Scott and White-New "Facility Fee"

33,562 Views | 157 Replies | Last: 6 yr ago by gettingitdone
iisanaggie
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AG
A friend of mine just said that S&W is charging a "facility fee" in addition to your copay to see a doctor. Can anyone confirm this? Are they allowed to do this if you are using insurance?
iisanaggie
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AG
Just called and confirmed with S&W that they are doing this! I am calling my Pedi (who we LOVE) to let him know that I will be changing because of this. This is ridiculous!
momlaw
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AG
How much is the facility fee?
MiMi
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S
Took my 3 kids to S&W two weeks ago and was not charged any facility fees. Because it was for wellness exams and immunizations, I didn't even have a copay.
FlyRod
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Does this apply to anyone using S&W, or only to those on the S&W health plan?
iisanaggie
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AG
It is a $30 fee.

My friend (who got a bill in the mail after the visits) has BCBS through A&M . I did get ahold of my doctor and he said that the BCBS contract with S&W says that they cannot charge this, but that doesn't mean they won't try to get people to pay it. The initial lady who answered the phone and then my Pedi's nurse hadn't heard anything about the fee.

Even if S&W is not supposed to charge it for BCBS, their billing department is a ridiculous mess and this will just be one more thing for them to screw up. I think the fee is sketchy no matter what kind of insurance you have.

[This message has been edited by iisanaggie (edited 8/16/2013 6:40p).]
AGlas Shrugged
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That new hospital isn't going to pay for itself.
AgResearch
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AG
S&W
95_Aggie
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AG
Obamacare
FlyRod
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Gratuitous use of the thumbs down emoticon.
AgResearch
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AG
Sticks&Stones
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AG
"obamacare" I'm not supposed. to hate, but I HATE this P.O.S.!
dfphotos
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Already bailed on S&w because of this, will never go back
Medi-Weightloss Clinics
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I think this issue is answered here:

http://www.sw.org/patient-tools/faq/hospital-charge

[This message has been edited by Medi-Weightloss Clinics (edited 8/17/2013 11:13a).]

[This message has been edited by Medi-Weightloss Clinics (edited 8/17/2013 11:15a).]
Anna Molly
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http://www.sw.org/patient-tools/faq/hospital-charge

Fixed link.
Max06
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AG
How much is the fee?
BlueMiles
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AG
$30
Medi-Weightloss Clinics
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Thanks bossycowcow, I could't make that happen ..........
enchanted
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Is this only at the new facility? I was just at the arrington rd location and was not charged this fee.
cz308
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I've used S&W for about 10 years or so, but I guess this will force me to find a new doctor.
Sporph
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Is the charge made for use at the new location, or at any location?
dodie62
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If you have BCBS with TAMUS, be sure to look at your explanation of benefits from BCBS. It will hopefully show that the provider (S&W) cannot collect this fee from you. This won't stop S&W from trying to collect from you! Make a copy of your EOB and mail it to S&W along with the bill. You probably won't have success by just calling the S&W business office.
TexasAggie_02
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AG
S&W
iisanaggie
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AG
I was still getting inconsistent information so I called BCBS. This is what she said. Now that our pedi is affiliated with the hospital, they can choose to bill as an outpatient service as opposed to an office visit. When they bill as outpatient, they can then charge clinic/facility charges (basically paying for the building you are using). This makes me soooooooo angry!
TexasAggie_02
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AG
if people stop going, they'll get the hint
mallen
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AG
Which clinic is your pediatrician located at? Highway 6 and University?
iisanaggie
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AG
We use Ransom on University, but he is moving to the new clinic by the new hospital.

Editing to correct autocorrect.


[This message has been edited by iisanaggie (edited 8/23/2013 7:17a).]

[This message has been edited by iisanaggie (edited 8/23/2013 8:51a).]
csagyo
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Random = Ransom??
SARATOGA
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quote:
That new hospital isn't going to pay for itself.


This.
iisanaggie
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AG
Ransom....stupid autocorrect
BigBubba
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AG
iisanaggie – have you actually been charged this fee? It appears you are just talking about something you heard a friend say. I am not trying to be rude, just saying it might be part of the reason you are not getting clear answers. You will probably get better answers if you actually have a bill/invoice or EOB to reference so they can lookup specifics. I would tell your friend to call BCBS first then S&W and have the EOB and Invoice in front of her when she does.
dubi
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AG
Verify the type of bill when you make the appt.

Classifying a regular Dr appt as "outpatient" visit would be fraud IMO. Why be angry when you can pickup the phone and verify.
iisanaggie
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AG
Two of my friends have been charged the fee. I got on here to let people know about it. Maybe if enough people complain about it or find a new doctor, they will reconsider.

[This message has been edited by iisanaggie (edited 8/23/2013 1:05p).]
stinkerbelle
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I went last week, I wasn't charged a fee, just my normal $30.00 copay and nothing was mentioned of a fee.
iisanaggie
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AG
Stinkerbelle: The fee is being billed after the fact, once the insurance has been billed. Both of my friends are A&M employees so that might be a factor.

[This message has been edited by iisanaggie (edited 8/23/2013 7:06p).]
 
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