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Improvement
Discount Cards
PPO companies will do anything for a buck
Medical discount cards are popping up
everywhere. These are ID cards masquerading as
insurance ID cards. These cards are purchased by
the uninsured (or underinsured) to obtain
network discounts off of the services you
provide. Many hospitals and large group
practices have identified these plans and refuse
to give any discounts. Since these patients are
not insured, it is widely believed that
healthcare providers are not under any
obligation to give the network discount. The PPO
companies seem to be selling their networks to
anyone who wants to start a discount card
company. Hopefully you haven’t seen any of the
following:
Care Entrée - using PHCS network
JC Penney Plan Plus - using Multiplan
Curran Group - using Preferred Plan
Pinnacle Choice - also using PPO Next
FAMILY CARE - National Association of Preferred
Providers
CHAMBER HEALTH with the card identical in logos
and design with CARE ENTRÉE
Peoples Health Plan - using Multiplan
Patients presenting these cards may even be
existing patients who previously paid cash at
the time of service. The cards are easily
recognized since there is no claim address, only
a telephone number to call to obtain the
discount to give the patient. This must occur
while the patient is in the office so that
payment for services may be collected from the
patient.
These cards are sold to the general public all
over the country including here in Illinois.
They are attempting to increase their revenue
and control your fees without sharing the
profits.
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