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Old 10-17-2008, 06:15 PM   #61
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Rich, what were the average insurance reimbursement for a house call and office visit. As I said not trying to make waves. Looking for education and who better than a doctor involved with it.
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Old 10-17-2008, 06:25 PM   #62
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Originally Posted by Coach View Post
Rich, isn't a lawyer's retainer applied against future charges? This sounds more like a club membership.

Not necessarily. A retainer is often paid so that you can have the lawyer at your beck and call.

We really do have a crisis in primary care. Here is an area of practice where you have to be a super issue spotter, deal with the rigmarole of running a business, and get paid less than just about anyone else in your line of work. A yearly membership fee is reasonable in these circumstances.

No more lawyer stuff, no more political stuff, so no more CYA

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Old 10-17-2008, 06:30 PM   #63
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Originally Posted by Rustic23 View Post
Rich, what were the average insurance reimbursement for a house call and office visit. As I said not trying to make waves. Looking for education and who better than a doctor involved with it.
please keep posting, Rich. i'm also getting an education here too.
i have a really great doctor but we never have time to discuss stuff like this. we keep our discussions to medical issues with an occasional joke thrown in there. he is a very busy guy. and he's very supportive of my FIRE decision after the fact. he tells me this is the best i've looked since he's known me. and is totally jealous! LOL
"All our dreams can come true, if we have the courage to pursue them." - Walt Disney
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Old 10-17-2008, 07:28 PM   #64
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Originally Posted by NW-Bound View Post
Thanks for info.You did not state the time for those numbers. However, I remember > 25 years ago, a Sears repairman charged me about that (or more?) for a house call. It was just to diagnose the problem, after which he gave me the part number to buy and replace myself.
It is not time-based in most cases. If I spend 90 minutes it is the same as 30 minutes. Not to mention transportation time or costs. Reimbursement for those: 0.
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
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Old 10-17-2008, 07:46 PM   #65
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I did not phrase the question correctly. What I meant to ask was the time frame (year) of your number, so I can guesstimate the effect of inflation, and not the duration of the visit. I read that you have been in academics, and so thought your number might not have been current. It cannot be current, can it, judging from the low number you cited at $40/house visit?

The Sears charge was also inclusive, meaning out of my pocket, without extra for travel. So it is compatible with your number. I know it sounds demeaning to compare a doctor's visit to an appliance service call, but people may need to see how Medicare reimbursements work. I am getting an education here.
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Old 10-17-2008, 08:49 PM   #66
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Originally Posted by Cb View Post
I'd pay something to stay with him, but not $350 x 2 annually. For the first year...
So he made you an offer, and now you can make him a counter-offer. But you're no longer debating whether he's good enough or not, just how close to the line you think he is.

But again, before you negotiate I'd hope to have another doctor standing by to step in if your offer has a lower priority than the checks of his other patients...

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Old 10-18-2008, 08:33 PM   #67
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Hmmmm, I wouldn't even consider paying the $350 and I'd be looking for a new doc ASAP.
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