Does anyone have United Healthcare Choice Plus?
I searched for a good endo for so long and just found out today that my visit on the 6th had a 282.00 outpatient fee on top of my 45 $ co pay…I am so confused. I called both the doc and the insurance and they said since the office is at a hospital I have to pay this fee for “using the hospital!”
I would check your insurance coverage material if you have it and/or contact your insurance provider. This seems odd, but I know some providers will charge you for the air you breathe if you let them. To me and office visit is an office visit wherever the office is located. But what do I know!
This does seem odd. I don’t know of a single major hospital that doesn’t have an outpatient clinic for diabetes. I use one regularly and never get charged more than the office co-pay. If his office is telling you that this is normal then they must be doing something wrong, unless they don’t want any outpatients. But they should say that from the beginning rather than letting you get hammered with a bill like that!
YES, I have United Health Choice Plus and I hate them with a passion. They recently decided that they didn’t want me using my local pharmacy anymore and want me to use mail-order now. They also don’t like to pay for my lab work for my yearly thyroid tests so I usually get paid an arm and a leg for it. It doesn’t surprise me AT ALL that they wouldn’t pay for a doctor in a hospital.
I’m not sure if you can fight it, but I would try. At least get a really good explanation from them besides just “they’re in a hospital” and ask them what they ARE willing to pay for.
Also, I had to have my husband talk to them because they were treating me like I was a child calling them and asking them about stuff. So if they aren’t giving you the answers you’re looking for, if you have a spouse, I’d have them try to call for you.
It might be a facility fee, though that’s really high.
However, I would go back for a clearer explanation from your insurance and try to find out too how your physician is billing your visit to the insurance…perhaps they’re billing for more service than they provided. They have to code it somehow and I’m pretty sure there isn’t a blanket code for “using the hospital”
I hope it works out well for you! I’ve been shopping around (I’m lucky to live in metro area with plenty of specialists) and finally found a good endo who also has a good front office dept and it’s frustrating when one of the two is not working out 
Ewwwwww!
Yea I am going to call them back again and complain because this is going to put me over the edge in medical bills! I might just have to suck it up though…I cant go through the stress again of switching…and the only good doctors are in hospitals!
Yea, I thought health insurance was supposed to be a good thing!!! This insurance sucks!!! I am going to call back and annoy them until they give me a better explanation!
I dont have a husband, but I would use my mom to complain!!! hahaha, I might be a bit old for that though!
It’s all I can have right now, so I’ll take, but it’s still awful. They’ve also just recently stopped paying as much for my pump supplies directly from Medtronic and now my husband is going to have to call and see if they want us to get if from somewhere else also.
But just keep bothering them until you get a better explanation. Worked for us. Took a couple of months, but it worked.
So I called back…and it is a facility fee!! I have never had to pay for this before. Oh and by the way my insurance just denied my eye doc claim because “it can be done at a GP instead of going to a specialist”
I have actually had some places bill like a facility fee before but my insurance picked up the whole fee and I just paid my co-pay. I once went to a specialist and paid my co-pay. I had to come back to have a test done a few days later. On my way out the door, I was informed that I owed an extra co-pay for the first visit. Because I had a problem and he supposedly spent extra time with me (and I swear, he wasn’t even in the room 10 minutes!), I had to pay two co-pays. When I called my insurance to complain, they said he was allowed to do that. That really defeats the purpose of having a co-pay if they are allowed to charge double. Had I known that before I had the test done, I certainly would not have had it done there.