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Wonderful Group - Review by Becki M | Irvine Medical Center Pharmacy

Irvine Medical Center Pharmacy

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Wonderful Group 9/20/2007

I have been coming to Women's Medical Group for nearly 10 years. Although the office has been busy, and appointments are sometimes scheduled out a bit far, I feel that the quality care I receive from the providers NP, as well as MD is well worth the little wait time. The office has always been very timely with returning calls and answering any questions I may have. They now have a new policy which requires rates upfront, but the new rates are competitive with the area. I've looked around and they are the most reasonable I've come across. Also, I read a comment on here about the insurance reimbursement rates, I work with insurance billing, the rates have been reduced to nearly what the insurance company pays, and since the doctor's are no longer contracted, they aren't contracted to the "preferred provider's" rate. So let's say that your insurance company reimburses a preferred provider at 90% and an out of network provider at 70% and the visit is $120.00 which is roughly $85.00 they will reimburse you, so you're only out of pocket is $36.00. If you look at some insurance plans, there are high deductibles which your out of pocket isn't changed by this. Could you imagine if you worked for two weeks, and on Thursday you went into your job, your boss said, "Oh, we've never received your hours, please be sure to include this this and this, and we'll reprocess your request for your paycheck." That ends up making you wait an additional two weeks, and at that time, the same miss-hap happens again. Wouldn't this frustrate you, especially when you remembered when you were paid in a timely fashion. Now waiting for 6 months for that one paycheck doesn't sound too reasonable does it? Imagine going through that, for EVERY claim submitted to insurance companies, it's not that Dr Gersh is money hungry, she has a very large staff to think of, as well as her providers. I have been to the practice since the changes to with the insurance contracts, and the ladies at check out provide you with everything needed to submit the claim, also giving you information on whom you should contact if a problem should arise. I think their quality of care provided as well as the loving-feel they give is well worth a little extra out of pocket expense. more
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