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Referred to Dr. that won't accept cash, checks or credit cards?

reptilesrreptiles Posts: 15
edited 06/11/2012 - 8:29 AM in Chronic Pain
My doctor said he must send all his chronic pain patients to a "pain specialist" to justify current treatment.

So I tried to get an appointment with ANY of the doctors on the list he gave me and NONE will accept cash, checks, or credit cards (in advance!)

It seems they all want to bill an insurance company. My COBRA expired and my Worker's Comp won't authorize another doctor (I already see 3 doctors.)

What is the purpose of denying care to patient's willing to pay fee for service?

Thanks for any advice or explanations.


  • They probably feel that with the numbers of patients to choose from, it's not worth it to establish with a new uninsured patient that, in all likelihood, won't be able to afford to private pay the testing they'll require and/or treatments they'll offer over the long haul. They'd end up billing huge amounts, with the knowledge that they'd have a very low chance of ever recovering those payments.

    I'm uninsured at the moment and I private pay $325 for an office visit with the doctor or $205 for an office visit with a PA. The only reason my doctor didn't boot me when I lost my insurance was because he'd already billed my insurance for all the tests and procedures (which amounted to just over $300,000 when you include my SCS) and at the time I lost my insurance, I was already considered a "maintenance" patient.
  • Fear of being stuck with a nonpaying patient is most likely the reason. Even though you may have the ability to pay for an office visit they are probably afraid once you have been accepted as a patient they will feel or be obligated to care for you.
    Rather than take the chance, they just say no.

    I have been refused as a new patient at one PM clinic an hour from my house. It has zero to do with insurance or the lack of it. They are just not taking new patients :(
    PM clincis are generally swamped and some are taking no one new at various times.
  • I just wanted to suggest that you have your current doctor do a referral within the work comp system to this pain specialist. Unless you have settled your claim with them, they have to provide medical care to you, no matter how many doctors you see. If you have been deemed MMI, this may not work, but as far as I understand it, they are more likely to approve a doctor visit with someone if you have gone through the proper steps of getting it pre-authorized through the appropriate steps. If they won't do it, my suggestion would be to hire an attorney. WC is obligated to take care of your medical care for your work injury. don't let them get away with telling you they won't do it. As you can see already, getting a doctor to treat you without insurance is very difficult. Sorry for the stress you are going through.


    Surviving chronic pain one day at a time, praying for a reprieve because living another 40 years like this doesn't sound too fun!
  • Don't worry as there is hope for your pain. My doctor actually referred me to a site online where you can order pain relief meds. They use U.S. licensed doctors and pharmacies and FDA approved meds. None of the overseas junk. I have been getting my Tramadol from here for about a year or so now and have had no problems. When I first placed my order I had to fill out a short form and then after the doctor approved it I got it filled and shipped.

    The site he gave me is [ link removed by Moderator Bruce as it breaks spine-health forum rules ]

    Hope this information might help you!
  • The purpose is to weed out the addicts...the ones that go to multiple pain centers for narcotics......they are protecting themselves but its hard for people that actually are on the up and up.
    Hope things work out
    Dee ~X(
  • After dealing with so many doctors and hospitals etc. I have sometimes* found that when you run into problems
    like this before you even see the doc....well you may not want see this doc.

    If in indeed they are using stop-gaps, or whatever to make life difficult like this could possibly be a red flag about an uncaring practice.

    BTW- our only pain clinic here wanted 750$ cash
    UP FRONT to even see the doc. Then YOU get to try
    and deal with the insurance companay. I've heard
    very few* good things about pain clinics. you may
    have better luck with your general practioner if
    hes good.

    *possibly..some pain clincs are indeed very good

  • Deebelle wrote :
    The purpose is to weed out the addicts...the ones that go to multiple pain centers for narcotics......they are protecting themselves but its hard for people that actually are on the up and up.

    Thats a load of crap
    not from you Dee, but from our society. Im sorry, I'm in
    a rather "black" mood and probably shouldn't post when I'm like this, but oh well
  • Well, my WC provided me with a settlement to pay for my future medical needs, but I still have trouble finding physicians that will accept money for service in the USA.  One surgeon was willing to fix a hernia but the hospital was not willing to admit me, even if I payed in advance. 
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