May 21, 2015, 6:21 AM
In many places, you go to the Hacienda office.
SAT is the parent organization for Hacienda and Aduana. SAT & Hacienda sometimes have offices in the same building, but not all SAT locations have Hacienda offices.
Sidelight: Unexpectedly requiring a factura after completing the treatment, for even modestly expensive procedures, may upset the apple-cart in your care and in your relationship with the physician.
Here in Yucatan, Physicians often have 2 levels of charges - and 2 levels of services, based on what you pay.
Our health insurance is supposed to cover pretty much all treatments, but I was surprised to find that the Physicians asked to make additional cash payments with the receptionist at their front desk. On a $30,000 treatment, a highly-respected physician might ask for an additional $7,000 payment.
It seems physicians have choices on what materials they use - like which lens in cataract surgeries (the $7,000 charge) - and other choices that are not obvious to me/us. My wife is convinced that if you want the best treatments, best drugs, and best materials, you pay these extra charges - that "coincidentally" are not shown on the factura.
Is this a Yucatecan thing?
My wife assures me that this can be common practice in some conditions, in pretty much all Mexican big cities.
Just like the previous 4 decades of German health care - if you want the latest medications, latest materials and best treatments, you pay substantially extra. Not-paying can get you only basic care.
She suggests that if you do not notify the physician ahead-of-time that you want a factura that includes all charges, (and ask in advance about all expected charges), then it puts the physician in a jam if they gave you the gold-standard care, but you had paid for only tin - including the taxes that are paid only when a factura is required.
Other people's experiences (and locations)???
E-visit at http://yucalandia.com
(This post was edited by YucaLandia on May 21, 2015, 6:31 AM)