Wonderful Psycologist! But PREDATORY BILLING - horrid
I turned to SailorHealth for a psycologist and have met with one many times, a PsyD who is absolutely wonderful, highly recommented.
OH WAIT >>>> 1 Star, why? Because I'm using Straight Medicare. SailorHealth states clients to NOT pay co-pays. But, they have charged me over and over, calling these "deductibles." BUT, I met my deductible Jan 16th and started with them in March. I am unable to remove my credit card. So far, they have not answered. This is in violation of Medicare and my state law, and I WILL complain to both.
What a quandary > Highly recommended, well run, superb Practitioner and then they illegally bill me and won't respond. I recommend their ability to find a psych counselor but be prepared to do battle.
Update: 6-12. Sailor is not coding properly
The Primary Medicare Payout is Artificially Inflated: March 19th session. The allowed amount is $133.75. Primary Ins Paid is $132.46. That means Medicare paid 99% of the bill. That is impossible.
Sailor Health is submitting my claims using a code that makes Medicare think they are a special facility type or that you have met a completely different threshold. They are passing a tiny, arbitrary "Patient Responsibility" of $33.79 to you, which doesn't match standard Medicare 20% coinsurance calculations ($26.75).
Predatory! And so sad because my therapist is great.
3rd update: AI's take, again Predatory:
"The reason the math is broken is that Sailor Health is accidentally submitting your claims to Medicare using a facility code instead of a telehealth code. Because of this, Medicare thinks you are checking into an inpatient clinic and calculates a bizarre, inflated primary payout, which passes an incorrect $33.79 to you instead of the real $26.75 coinsurance." Gemini



