Здравствуйте, paucity, Вы писали:

я получил вот такой ответ от секретаря доктора, получаеться что они думают что 980$ за 40 минутный визит к обычному праймари доктору это нормально
или я не прав или это норм ?

Hi Sergey,

I just wanted to get back to you regarding the $186 bill you received from your annual check-up on 12/4/25. After viewing your billing statement, it looks like insurance covered the preventative portion of the visit, paying out $798, but did not pay for the diagnostic portion of the visit, which accounts for the $186. This is unfortunately common for annual physicals, and we have disclaimers posted in our office warning that preventative visits sometimes get treated as a regular office visit by insurance depending on what is discussed.

If you have any other questions or concerns, you can reply to this message or give us a call at 781-648-9700. Please don't hesitate to reach out!

Best,

Jack R
Clinical Support Staff

а это тот же доктор выставил счет за аналогичный осмотр в 2024 на сумму 815$
этот осмотр с той же страховой мне обошелся 0

ervices for Sergey’s Medical Claim #9682436200931
Billed Amount minus Deductions equals Allowed Amount Patient Responsibility Breakdown
Service Date & Type Billed Discount Allowed Amount Plan Paid Patient Responsibility Coinsurance
11/19/2024
PHYSICIAN $45.00 -Minus $27.54 = $17.46 -Minus $17.46 = $0.00 $0.00
11/19/2024
MISCELLANEOUS $0.00 $0.00 = $0.00 $0.00 = $0.00 $0.00
11/19/2024
PHYSICIAN $350.00 -Minus $106.15 = $243.85 -Minus $243.85 = $0.00 $0.00
11/19/2024
PHYSICIAN $350.00 -Minus $260.49 = $89.51 -Minus $80.56 = $8.95 $8.95
11/19/2024
IMMUNIZATIONS $20.00 $0.00 = $20.00 -Minus $20.00 = $0.00 $0.00
11/19/2024
IMMUNIZATIONS $50.00 -Minus $26.61 = $23.39 -Minus $23.39 = $0.00 $0.00
Totals $815.00 -Minus $420.79 = $394.21 -Minus $385.26 = $8.95 $8.95

это за осмотр 2025

Service Date & Type Billed Discount Allowed Amount Plan Paid Patient Responsibility Applied to Deductible
12/04/2025
PHYSICIAN $550.00 -Minus $363.86 = $186.14 $0.00 = $186.14 $186.14
12/04/2025
PHYSICIAN $350.00 -Minus $92.52 = $257.48 -Minus $257.48 = $0.00 $0.00
12/04/2025
IMMUNIZATIONS $50.00 -Minus $26.61 = $23.39 -Minus $23.39 = $0.00 $0.00
12/04/2025
IMMUNIZATIONS $30.00 -Minus $7.05 = $22.95 -Minus $22.95 = $0.00 $0.00
Totals $980.00 -Minus $490.04 = $489.96 -Minus $303.82 = $186.14 $186.14

для примера это за встречу с специалистом
я запутался, получаеться без терапевта я не могу попасть к специалисту, но терапевт берет за встречу больше специалиста

Service Date & Type Billed Discount Allowed Amount Plan Paid Patient Responsibility Applied to Deductible
10/16/2025
PHYSICIAN $423.00 -Minus $145.78 = $277.22 $0.00 = $277.22 $277.22
Totals $423.00 -Minus $145.78 = $277.22 $0.00 = $277.22 $277.22