Should I keep specialist appointment despite insurance?
What would you do situation.
My doctor has referred me so see a specialist out of state. Appointments been set. I got a letter in the mail saying insurance probably wont cover certain costs which is about $1,200. Would you keep the appointment and pay or find a specialist closer to home? Of course not knowing if you'll have future appointments with them there.
M_🖤·
I guess it depends
why did they refer you to someone out of state? Can you find someone just as good in your area that your insurance will cover?
scream.queen··
My doctor said they are the best specialist. Im not sure. She never mentioned anyone around here just that she'd like to send me there.
Mandy·
If the doctor referred to you because the person out of stay is a lot better in comparison than someone closer than I would certainly go with that choice.
scream.queen··
According to her they are the best there.
JenX·
Is it because the provider system is out of network? If it's the individual procedure codes you may get hit with those at any provider, but if it's the system I may look at others. Like the Cleveland Clinic is amazing, UPMC is very good, etc.
scream.queen··
Yes. Just for the visit is about $300 and the specialist fee is about $900. It also says there could be other things not listed that may come up and not be covered.
JenX··
go in network, we have a ton of great hospitals in our area. I guarantee your doctor doesn't think it's necessary to pay out of pocket that kind of money. I would call them with your in network providers and have them choose someone in network, because this could get insanely expensive fast out of network.
Penelope ·
If you want to go to the specialist call to see if they offer a cash price. It will be cheaper, but you have to pay at the appointment.
mybabybear ·
Мама сына (7 лет)
Can you ask the office to send a request for them to pay it? Idk the formal words for it but I had to see a specialist that was out of network and the lady in the office of the specialist said she would make a request to the insurance. The insurance agreed to pay for the appointment.
If you don’t go that route what’s wrong with just finding a specialist in your state that will also accept your insurance? I would do some research on that first.
I see you said you can afford it. If you trust the referral source more than anything else then yes. I personally would find someone in state first.
MassMomma16·
If it’s not something rare, then I’d find someone in my network. Also, do your research.