I am very aware that physicians get low reimbursement from insurance companies. You see what they get when the Insurance company sends a statement. I can understand that if they can bill that way and get more reimbursement that it would be to their advantage, esp those with a small practice. But with what we pay for our insurance I certainly expect to have my office visits covered as the plan indicates, which is a 20.00 copay only. If I have to continue to pay for an visits not covered because of double visit billing, then why bother to even have insurance. I think it is obvious that the health care state of affairs is a problem for many of us.