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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Pretty soon you're talking about real money

Pretty soon you're talking about real money

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  • J Offline
    J Offline
    jon-nyc
    wrote on 23 Jul 2020, 00:53 last edited by jon-nyc
    #60

    Around 900k.

    But that’s everything, all the visits before and after, special tests (a heart cath can be 10-15k and I’ve had 4 of them), rehab and ‘prehab’, surgery, ICU time, hospital time, etc.

    Only non-witches get due process.

    • Cotton Mather, Salem Massachusetts, 1692
    1 Reply Last reply
    • J Offline
      J Offline
      jon-nyc
      wrote on 23 Jul 2020, 00:56 last edited by jon-nyc
      #61

      I don’t know what I spent, it was probably capped at a few grand per year for co-pays.

      We even had some reimbursement for relocation, but I was listed long enough that we burned through it. So I probably spent 20-30k of my own money (over, say, 2014-16) if I had to guess.

      Most of it didn’t feel like medical bills. Like buying a home oxygen concentrator or paying rent or renting furniture.

      Only non-witches get due process.

      • Cotton Mather, Salem Massachusetts, 1692
      1 Reply Last reply
      • 8 Offline
        8 Offline
        89th
        wrote on 2 Aug 2020, 00:06 last edited by
        #62

        @Horace I require 1x update plz

        H 1 Reply Last reply 2 Aug 2020, 01:29
        • 8 89th
          2 Aug 2020, 00:06

          @Horace I require 1x update plz

          H Offline
          H Offline
          Horace
          wrote on 2 Aug 2020, 01:29 last edited by
          #63

          @89th I paid the $1433 and am now hoping the 98k bill just magically disappears. I received no receipt of payment, though the woman on the phone said she'd send me one. Nor have I ever received a bill. The only bill received so far is the one sent to my insurance company. So basically the process is that this surgery center sends a huge out of network bill to the insurer, gets pennies on the dollar for it, and accepts some other "small" amount from the patient. I have to trust the system that the balance of the 98k bill is not legally passed on to me. Having seen no paper yet, I really don't know.

          Education is extremely important.

          1 Reply Last reply
          • R Offline
            R Offline
            Rainman
            wrote on 2 Aug 2020, 02:00 last edited by
            #64

            Horace said, "I have to trust the system..."

            No kidding. He actually said that. Look at his post!
            It looks like his typing, far as I can tell.

            Scary, might be Covid-20 or something.
            Too much sun? Bad water. Drunk on Jon. Found religion.

            Ax, help him help him!! Soon he'll be drowning in trust, and then, blam! No return from utopia.

            1 Reply Last reply
            • D Online
              D Online
              Doctor Phibes
              wrote on 2 Aug 2020, 03:00 last edited by
              #65

              You either trust the system or you move to Canada.

              I was only joking

              1 Reply Last reply
              • 8 Offline
                8 Offline
                89th
                wrote on 2 Aug 2020, 03:01 last edited by
                #66

                Thanks @Horace what an almost unbelievable lack of paper records given the amounts you’re talking about.

                1 Reply Last reply
                • D Online
                  D Online
                  Doctor Phibes
                  wrote on 2 Aug 2020, 04:06 last edited by
                  #67

                  It's unbelievable that we have to live with this shit.

                  You get a bill for $100K, and are told 'not to worry, it's an administrative error'.

                  Yeah, that just fills me with confidence. I really hope the same people doing the accounting aren't the same ones wielding the scalpels.

                  I was only joking

                  C 1 Reply Last reply 2 Aug 2020, 04:13
                  • D Doctor Phibes
                    2 Aug 2020, 04:06

                    It's unbelievable that we have to live with this shit.

                    You get a bill for $100K, and are told 'not to worry, it's an administrative error'.

                    Yeah, that just fills me with confidence. I really hope the same people doing the accounting aren't the same ones wielding the scalpels.

                    C Offline
                    C Offline
                    Catseye3
                    wrote on 2 Aug 2020, 04:13 last edited by
                    #68

                    @Doctor-Phibes said in Pretty soon you're talking about real money:

                    I really hope the same people doing the accounting aren't the same ones wielding the scalpels.

                    OR SURGEON to nurse: "Remind me again, which side is the appendix on? Left or right?"

                    (With apologies to Bach. 😬 )

                    Success is measured by your discipline and inner peace. – Mike Ditka

                    R 1 Reply Last reply 2 Aug 2020, 05:43
                    • C Catseye3
                      2 Aug 2020, 04:13

                      @Doctor-Phibes said in Pretty soon you're talking about real money:

                      I really hope the same people doing the accounting aren't the same ones wielding the scalpels.

                      OR SURGEON to nurse: "Remind me again, which side is the appendix on? Left or right?"

                      (With apologies to Bach. 😬 )

                      R Offline
                      R Offline
                      Rainman
                      wrote on 2 Aug 2020, 05:43 last edited by
                      #69

                      @Catseye3 said in Pretty soon you're talking about real money:

                      @Doctor-Phibes said in Pretty soon you're talking about real money:

                      I really hope the same people doing the accounting aren't the same ones wielding the scalpels.

                      OR SURGEON to nurse: "Remind me again, which side is the appendix on? Left or right?"

                      (With apologies to Bach. 😬 )

                      Why are you apologizing to Bach?
                      Don't tell me he did it again!

                      1 Reply Last reply
                      • bachophileB Offline
                        bachophileB Offline
                        bachophile
                        wrote on 2 Aug 2020, 08:16 last edited by
                        #70

                        Situs inversus.

                        Look it up

                        George KG 1 Reply Last reply 2 Aug 2020, 11:42
                        • bachophileB bachophile
                          2 Aug 2020, 08:16

                          Situs inversus.

                          Look it up

                          George KG Offline
                          George KG Offline
                          George K
                          wrote on 2 Aug 2020, 11:42 last edited by
                          #71

                          @bachophile said in Pretty soon you're talking about real money:

                          Situs inversus.

                          Look it up

                          Ever seen it? We had one for a CABG - really screwy from what I understand (I wasn't the gas passer on that one).

                          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                          1 Reply Last reply
                          • H Offline
                            H Offline
                            Horace
                            wrote on 19 Aug 2020, 21:11 last edited by
                            #72

                            Yesterday I had a followup appt with the doctor, but ended up only seeing his physician's assistant. We got to discussing the next surgery and I asked where it would be done, and mentioned my issues with the previous place. He was pretty shocked to hear of the 98k bill my insurer received. As always, nobody on that side of the issue ever knows about the money issues. (One of the many symptoms of the total lack of market forces in these transactions.) Apparently what I told him got back to the surgeon, who then apparently called the surgery center and gave them a dressing down. The surgery center then called me to try to smooth out any issues I may have had. This doctor and his group is an important customer of theirs and they can't afford to be pissing him off, so all of a sudden it became priority to make sure I'm happy. The surgery center told me that even though they're out of network, they check with the insurer and only charge the patient what the in-network charge would have been. Since I was allegedly below my out of pocket limit for the year, they charged me 1400. I asked whether that 1400 contributes to my out of pocket total, since that payment was made without my insurer's awareness, and she said yes but maybe she'd double check anyway. I let her know that the whole system of billing as out of network and charging the patient separately as if they had paid in-network, did not fill me with confidence that my expenses were being properly tracked and accounted for. Today she called back and told me that I had been overcharged for my previous surgery, and that my out-of-pocket actually had been met, so sorry, so she'll be giving me my 1400 back. My next surgery will be at this same place, and I am to disregard any bills I may see on my insurer's website, because for some reason my insurer lets me know whenever a provider bills them for services provided to me. Imagine that.

                            My wife sometimes asks me how the insurance system works for health care in America. I try to convey that it's a chaotic mess that must be negotiated anew every time you need medical services, and if you don't pay attention, you get screwed.

                            Education is extremely important.

                            1 Reply Last reply
                            • JollyJ Offline
                              JollyJ Offline
                              Jolly
                              wrote on 19 Aug 2020, 23:16 last edited by
                              #73

                              I once paid for a high-deductible Blue Cross policy on my son. Not because he would probably need it, since 20-somethings don't usually meet $10k deductibles.

                              It's because even if you haven't met your deductible, you pay the network negotiated price.

                              “Cry havoc and let slip the DOGE of war!”

                              Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                              1 Reply Last reply
                              • H Offline
                                H Offline
                                Horace
                                wrote on 19 Aug 2020, 23:26 last edited by
                                #74

                                If your provider is in-network. Otherwise you're subject to the whims of the billing department of the provider.

                                Education is extremely important.

                                1 Reply Last reply
                                • 8 Offline
                                  8 Offline
                                  89th
                                  wrote on 20 Aug 2020, 01:36 last edited by
                                  #75

                                  Thanks for the update @Horace !

                                  1 Reply Last reply
                                  • taiwan_girlT Offline
                                    taiwan_girlT Offline
                                    taiwan_girl
                                    wrote on 20 Aug 2020, 01:59 last edited by
                                    #76

                                    @Horace How is your thumb doing? Any improvement?

                                    1 Reply Last reply
                                    • H Offline
                                      H Offline
                                      Horace
                                      wrote on 20 Aug 2020, 02:01 last edited by
                                      #77

                                      You're welcome 89th.

                                      TG it's way more scarred up and way less sensitive to touch and still completely non-functional. Best case scenario is getting worse and worse. I'll know more after this next, last surgery. They may attach a different tendon to the thumb, or they may fuse the thumb at a slight angle so at least I'll have some gripping functionality even with no movement.

                                      Education is extremely important.

                                      taiwan_girlT 1 Reply Last reply 20 Aug 2020, 02:03
                                      • H Horace
                                        20 Aug 2020, 02:01

                                        You're welcome 89th.

                                        TG it's way more scarred up and way less sensitive to touch and still completely non-functional. Best case scenario is getting worse and worse. I'll know more after this next, last surgery. They may attach a different tendon to the thumb, or they may fuse the thumb at a slight angle so at least I'll have some gripping functionality even with no movement.

                                        taiwan_girlT Offline
                                        taiwan_girlT Offline
                                        taiwan_girl
                                        wrote on 20 Aug 2020, 02:03 last edited by
                                        #78

                                        @Horace said in Pretty soon you're talking about real money:

                                        You're welcome 89th.

                                        TG it's way more scarred up and way less sensitive to touch and still completely non-functional. Best case scenario is getting worse and worse. I'll know more after this next, last surgery. They may attach a different tendon to the thumb, or they may fuse the thumb at a slight angle so at least I'll have some gripping functionality even with no movement.

                                        WOW!!! I feel bad for you. Sending the good thoughts to you!!!

                                        1 Reply Last reply
                                        • H Offline
                                          H Offline
                                          Horace
                                          wrote on 20 Aug 2020, 02:07 last edited by
                                          #79

                                          Thanks TG. It's ok, I'm already used to it.

                                          Education is extremely important.

                                          1 Reply Last reply
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