Tuesday, August 10, 2010

From the mailbag: Boutiques, Co-pays and HSA's

FoIB Jeff M writes:

"My wife's primary care provider is going out on her own and will no longer accept insurance, but her business model is a flat-fee based practice ... since the PA-C does not contract with any insurance companies, can my wife use her HSA for the fee?[practice] does not contract with any insurance companies, can my wife use her HSA for the fee? "

The short answer is: it depends.

If by "fee" one means the annual subscription cost for access to the practice, then the answer is no. But if it's a flat fee per visit, then that fee would be considered an eligible expense for both a Health Savings and Flexible Spending Accounts.

This question, by the way, is more relevant than it might at first appear:

There can be little doubt about the looming shortage of primary care physicians, and it's also likely that more and more of those in practice will be giving great consideration to the "boutique" or pre-paid business model. And as reimbursement rates continue to decline, it's likely that more practices will begin declining to accept health insurance, optinng instead for the fee-for-service model which was, after all, the hallmark of health care before insurance became so prevalent.

Something to consider in light of ObamaCare©'s necessary Medicare cuts.
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