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Suolucidir t1_j9li4tt wrote

One Medical will charge you a monthly subscription fee just to make appointments to see their doctors/nurses. Then they will bill your insurance as usual and collect a copay.

What I don't understand is how this business model does not constitute insurance billing fraud?

If they participate on your insurance panel then the fees are supposed to align with the insurance Explanation of Benefits, aren't they?

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Willinton06 t1_j9ncfe3 wrote

Easy answer, it’s all bullshit, and they pay millions to the cheapest whores in the country, congressmen, to keep it a gray area

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loadformorecomments t1_j9mjq2f wrote

The monthly fee (actually, it's annual) is not for medical services. It doesn't have an insurance billing code. You can consider it an entrance charge.

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Suolucidir t1_j9mp1ds wrote

Yeah, exactly.

It's a fee not included on my explanation of benefits to see a doctor that is in-network, and thus a service provider which I am already paying the insurance payor to see for medical care.

That does not seem legal at all.

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letsgolakers24 t1_j9mt94b wrote

It’s legal. It’s the ability to see a primary care provider at moments notice, instead of waiting for an appt. It’s $199 (now with a discount) for a year, so $16/month? Lots of people would easily take that

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crewchiefguy t1_j9njmlc wrote

On the surface it’s probably a really good deal for those that would normally not be able to afford basic medical care. But it’s amazon so it will just end in exploitation somehow

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