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Medical charges after coverage expires

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Dolby1000

Junior Member
What is the name of your state? Illionis

My wife is undergoing physical therapy. Our Insurance coverage only covered 20 visits. For these 20 visits, the therapist charged the insurace company $54 a visit.

Now that our coverage has expired, the therapist is now saying that the cost per vist will be $115!

How can the exact same therapy go up over 100% just because our insurance expired? What I want to know is if this is a legal practice? I already called the insurance company, and surprise, surprise, they were no help what-so-ever.

If I have no legal recourse, I don't want to waste a lot of time on this, but if there is some, or any precedent that this practice has any sort of a chance at being illegal, I want to go after them.

Thanks
Dolby1000@aol.com
 


djohnson

Senior Member
It's standard for physicians to offer a discounted rate to certain insurances or groups. That is what the whole HMO PPO thing is.
 

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