why can health care facilities pick and choose what insurance they can and cannot take?

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ie a pharmacy will take insurance A but not insurance B, forcing someone with insurance B to look at other pharmacies or pay a greater amount of money out of pocket.

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Anonymous 0 Comments

Because each entity has to enter an agreement with each available Insurance entity or payment won’t be issued.

Pharmacy A might have an agreement with Humana which Pharmacy B does not have. Likewise my doctor might have an agreement with Anthem that your doctor doesn’t have. Usually it involves the write-off amounts affecting the reimbursements to the charging entity.

In short, Capitalism.

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