Plastic Surgery at Medi-Cal Rates – How Glamorous.

Plastic surgery is not always as glamorous as you see on television. Part of my practice has been the repair of wounds. Recently a wound care hospital at which I have seen patients called asking if I would see a patient. The patient’s HMO pays at Medi-Cal rates. For those of you who don’t know, Medi-Cal is California’s Medicaid program.

Medi-Cal rates amount to about half of Medicare rates which is essentially nothing. The practice barely squeaks through any profit on most Medicare business. I am always conflicted as to whether or not to see such a patient.

On one hand, I’d like to be of help. On the other hand, starting a trend at which doctors care for patients at less than overhead is part of what brought us to where we are today.

Best Regards,

John Di Saia MD

Originally posted 2011-04-27 07:30:57.

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  1. linda says:

    You have to say No to a loss. Basic business.

    1. admin says:

      Only very few are as understanding as you. :)

  2. Doctor says:

    Just say NO to the HMO.

  3. Jaime Anastasiow says:

    I really don’t blame you for not seeing them. I mean you need to eat, too. And the price to get into med school now isn’t exactly lower than when you went.