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doctors and hospitals are increasingly asking patients to pay upfront for their portion of whatever kind of care theyamp;#39;re receiving and thatamp;#39;s because in many cases patients are having higher deductibles that theyamp;#39;re responsible for and larger co-payments and the providers want to get their money before they do the service instead of having to go back and try and done someone for to pay a bill so that may have been what you ran into and i think the best solution is to call the provider ahead of time and say what are you going to ask me to pay when i come in and what kind of money do i have to provide up front and then you can be prepared and to make a decision about whether you can afford to do that or not