Specialists charging discovery DOUBLE??

Only double ?

I had a few cases where the medical aid only paid a third of the account. Half is quite common.
 
Niner said:
I'm not saying some guys don't make a lot of money, I'm just trying to explain that you don't have to be corrupt to do so. Also, who are you to decide how much he's allowed to get?
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Yeah, it's probably not corruption when you ask 2x or 3x medical aid rates.
 
Jola said:
Only double ?

I had a few cases where the medical aid only paid a third of the account. Half is quite common.
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Yeah, like a friend once said, Discovery gives you all sorts of kack, but hardly actual medical cover.
 
Capture.jpg

One of the top neurosurgeons in the country.
 
Kosmik said:
No offense but meaningless without knowing what plan?
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Classic comp.

They cover at 200% of discovery rate.

Incidentally the plan I'm moving to for half the price, classic saver, would have paid exactly the same.
 
I made my first millions because of this. Was spread out over 7 years and paid monthly but still millions.
I was part of the team who wrote the first cloud based practice management system that would pay doctors the maximum covered by the medical aid/plan.
 
Slootvreter said:
Please reread my post.
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I don't understand if you're trying to be sarcastic or not. If not, then all good. If you are...

Dishonest or fraudulent conduct by those in power, typically involving bribery - Oxford online dictionary.

Charging 200%, as long as you charge everybody that, is not bribery, dishonest or fraudulent. Charging 200% to a Classic patient, and 500% to a Gap cover patient, is most certainly corruption.

Ultimately, there are only so many hours in a day. If your doctor wants to make R10000/day, he can see 10 patients at a R1000 each, or 20 patients at R500 each. Which do you think's going to get the better care?

Coincidentally, the most corrupt guy I know, charges medical aid rates only. The difference is, he charges the medical aids for every thing he does, and then some. Let's say you need your gallbladder taken out. In order to do so, they need to loosen some adhesions first, but it's really part of the same procedure. Doctor A charges 200% for the gallbladder removal, but doesn't charge anything for the adhesions, because it's part of the op. Doctor B charges 100% for the gallbladder and 100% for the adhesions. They take home the same amount, but doctor B cost the medical aid more, and that's what's driving your premiums up.
 
marzbars said:
I made my first millions because of this. Was spread out over 7 years and paid monthly but still millions.
I was part of the team who wrote the first cloud based practice management system that would pay doctors the maximum covered by the medical aid/plan.
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Vericlaim?
 
Niner said:
Charging 200%, as long as you charge everybody that, is not bribery, dishonest or fraudulent. Charging 200% to a Classic patient, and 500% to a Gap cover patient, is most certainly corruption..
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So there's a reason why we don't tell them up front we have gap cover.

A fcken thing like gap cover should not even exist.
 
Charging 200%, as long as you charge everybody that, is not bribery, dishonest or fraudulent. Charging 200% to a Classic patient, and 500% to a Gap cover patient, is most certainly corruption.
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No, not corruption.

Unethical, gouging, ridiculous yes. Corruption refers to bribery/kickbacks etc.
 
Blu82 said:
Tell that to the specialist I know of that just bought himself a R1,500,000 Land Cruiser as his secondary vehicle.
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So it's terrible and immoral and "corrupt" when a doctor does it but when a lawyer/accountant/actuary/banker/CEO does it its fine?

Why do you get to decide how much people should earn?
 
Jehosefat said:
So it's terrible and immoral and "corrupt" when a doctor does it but when a lawyer/accountant/actuary/banker/CEO does it its fine?

Why do you get to decide how much people should earn?
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How are those comparable? If a lawyer feels their time is worth R500/ph, that's what they'll quote and that's what they'll charge. They don't turn around after the fact and double or triple their fees because you (or your medical aid) can afford more. I have three family members in the medical profession and this behavior is exactly why medical aid costs are easily outpacing inflation while the benefits keep getting cut.
 
You could approach it from the other side...

Doctor chooses to charge 2x discovery rate as a standard, but gives a discount to people whose plan does not cover it?
 
Sinbad said:
You could approach it from the other side...

Doctor chooses to charge 2x discovery rate as a standard, but gives a discount to people whose plan does not cover it?
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Wow, what a good doctor.
 
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