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Uhm you need to check this doctor out. Seems fraudulent. What if the costs to see this doctor are less than the full deductible? I mean if one's going into a hospital and they require full deductible (been there) that makes sense because the surgery or whatever is likely going to be way more than most any deductible. But a doc's visit shouldn't be over a $200 or so, so what's your mom's deductible and tell me you don't think that deductible is payable over and over rather than accumulative.
All the docs she has looked into so far want upfront money to sign her on to make up for the gap in Medicare payments. Could be because she is 80 and has preexisting conditions.