Many physicians, tired of waiting for reimbursement, are making sure they collect their fees while you're still in the office.
In a recent survey, more than half of the 650 doctors who responded said they now collect the entire patient portion up front.
"Some patients go elsewhere. Some patients don't really hear it or understand it on the phone and they actually get to the front desk and they are appalled, outraged, amazed," said Los Angeles gynecologist Dolores Kent, MD.
The trend, however, concerns patient advocates who are worried about cash-strapped consumers.
"It can be a serious issue for consumers who need to see the doctor," said Karen Stoll of Families USA.
Proponents say it is necessary. Recent statistics show when bills are sent to patients after treatment, physicians typically recover only about half. It is not always about covering your portion either. Some doctors like Kent are taking insurers out of the equation altogether, requiring patients to cover the entire cost up front.
"We also tell them they can send the bill to their insurance company the patient will get reimbursement by the insurance company for their visit at whatever contract amount has been negotiated with the insurer," said Kent.
Kent says her patients get better care because she doesn't have to waste time or personnel trying to collect payments or deal with insurance companies.
When reviewing your final explanation of benefits from your insurance company, be sure to call the doctors office if it shows you're overpaid and point out that you are due a refund.
