this post was submitted on 03 Apr 2026
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Oh, you see an actual doctor? I haven't seen an actual doctor in the last like 3 years, always just a physicians assistant or other nurse.
Still get charged the dr copay though, funny how that works.
I wouldnt be surprised if the doctor is an AI construct and theyre just running my symptoms through whatever insurance company provided AI bullshit at this point.
Tbf, there is no "doctor copay." The copay is a visit fee imposed by your insurance company that disincentivizes people from visiting the doctor. It's also usually a paltry amount compared to the actual amount your insurance will pay the practice, and reimbursement fees for NPs and PAs are absolutely lower than for MDs
My bills literally list them as separate line items, theres the clinic copay, then the doctor copay.
Occasionally I even get two separate bills, one from the hospital, one from the Dr. Guessing their practice is the source of the one and the hospital system is the other?
Either way its fuckin annoying to be paying out of pocket 30+ bucks only to be told the equivalent of "gee i dunno take Tylenol I guess".
I've worked in healthcare for decades and have literally never seen this. Are you sure you're not thinking of coinsurance? Coinsurance and copays are two different things, a copay is a set fee dictated by your insurance that you pay up front, whereas coinsurance is usually the percentage you owe of anything billed to your insurance, which includes both facility and provider fees
I'd have to look at my bill(s) but long story short, every time I visit the doctor, I get billed by two seemingly separate entities for merely visiting them. Everything else they do is a separate line item on their respective bills. So if it's not a copay, what is it? A visit fee? All I know is I either pay it or I get harassed incessantly so I pay it.