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Similar situation with me and a procedure back in 2014. Practice took me on with my pre-ACA insurance. Post-procedure my insurer decided it was a pre-existing condition and didn't cover the procedure. For the practitioner, who went into the deal expecting the reimbursement rate from my insurer, it was a 10X windfall (and he refused to negotiate, citing that he was within his rights to demand the full fee).


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