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.

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u/Weeping_Willow_Wonka Apr 29 '25

I just appreciate that you spelled HIPAA correctly 😆

9

u/goopstastic Apr 29 '25

it would definitely discredit me if i did not 🤣. it SHOCKS me how many people that work in the medical field that are not familiar with the actual acronym.

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u/krysteline Apr 29 '25

I just went to a new dentist for the first time and the HIPAA forms were spelt HIPPA in various places and i cringed. I dont even work in healthcare haha

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u/Superb-Grape7481 May 02 '25

They just misspelled hippo, give them a break, spelling Nazi 😃