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Re: Re: Dr. Rabkin and Pacificare HMO

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In a message dated 9/10/2001 9:13:33 AM Pacific Daylight Time,

donna_lee777@... writes:

> Don't forget that Dr. Rabkin's office will charge 7.5%

> to get the $3500 back from the insurance company.

>

OMG are you serious????? That should be included in the price of the office

visit/surgery. I have to say...he may be a good surgeon...but that is really

kinda pushing it in my book.

~*~ AJ ~*~

Age 37 5'8''

Post op 7/24/01 Open BPD/DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 415.1

08/06/01 BMI 59 390.2 -24.9 lbs!

08/16/01 BMI 58 387.0 -27.9 lbs!

08/24/01 BMI 58 386.5 -28.6 lbs!

08/30/01 BMI 58 378.3 -36.8 lbs!

09/10/01 BMI 56.7 373.0 -42.1 lbs!

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In a message dated 9/10/2001 10:42:52 AM Pacific Daylight Time,

jhensel@... writes:

> some insurance companies are not paying the surgeons what they should be

> getting so some are having to charge a fee to make up for that. However,

> Rabkin sounds awfully high......too high, in fact!

>

I agree...yes they don't get paid all they charge...but still if they are

willing to go with insurance companies..why should the patient get hit so

hard....

~*~ AJ ~*~

Age 37 5'8''

Post op 7/24/01 Open BPD/DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 415.1

08/06/01 BMI 59 390.2 -24.9 lbs!

08/16/01 BMI 58 387.0 -27.9 lbs!

08/24/01 BMI 58 386.5 -28.6 lbs!

08/30/01 BMI 58 378.3 -36.8 lbs!

09/10/01 BMI 56.7 373.0 -42.1 lbs!

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Don't forget that Dr. Rabkin's office will charge 7.5%

to get the $3500 back from the insurance company.

Remember the people who said they were charged $900

for that? ($12,000 x 7.5%= $900). I just thought...

if we only get back about $3500, then shouldn't we be

charged $262.50? ($3500 x 7.5%)

dee

--- chull1@... wrote:

> You will typically be reimbursed about $3500 and

> will be out of

> pocket for the rest. The hospital costs should be

> fully covered

> though.

>

> If you aren't happy about this you can choose either

> Dr. Anthone at

> USC or Dr. K in Delano. However, you would have to

> check to see if

> they are in network.

>

> Their office changed their policy on January 1st of

> this year, and it

> has been a rude awakening for many. To this day Dr.

> Rabkin is still

> listed on the Aetna web site as a prefered provider,

> though he is not

> anymore.

>

> The bottom line is that they are so busy that they

> can affoard to

> loose patients who don't want to pay the bulk out of

> pocket.

>

> Hull

>

>

> > I was originally told that Pacificare HMO would

> reimburse me 100%

> for

> > all of Dr Rabkin's fees (except for the $3K

> followup) and the

> > hospital's costs. His office now says that the

> insurance will only

> > pay 100% of the " usual and customary " costs, and

> since he charges

> > more than other doctors, I'll have to make up the

> difference.

> > Luckily I can pay the $12,000 up front, but I DO

> need the money

> back.

> > This is making me nervous! How much were you

> reimbursed and how

> long

> > did it take?

>

>

>

----------------------------------------------------------------------

>

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Why charged anything? Filing insurance claims is a standard part of most

dr's practice>>>>

some insurance companies are not paying the surgeons what they should be

getting so some are having to charge a fee to make up for that. However,

Rabkin sounds awfully high......too high, in fact!

Judie

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In a message dated 9/10/01 2:28:08 PM Eastern Daylight Time,

lookn2bthin@... writes:

<< Don't forget that Dr. Rabkin's office will charge 7.5%

> to get the $3500 back from the insurance company.

> >>

Yes, I had a consult scheduled, and I cancelled after I received the info

about the financial arrangements. I have the money, but I don't want a dr

whose main purpose seems to be greed to be cutting on me. Seems like he's

preying on the people desperate to have their lives back by having the

surgery. Other surgeons do very well with the fees they receive I don't know

why Rabkin has to take advantage of his patients. $900 for paperwork?

Sheryl

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Chris---the bottom line is that we charge $12,000.00 because we cannot

continue offering the DS with the reimbursements that insurance companies pay

and keep our doors open. Barbara Metcalf RN

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At 09:500 -0400 9/11/01, BmetcalfRN@... sat down at the computer,

and sent this message:

>Chris---the bottom line is that we charge $12,000.00 because we cannot

>continue offering the DS with the reimbursements that insurance companies pay

>and keep our doors open. Barbara Metcalf RN

So what is the reason behind charging a percentage just to submit paperwork???

--stella

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Why charged anything? Filing insurance claims is a standard part of most

dr's practice.

How many of you have your first year of follow up included with your

surgery? I know this is moot for those that had to travel. But this is what

my dr. does and I know it saves both me and the insurance money.

Micky

Re: Re: Dr. Rabkin and Pacificare HMO

> Don't forget that Dr. Rabkin's office will charge 7.5%

> to get the $3500 back from the insurance company.

> Remember the people who said they were charged $900

> for that? ($12,000 x 7.5%= $900). I just thought...

> if we only get back about $3500, then shouldn't we be

> charged $262.50? ($3500 x 7.5%)

>

> dee

>

>

> --- chull1@... wrote:

> > You will typically be reimbursed about $3500 and

> > will be out of

> > pocket for the rest. The hospital costs should be

> > fully covered

> > though.

> >

> > If you aren't happy about this you can choose either

> > Dr. Anthone at

> > USC or Dr. K in Delano. However, you would have to

> > check to see if

> > they are in network.

> >

> > Their office changed their policy on January 1st of

> > this year, and it

> > has been a rude awakening for many. To this day Dr.

> > Rabkin is still

> > listed on the Aetna web site as a prefered provider,

> > though he is not

> > anymore.

> >

> > The bottom line is that they are so busy that they

> > can affoard to

> > loose patients who don't want to pay the bulk out of

> > pocket.

> >

> > Hull

> >

> >

> > > I was originally told that Pacificare HMO would

> > reimburse me 100%

> > for

> > > all of Dr Rabkin's fees (except for the $3K

> > followup) and the

> > > hospital's costs. His office now says that the

> > insurance will only

> > > pay 100% of the " usual and customary " costs, and

> > since he charges

> > > more than other doctors, I'll have to make up the

> > difference.

> > > Luckily I can pay the $12,000 up front, but I DO

> > need the money

> > back.

> > > This is making me nervous! How much were you

> > reimbursed and how

> > long

> > > did it take?

> >

> >

> >

> ----------------------------------------------------------------------

> >

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