How do docs know if a policy is bought from the exchange or direct from an insurance company?
I don’t know. Sorry. All I know is a lot of docs are sayi they won’t take O patients. And one small merchant friend who signed up reports his family doc is refusing the O coverage. And there have been news reports of wider non- acceptance by more doctors (but I have no contact with those people so can’t verify their difficulties). The ones I know do however report their docs say No.
Ps. In addition to many doctors refusing O care patients, there are numerous articles about hospitals turning it down, too. The spin on these articles has usually been that the better or preferred or high-rated hospitals tend to be the ones that refuse it first. You can easily look these articles up. I would post a few links but can’t make this machine I’m using just now do fancy stuff like that. Sorry about that. But if u need help I can link u later if u wish when I get back to a better computer. Thanks.
How do docs know if a policy is bought from the exchange or direct from an insurance company?”
Any doctor’s office that knows what they are doing will be verifying your coverage and benefits before your first appt. Some of the questions I would hope they are asking the insurance carrier would deal with the specific type of coverage, source, what networks are included and what is the doctor’s rate under that plan.
Another question we now ask is whether the premium has been paid, for what period of time and what is their claim processing time.
For our patients who have regular Blue Cross coverage, payment for their billing is electronically deposited in doc’s checking account within 5 working days. We are still waiting for payment from early February services provided under Obamacare/Exchange plans. Aetna is the same time frame on both. Docs who have solo practices cannot afford to take very many from the Exchange plans or they will find themselves in financial straits in no time at all.