r/HealthInsurance • u/arwenthenoble • 14d ago

Claims/Providers Full office visit co-pay charged for MyChart message

I had a question about a temporary medication I was taking and sent a message via MyChart. The message was only regarding the medication (no other health questions were asked).

I received my EOB and was charged a full $50 co-pay like when I go in person for a visit or have a full video visit. When I looked online, I see in general messaging costs listed as much lower than a visit. Does this mean my insurance doesn’t differentiate a full visit from a brief question in a message? If I had known, I would’ve scheduled an online telehealth visit instead.

I’ve had a lot of medical costs this year and another random $50 stings. I will avoid using MyChart going forward.

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u/UnfoundedDime 14d ago

I try but you also are saying to just let hundreds of people to go without primary care. There’s a shortage of PCPs

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u/Living-Target-9355 13d ago

In some areas, not everywhere. Make the healthcare systems figure that part out. You’re a cog in a system being the best cog you can be in a system designed to take advantage of people. Push back

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u/UnfoundedDime 13d ago edited 13d ago

Well I’ll just let you decide which patients to stop seeing then since you have it all figured out. There is a national shortage of PCPs. It isn’t just one or a few areas. It’s everywhere. People will have no where to go if the underserved clinic where I work closed. You are speaking from a place of privilege about life and death for many.

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u/nyc2pit 13d ago

This person is entitled. Isn't that clear?

We don't know what we are doing. They have it all figured out.

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u/Living-Target-9355 13d ago

So push back against the healthcare systems. The only way to increase the number is by incentivizing it, IE, paying pcp doctors more compared to the wage gap between specialists and PCP’s. The systems that pay more don’t have a shortage. We live in a capitalist society, and yes your time is valuable. Patients are also valuable.

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u/HeparinBridge 13d ago

Doctors don’t set prices for anything. Most of the reimbursements even in the private sector are just pegged to the CMS Medicare/Medicaid reimbursements, which have fallen in real terms every year for the past 4 decades. Doctors are not a voting block, and if the patients actually want anything to change, they are going to have to stop voting for people who cut Medicare and Medicaid.