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There is also the issue of medical coding restrictions. I don't go to the doctor often because I am rarely sick. On those rare occasions when I am there, sometimes I say, "While we are at it..." and I try to broach some additional minor issue, to kill two birds with one stone. Invariably I'm told, "You have to make a separate appointment for that." In other words, pony up a separate massive co-pay.

So if the poster attempts to get around the fee by making a migraine appointment, that might be the resistance that he faces.