Provider Fee Negotiation

Rising Healthcare Costs

Now that more consumers have access to healthcare, some for the very first time, they and many others are finding that deductibles and co-insurances are sky-high. Conversely, employers have been consistently “pushing” more of the cost of care out to their employees, further driving up the cost.  On the other side are the providers of care who could, very shortly, be seeing hundreds of new patients along with their new health plans.

When determining what medical procedures, surgeries and diagnostic tests you may need for your care, it is also important that you and your doctor have the same goals regarding the payment for those services.  While all health insurance plans must now meet the 10 Minimum Essential Benefits of the Affordable Care mandate, declining reimbursement, denied procedures/tests and high deductibles could potentially be obstacles to your care outcomes.

We help you understand and negotiate the Fair and Reasonable pricing rules that apply to all healthcare procedures. The time to understand payment options is before your procedure, not after it.

We may be able to negotiate a reduced fee with your doctor if you are uninsured or under-insured and in need of an upcoming procedure. Some doctors and hospitals will offer substantial discounts if you can pay in full prior to the procedure and others will offer attractive payment plans.

We can help negotiate suitable payment arrangements or help you find additional funding sources that satisfy you and your doctor, enabling you to receive the services you need.