[quote=dumbrenter]ok, I’m just about done with the medical system here.

In my case it is not the cost of care, but the paperwork and nickel & dime game between the doctor’s office and the HDHP provider. I wish I could just walk in, get care, pay for it and move on with my life.

Davelj, have you had to use the mexican insurance since you got it? Can we just pay cash for medical services in mexico? Are there any such providers in San Diego? Thanks.[/quote]

I have not had to use my insurance which shouldn’t be surprising as there’s a $6,000 deductible. As inexpensive as things are in Mexico it would take something pretty major to work through the deductible. It’s really just a catastrophic policy.

My primary physician works out of Hospital Angeles (http://www.angeleshealth.com/doctors). I’ve been down there three times in maybe 18 months for minor issues (bursitis in my elbow, removing a lipoma cyst on my back, and a standard check-up). I pay cash each time. Removal of the cyst and the check-up were ~$100 each. The bursitis required some fluid examinations and an x-ray – I think I paid $225 total. The appointments were handled the same day in two instances, the next day for the other. I’ve had nothing but positive experiences.

One thing to consider, however, is the border wait returning to the US. If you’re crossing at the wrong time on the wrong day you can be in line for up to 2 hours, although a normal wait is more like 45 minutes (I walk). I’ve got a Sentri pass, so I get through in 10 minutes even if the standard line is very long. So, if you go down this path I’d recommend getting a Sentri pass (which, unfortunately, takes about 4-5 months to obtain) – just makes everything easier.

Regarding San Diego, I’m sure there are cash providers. I’m also sure that they’re unbelievably expensive – regardless of payment method. Our system is irretrievably f*cked, in my view.

Again, I’ve had nothing but good experiences in Mexico. Best of luck!