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wanttobeRAfree 
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Joined: 16 January 2008
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 Posted: 10 May 2008 at 10:44am |
PS
Even though I'm disagreeing I value your opinions non the less
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Debrakay
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Posted: 10 May 2008 at 11:00am |
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wanttobe - I disagree with your statement "dr's offices know what is covered and what is not". Everyone's insurance coverage is different. One person with Blue Cross Blue Shield may have coverage for that test, and another does not. It is YOUR responsibility to ask the doctors office what tests will be performed and it is YOUR responsibility to call your insurance company or look through your book or go online to see what is and what is not covered.
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JasmineRain
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Posted: 10 May 2008 at 11:23am |
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It's only a $45 charge? C'mon, pay the bill. I wish I would have had hearing screenings when I was growing up. Perhaps someone would have caught the hearing damage I have in my left ear - presumably from ear infections, but who knows?
It was discovered when I was 25 and went to work at Nutrasweet. I had to have a complete physical, including hearing and vision tests before starting, and then once a year thereafter.
Also - many kids today are damaging their hearing with MP3 players. I would much rather spend the $45 on it now and find out if there is damage being done.
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RA, meds, Coke
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wanttobeRAfree
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Joined: 16 January 2008
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Posted: 10 May 2008 at 11:35am |
Debra
They don't accept ALL insurances and they know by submitting claims which companies cover what.
I can't believe any of you have ever questioned what is going to be performed during a physical. The whole family has been getting them for years without this problem. It's a PHYSICAL.
Jasmine $45 may not sound like a lot to you but I already have to pay $75 a week out of my paycheck PER WEEK as my contibution towards the health plan.
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MrsA_Again
Groupie
Joined: 08 May 2008
Location: Colorado
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Posts: 49
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Posted: 10 May 2008 at 11:58am |
Actually, it's not really the insurance company that dictates service payment. Groups/Employers who purchase insurance plans are able to select what services they want to deny/cover and at what covered cost to the patient. There are "cookie cutter" type plans that can be selected, but the majority of large groups/employers vary from the norm. (That just my experience working for an insurance company.)
If your insurance plan is through your employer, you might contact HR to see if they can get the service covered for you. A lot of times groups can do exception requests.
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It's MrsA. I suck at saving passwords in places other than the pc.
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Suzanne
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Joined: 19 June 2007
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Posted: 10 May 2008 at 12:04pm |
Originally posted by wanttobeRAfree
I can't believe any of you have ever questioned what is going to be performed during a physical. The whole family has been getting them for years without this problem. It's a PHYSICAL.
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I don't question anything for any visit. We just show up LOL. If we have to 'eat' something someday, we will - but that is easier than calling the ped ahead and asking, "Exactly what will you be doing this visit?", then calling the insurance co. and asking, "Do you pay for this? How about this?" or even going online to see what is covered. Once bitten, twice shy, of course, but until we get bit..... WTB, I agree with everything you are saying/feeling, except I'd have given up already. It's not worth the frustration and you have made your move to an office with better communication.
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Suzanne - mom of daughter w/jra
"There is nothing worse than aggressive stupidity." ~ Goethe
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kweenb
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Joined: 20 June 2006
Location: USA
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Posted: 10 May 2008 at 12:33pm |
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The key here is that it the hearing test isn't normally part of the yearly physical. So, why did the doc do it? I'd think he would have to have a reason to justify doing the test. If he didn't, he shouldn't have performed it. If it's not normally part of his yearly physical routine, there's no reason in the world you should have thought ahead of time to ask exactly what he was going to do - a physical is a physical. I feel like he just took advantage of the fact that you weren't there.
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Simponi, Plaquenil, Relafen, Lortab
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JasmineRain
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Posted: 10 May 2008 at 12:41pm |
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It might be something that's done every three years, or every 5 years, etc... there are some tests our peds office runs every few years. I don't think our pediatrician is taking advantage of us when he orders hearing tests or vision screenings. They're not done every year. If the screenings weren't done periodically and a child was later found to have a vision or hearing impairment, I bet there would be lots of people who would turn around and sue...
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RA, meds, Coke
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kweenb
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Posted: 10 May 2008 at 12:54pm |
JasmineRain,
I guess I'm not having a good day today - everyone seems to be confusing me. I would think that if it was done every 3-5 years, it would have been "routine" and WTB would have known ahead of time that they might run this test. I didn't get the impression that this was "routine" for her pediatrician.
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Simponi, Plaquenil, Relafen, Lortab
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JasmineRain
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Location: United States
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Posted: 10 May 2008 at 1:06pm |
Originally posted by kweenb
JasmineRain,
I guess I'm not having a good day today - everyone seems to be confusing me. I would think that if it was done every 3-5 years, it would have been "routine" and WTB would have known ahead of time that they might run this test. I didn't get the impression that this was "routine" for her pediatrician.
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Certainly this child is not having his hearing tested for the first time at the tender age of 18?
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RA, meds, Coke
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