The traditional Chinese medicine clinic... does not provide a full "self-paid receipt"?!
I recently visited a traditional Chinese medicine clinic and received a 14-day supply of medication.
The clinic indicated that 7 days' worth of medication was covered by health insurance, while the other 7 days were out-of-pocket expenses.
Therefore, I needed to pay an additional 40 NTD for the 7 days covered by insurance (with receipt).
However, for the 7 days of out-of-pocket medication, no receipt was provided (700 NTD).
Why is it that both are considered out-of-pocket yet I cannot obtain a receipt for one of them? My total expenses for that day were: 100 NTD registration fee (with receipt) + 40 NTD out-of-pocket (with receipt) + 700 NTD out-of-pocket (without receipt) = 840 NTD.
Liu Xiaojie, 30~39 year old female. Ask Date: 2012/01/12
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Ms.
Liu / 34 / Online User,
Hello:
1.
Regarding your inquiry, the consultation on that day involved two parts in terms of treatment and charges by the physician at the clinic: (1) National Health Insurance (co-payment of NT$40) and (2) out-of-pocket expenses (NT$700).
2.
The more contentious issue is the out-of-pocket charge of NT$700 (for 7 days of medication); it is unclear whether this out-of-pocket expense pertains to herbal medicine (which must be fully paid out-of-pocket as it is not covered by insurance), or if it involves certain non-reimbursable herbal materials, or if it is an agreed-upon out-of-pocket item between the physician and the patient, or other topical medications, among other reasons.
Given the nature of the physician-patient relationship and the fact that I am not the treating physician, I am not privy to the specific types of materials or medications prescribed by that physician.
Therefore, I am unable to provide an answer to this question, and I recommend contacting the clinic or the responsible organization for further details.
Reply Date: 2012/01/12
More Info
When visiting a Traditional Chinese Medicine (TCM) clinic, it is not uncommon to encounter situations where receipts for certain services or medications are not provided. In your case, you received a 14-day supply of medication, with 7 days covered by health insurance and the other 7 days classified as self-pay. While you received receipts for the health insurance portion and the additional 40 NT dollars for the self-pay medication, you did not receive a receipt for the 700 NT dollars charged for the self-pay medication. This raises a valid concern regarding the transparency and accountability of billing practices in TCM clinics.
There are several potential reasons why a TCM clinic might not provide a receipt for self-pay medications:
1. Nature of the Medication: The self-pay medication could be herbal remedies or preparations that are not standardized or regulated in the same way as Western pharmaceuticals. In some cases, TCM clinics may use traditional methods of preparing these medications, which can complicate the issuance of receipts.
2. Clinic Policies: Some clinics may have internal policies regarding billing and receipts that differ from standard practices. For instance, they may not issue receipts for certain types of self-pay treatments or medications, especially if they are considered part of a bundled service.
3. Communication Issues: There may have been a misunderstanding or lack of communication between the clinic staff and the patient regarding the billing process. It is essential for clinics to clearly communicate their billing practices to patients to avoid confusion.
4. Regulatory Compliance: In some regions, there may be less stringent regulations governing TCM practices compared to Western medicine. This can lead to inconsistencies in billing practices, including the issuance of receipts.
5. Patient's Rights: Patients have the right to request a receipt for all services rendered, including self-pay medications. If a receipt is not provided, it is advisable to ask the clinic directly for clarification and to express the importance of receiving a receipt for personal records and potential insurance claims.
In your situation, it would be prudent to approach the clinic and inquire about the lack of a receipt for the 700 NT dollars charged for the self-pay medication. You can express your concerns and request a detailed explanation of their billing practices. Additionally, you may want to ask if they can provide a receipt retroactively for the self-pay medication, as this is a reasonable request.
If the clinic is unable or unwilling to provide a receipt, you may consider seeking care from another TCM provider that has clearer billing practices. Transparency in healthcare billing is crucial for maintaining trust between patients and providers, and it is essential for patients to feel confident in the services they receive.
In summary, while it is not uncommon for TCM clinics to have different practices regarding receipts, it is important for patients to advocate for their rights and seek clarity on any billing issues. Open communication with the clinic can often resolve misunderstandings and lead to better patient experiences in the future.
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