Why dont some doctors accept certain insurance plans?
Question: Why Don’t Some Doctors or Healthcare Facilities Accept My Insurance? When it’s time to find a doctor, whether we need primary care or a specialist, our choices are limited by doctors who are willing to work with our chosen health insurance. How does that work? Why do doctors accept some payers and not others? How does this affect a patient’s care? Answer: Among all the frequently asked questions about the mysteries of healthcare, the question about why doctors or facilities do, or don’t, accept some forms of insurance as payment for their services is most answerable by “follow the money.” In order to understand the answer, we need to understand how health insurance works: Each year, doctors and healthcare facilities like testing labs, hospitals, pharmacies and others, negotiate pricing with health insurers and payers. In its simplest form, it goes like this: Doctor: When a patient with diabetes visits my office, I charge $100 for the visit, and $75 for the blood work. Payer:
