What To Do If Your Doctor Leaves Your Health Plan

LAS VEGAS - Nov. 12, 2024 - PRLog -- If you have been fortunate enough to find a primary or specialty care doctor you love, it can be disappointing to say the least, when your doctor will no longer accept your health insurance plan. This means you'll have to pay out of your own pocket to receive care from that point going forward. If you find out that your doctor is no longer within your insurance network, it can cause stress, anger and fear. You do, however, have several options on what you can do.

What to Do If Your Doctor Goes Insurance-Free

Doctors go insurance-free for several reasons, such as decreased reimbursement rates from health insurance companies, and excessive paperwork. In many cases, doctors who do not accept insurance have flat rates, or income-based sliding fee schedules, to keep care affordable. Other providers have monthly, quarterly, or annual fees, where their patients pay in advance, in exchange for a certain number of services or visits. Some may require payment at the time service is rendered each visit.

If your doctor goes insurance-free, talk to the billing office to determine how much care will cost. In some cases, it may not be much more than you would pay with health insurance coverage. Caution here, you may mistakenly feel that insurance is no longer important or necessary. Nothing could be further from the truth! The true cost of health care totally out of your own pocket could devastate you financially. Tests, lab work, prescription coverage, and hospitalization or emergency care can be thousands of dollars. In all cases, if you are determined to stay with your doctor no matter what, until you have a new "enrollment period" so you can switch health insurance options, it is best to pay your doctor, sometimes referred to "cash pay" and keep your insurance for all other necessary reasons. One unforeseen emergency without insurance is why you'll want to keep insurance. One bout of cancer, an embolism, a heart attack, a strange infection, an accident, so many things that could happen that your 1 specific doctor cannot take care of is why you'd want to keep that insurance in place.

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Website: NevadaInsuranceEnrollment.com