James
PlushCare engaging in predatory billing practices
I signed up for PlushCare on January 16th, 2025, for a simple appointment when my child tested positive for the flu. I am immunocompromised and needed a way to receive anti-virals when our local clinic was closed for the day. They took my insurance, ran it, and told me it was approved and my payment was going to be 25$ after insurance. I paid, had a 5 or so minute call with the assigned Doctor who sent in the medication. On February 3rd, 2025, I received an email telling me that I owed $203.06. Had I known the charge I would have refused service as this is out of hand for a 5 minute call, and would have been free with our local hospital. It was NOT disclosed, and was a surprise bill, when they state clearly they do not participate in surprise billing. PlushCare is scamming people by telling everyone their cost after insurance will be 10-20$, and then surprise billing them hundreds after the fact. They know this and are behaving this way intentionally, lying about the price after receiving insurance, and then billing weeks later after the appointment has concluded with no repercussions. After my appointment, my wife had an account setup, was told she'd owe the same amount, and then they did the exact same thing to her as well. This is a predatory practice and knowingly deceptive.
Response from PlushCare Virtual Healthcare: online doctorFeb 5, 2025
Hi James, Thank you for sharing your experience with us. We sincerely apologize for the unexpected bill that you and your wife received, and we understand how frustrating this situation can be. At the time of booking we provide a 'cost estimate' from the patients insurance which is clearly communicated during the booking confirmation page. However, it's important to understand that estimating costs can be complex due to various factors including the complexity of the appointment and the insurances response to the claim such as deductibles, co-insurance and co-pays. We strive for our estimates to be accurate and, in most cases, provide an exact estimate or overestimate in which patients are promptly refunded based on their insurances response to the claim. It is never our intention to mislead patients regarding costs. We'd be happy to review and discuss in detail, please reach out to us directly at [email protected] and we'll be happy to to assist!



