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Old 11-21-2009, 09:21 AM   #1
OceanAnnie
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Question Thoughts on charging the same thing for a nurse practitioner as for a doctor...

Had an office visit recently. Couldn't get an appt. with a dr., got one with a nurse practitioner instead. The co-pay was the same as if I were seeing the doctor. I didn't care for that.

Nothing against a nurse practitioner, but it isn't the same level of care. I think there should be a tier for a co-pay. Thoughts?

ETA- I had a "specialist" co-pay. Fifty bucks.
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Old 11-21-2009, 09:38 AM   #2
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Why do you think it is not the same "level" of care?
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Old 11-21-2009, 09:40 AM   #3
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Quote:
Originally Posted by crz4mm2 View Post
Why do you think it is not the same "level" of care?
Well, the doctor specializes in a field and has a longer and wider experience base. The nurse practitioner is not a doctor.
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Old 11-21-2009, 09:42 AM   #4
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Originally Posted by OceanAnnie View Post
Well, the doctor specializes in a field and has a longer and wider experience base. The nurse practitioner is not a doctor.
So you saw a nurse practitioner who did not specialize in that field?
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Old 11-21-2009, 09:43 AM   #5
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Your co-pay might be the same, but the amount charged to your insurance is probably different. Might check your EOB when it arrives
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Old 11-21-2009, 09:43 AM   #6
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Quote:
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So you saw a nurse practitioner who did not specialize in that field?
Narrower. Why don't you just say, it wouldn't bother you?
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Old 11-21-2009, 09:44 AM   #7
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Your co-pay might be the same, but the amount charged to your insurance is probably different. Might check your EOB when it arrives
See, I wonder if that is the case, why am I charged the same co-pay?
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Old 11-21-2009, 09:44 AM   #8
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No, I don't have a problem with that. The nurse practioner is trained well enough to provide the service I am seeking - if he or she weren't I would be seeing the doctor instead.

The co-pay is a small part of the cost of the visit. If I were charged the full rate I would expect to see a difference based on what doctors and nurse practioners charge for their time, but a copay doesn't begin to cover that so I would think it fair to pay the same amount.
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Old 11-21-2009, 09:44 AM   #9
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Narrower. Why don't you just say, it wouldn't bother you?
Nope, not at all. If it would bother me, I would have asked for the doctor.
What didn't the nurse practitioner do that the doctor would have done?
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Old 11-21-2009, 09:45 AM   #10
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Nope, not at all. If it would bother me, I would have asked for the doctor.
I did! The doctor wasn't available for 2 months. I couldn't wait.
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Old 11-21-2009, 09:45 AM   #11
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Quote:
Originally Posted by OceanAnnie View Post
See, I wonder if that is the case, why am I charged the same co-pay?
Because a copay is not pro-rated based on the amount charged or the level of expertise of the medical professional - it's a flat fee for the service you receive. It doesn't matter who you saw.
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Old 11-21-2009, 09:47 AM   #12
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Quote:
Originally Posted by DVCLiz View Post
No, I don't have a problem with that. The nurse practioner is trained well enough to provide the service I am seeking - if he or she weren't I would be seeing the doctor instead.

The co-pay is a small part of the cost of the visit. If I were charged the full rate I would expect to see a difference based on what doctors and nurse practioners charge for their time, but a copay doesn't begin to cover that so I would think it fair to pay the same amount.
There wasn't a triage. She was offered to me because of the doctor's lack of availability.
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Old 11-21-2009, 09:47 AM   #13
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Quote:
Originally Posted by DVCLiz View Post
No, I don't have a problem with that. The nurse practioner is trained well enough to provide the service I am seeking - if he or she weren't I would be seeing the doctor instead.

The co-pay is a small part of the cost of the visit. If I were charged the full rate I would expect to see a difference based on what doctors and nurse practioners charge for their time, but a copay doesn't begin to cover that so I would think it fair to pay the same amount.


It would not have bothered me in the least to have seen and NP instead of the doctor. If for some reason I felt they weren't up to standards, I would have waited for the doctor, or made an appointment elsewhere.
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Old 11-21-2009, 09:47 AM   #14
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Quote:
Originally Posted by OceanAnnie View Post
I did! The doctor wasn't available for 2 months. I couldn't wait.
What didn't she do that the doctor would have done?
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Old 11-21-2009, 09:48 AM   #15
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Quote:
Originally Posted by DVCLiz View Post
Because a copay is not pro-rated based on the amount charged or the level of expertise of the medical professional - it's a flat fee for the service you receive. It doesn't matter who you saw.
Maybe it should be.
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