Last week I visited the doc for my mid-annual thyroid meds follow up. Was a new doc, who wanted to run a blood panel. I told him I've been on this same dosage for years, and as usual, I have no problems, and would prefer to wait, as usual, until my annual physical to run the next panel. He raised his eyebrows a bit, but agreed.
My insurance covers one panel annually, and this would have come out of my pocket, which I also explained to him.
ALSO - very important information I found out about office visit payment coding. I have crappy teacher's insurance with a high deductible, which, if not met, requires me to pay up front between $70 (non-complicated) and $110 (complicated) for an office visit. Upon polite inquiry, I now know that sometimes the difference is up to the mood of the receptionist checking you in. So, when I check in, I always politely ask if they would code as a "non-complicated" visit. The doctor can change after the fact it if necessary.
Sorry, I had the 4-digit code number written down and now I can't find it. I don't know if this coding is state or federal. This applies to a clinic in a large Texas system called Memorial Hermann. YMMV. Lesson: it pays to be politely assertive.
That day I saved several hundred dollars, so I treated myself to a new Michael Kors purse!
(Gotcha.) ;)