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Politics : Arnold for Governor!

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To: 10K a day who wrote (608)10/10/2003 7:41:38 PM
From: Dr. Voodoo   of 773
 
My therapist billed under the orthopedist. Aetna open choice ppo paid 100 percent in network up to 1500 bucks.I payed another 2 grand on top of that. If PT was deemed medically necessary there was NO LIMIT, and I know other guys who got the limit lifted. Nobody reduced the costs and I have the invoices. It was 2 years ago and I'm still fuming about it. The benefits have been trimmed a bit since then.

That same doctor treated workers comp patients for what workers comp would pay.

Those same services ($3500) would have been well under $1500 at UCLA. By the time I figured out all of this it was too late and not worth my time and cost to go to court over.

I said before, I don't have a problem with $100 office visits if that's the prevailing cost. I have a problem with running multiple payment schedules depending on who has what insurance and what they'll pay. It opens the system up for this kind of abuse, and thats a large chunk of why costs are rising. Especially when you start changing the amount of treatment you're allowed to provide.

Add to this, the fact that my last several trips to see specialists regarding surgery have resulted in me having to go get second and third opinions, and to me it's easy to see where the money
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