Cash pay patients One question everyone has is how much to charge for cash pay patients, as well as refractions. Some folks who just opened are desperate to bring patients in the door so will give a big discount to cash pay patients. My advice: very bad move. If a patient has insurance us you’re almost always contractually obligated to bill the insurance and not see them as cash pay. If you make your cash rate lower than the insured allowed amounts, then the patient doesn’t have the incentive to use their insurance. This might be a better deal for the patient before they meet their deductible. But then they might ask you to bill their insurance after they meet the deductible, and it might be past the filing limit. Yes, I know a patient could pretend to be uninsured and never show you their card. Next, you don’t want patients picking you based on being the lowest price in

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