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/lpcuut Apr 29 '25

I don’t give out my SSN to doctors offices, I don’t think most people do.

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u/hbk314 Apr 29 '25

They can likely acquire your SSN if they want to. Most people probably do provide it if the doctors office asks for it.

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u/Skippiechic Apr 30 '25

Most of them require it in the initial paperwork for billing purposes.

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u/Key_Employment4536 May 02 '25

You just have marked through that and hand it back to them