r/HealthInsurance • u/MenuRare9880 • Apr 28 '25

Claims/Providers Illegal to not bill through insurance?

I just got insurance for the first time in 3 years. My treatment that cost me $190 cash (self-pay) is now $520 until I meet my $3,500 deductible which would take me 11 months, soo.. pointless.

I told my Dr’s office I am no longer going to go through my insurance & the billing lady said that’s illegal… I am going to look for a new Dr now anyway but is there truth to this? Would I face repercussions as an individual patient if I simply chose not to disclose that I have insurance & pay the cash price?

FYI: the self-pay price was NOT subsidized by a grant or aid.

86 Upvotes

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13

u/[deleted] Apr 28 '25

[deleted]

-13

u/LuluGarou11 Apr 29 '25

Even Medicaid patients can self pay. It is not illegal.

3

u/[deleted] Apr 29 '25

[deleted]

-1

u/LuluGarou11 Apr 29 '25

Gtfo with your nonsense. It is not illegal in any state much less many states. If your practice is so greedy as to refuse self pay pts thats on you.

6

u/[deleted] Apr 29 '25

[deleted]

0

u/LuluGarou11 Apr 29 '25

It means legally codified. Wtf does it mean to you? A whim?