The Commonwealth Fund's 2010 study found that almost 50% of US adults were either underinsured or uninsured. This is a 7% increase from 2007 for the underinsured population. It used to be that having coverage was simply enough. Today, however, having the right type of coverage and amount are key factors in choosing a plan. What happens when you don't have coverage for a specific procedure? One forward thinking practice in the Chicagoland area takes the time to explain your options and provides the cash discount rate - up front. Before you even ask. That's mightily refreshing given the lack of communication in many healthcare organizations. And, it's a win win for both parties. The practice receives a bill paid in full without expending additional dollars in the collections process and the patient is educated a little bit more on how the billing and insurance process works. Let's hope that more practices implement this customer service level in the near future.