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Committee raises concerns about physician pre-charging and member affordability
Summary
Elizabeth Martin asked why some physicians charge patients before procedures are performed; committee members said the practice is performed by doctor offices (not Hometown Health) and emphasized reimbursement expectations when deductibles/out-of-pocket maximums are met.
During committee-member comments, Elizabeth Martin raised a concern about physician offices requiring payment for surgeries or procedures before the work is performed, noting affordability implications for members. Several committee members responded that the practice is attributable to individual doctors' offices rather than the district's vendor and underscored that members who have met their deductible or out-of-pocket maximum should not be charged and should be reimbursed.
The committee discussed the limits of member options: members can refuse prepayment requests but a doctor can decline to provide non-emergency services if the patient does not comply. Mrs. Dwyer also thanked Hometown Health representatives for attending a School District forum day earlier.
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