NickRan
也问个牙医收费的问题
1408
6
2008-10-30 10:23:00
大概一个月以前牙疼去看一个牙医，结果医生说整个牙齿都坏了，需要拔牙，因为疼的受不了了，随即决定拔牙。
因为公司有保险， 那个maximn limit 是$1750,
| Tooth Number | Service | Submitted Charges | Negotiated Amount | Charges Not Covered/Other | Covered Balance | Applied to Deductible | Member Coinsurance | CIGNA Coinsurance | Remarks | |
|---|---|---|---|---|---|---|---|---|---|---|
| Comprehensive oral exam | 08/27/2008 | $70.00 | $41.00 | $29.00 | $41.00 | $0.00 | 0% = $0.00 | 100% = $41.00 | ||
| Full-mouth x-rays | 08/27/2008 | $110.00 | $75.00 | $35.00 | $75.00 | $0.00 | 0% = $0.00 | 100% = $75.00 | ||
| Totals | $180.00 | $116.00 | $64.00 | $116.00 | $0.00 | $0.00 | $116.00 | |||
具体收费情况如上图所示， 我第一次在美国看牙医，Submitted Charges是不是我可以理解为牙医要收费$70,结果保险公司砍价到$41, 就是Negotiated Amount,其实最后付的就是 $41, 由于我是第一次full mouth X-ray,所以保险cover了，
| Tooth Number | Service | Submitted Charges | Negotiated Amount | Charges Not Covered/Other | Covered Balance | Applied to Deductible | Member Coinsurance | CIGNA Coinsurance | Remarks | |
|---|---|---|---|---|---|---|---|---|---|---|
| Surgical extraction | 14 | 08/27/2008 | $205.00 | $151.00 | $54.00 | $126.00 | $25.00 | 20% = $25.20 | 80% = $100.80 | DB |
| Totals | $205.00 | $151.00 | $54.00 | $126.00 | $25.00 | $25.20 | $100.80 | |||
这个是我真正拔牙的手术，意思是保险付80%,我自己要付20%,自己出$25.2. 可我为什么到现在还没收到$25.2的账单呢？ 不知道我上面的理解对不对？
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你是中国dentist不？中国牙医很多不收病人那部分，虽然这样是非法的。。不过你可以打电话去问问。
我洗牙，补牙了9颗了还有8颗，拔牙（要拔4个）就只需要付25 deductible
保险不cover 20%，dentist不收
if you use the in-network dentist, you should pay deductible (8th column) and member copay (9th column). so that would be $25.20 +$25. But if you use out-network dentist, you need to pay 6th column +8the column +9th column.
[此贴子已经被作者于2008-10-30 18:41:01编辑过]
if you use the in-network dentist, you should pay deductible (8th column) and member copay (9th column). so that would be $25.20 +$25. But if you use out-network dentist, you need to pay 6th column +8the column +9th column.
你是中国dentist不？中国牙医很多不收病人那部分，虽然这样是非法的。。不过你可以打电话去问问。
我洗牙，补牙了9颗了还有8颗，拔牙（要拔4个）就只需要付25 deductible
保险不cover 20%，dentist不收
我找的是中国的dentist,第一次看牙，想着中国人交流方便一些，“中国牙医很多不收病人那部分，虽然这样是非法的。。”？这个我不太理解，mm能不能解释一下
我昨天打电话确认，我最后要付的钱是$25deductible+ $25.2member co-pay= $50.2， 好像dentist的bill是很慢的，他们才寄出来
到底了
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