at least) on par with ama these days... although the
concept "gap payment" to me speaks of the gap between the real cost of a
service and the (inadequate m*c*) rebate
maybe "your personal expense is n$, which is the amount your mandatory
universal insurance fails to refund towards our reasonable fee for
service; and don't even get me started on why your private fund can't
come to your aid..."
ash
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