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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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  • HoraceH Online
    HoraceH Online
    Horace
    wrote on last edited by
    #1

    It adds up. Just received a bill from the surgery center for my most recent thumb surgery. $98,000. Don't worry though, I have insurance. They covered 4000 of that so my out of pocket is $94,000. I checked with my insurance provider and it was billed as "out of network" and they suggested I call the surgery center. Too bad they're closed. I'll call tomorrow. Mistakes happen. The price they quoted me on the morning of the surgery was $1,400 after insurance. Which I thought was a lot. Little did I know.

    Education is extremely important.

    1 Reply Last reply
    • HoraceH Online
      HoraceH Online
      Horace
      wrote on last edited by
      #2

      I am officially sorry I ever saw a doctor about this thing that should have been fixable with a relatively simple surgery. I'm going to need three surgeries and still am not clear that I'll ever have any movement whatsoever. Even if this bill gets fixed, It'll be about 10k out of pocket total.

      Education is extremely important.

      1 Reply Last reply
      • 89th8 Offline
        89th8 Offline
        89th
        wrote on last edited by
        #3

        Ugh what a disaster. Sorry!

        1 Reply Last reply
        • AxtremusA Away
          AxtremusA Away
          Axtremus
          wrote on last edited by
          #4

          Sorry, @Horace , I hope your thumb and the billing issue both work out for you.

          1 Reply Last reply
          • Doctor PhibesD Offline
            Doctor PhibesD Offline
            Doctor Phibes
            wrote on last edited by
            #5

            Jesus, what a nightmare. There shouldn't be this level of uncertainty associated with medical procedures. I can't think of anything else where they get away with just not being able to tell you what something is going to cost.

            I hope they get it fixed.

            I was only joking

            1 Reply Last reply
            • George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              The whole "out of network" stuff is a nightmare.

              Our group was told that, to renew our contract, we had to be in all networks that the hospital was in. That's how it should be.

              D3 needed an operation in June. The hospital that she was going to go to was "out of network." She cancelled...

              "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
              • taiwan_girlT Offline
                taiwan_girlT Offline
                taiwan_girl
                wrote on last edited by
                #7

                @Horace Ouch!!!! That is so bad to have the problems with the thumb and then to add on the problem with the bill

                Hope that both get settled in the right way!!!

                1 Reply Last reply
                • HoraceH Online
                  HoraceH Online
                  Horace
                  wrote on last edited by
                  #8

                  Thanks everybody. I think it will get cleared up. I have a form they gave me before the surgery where they wrote that my out of pocket expense would be 1,400. That should come in handy. However I never signed anything binding because all their costs were "estimates".

                  Education is extremely important.

                  1 Reply Last reply
                  • Aqua LetiferA Offline
                    Aqua LetiferA Offline
                    Aqua Letifer
                    wrote on last edited by
                    #9

                    Holy shit man. 😞 I'm really sorry. I've been in a similar spot a couple of times. It's a crazy time burden on your part but usually you can fight them into something reasonable. Here's hoping.

                    Please love yourself.

                    1 Reply Last reply
                    • HoraceH Online
                      HoraceH Online
                      Horace
                      wrote on last edited by
                      #10

                      I think this is a simple mistake. Maybe I'm naive. I'll know more tomorrow. But the surgeon's group is covered by my insurance and the surgery center checked with my insurance before the surgery, which is how they quoted me the 1,400 number. Somehow it got billed as "out of network" which I think may be a clerical error.

                      Education is extremely important.

                      1 Reply Last reply
                      • 89th8 Offline
                        89th8 Offline
                        89th
                        wrote on last edited by 89th
                        #11

                        First, I still don’t understand how medical costs work. The doctors, the facilities, private vs institutions, insurance, networks, etc. Gives me a headache.

                        Second, I love how $98,000 could be so easily made as a mistake on their end. Pretty sure if you went to buy three or four new cars from a dealership, the price wouldn’t be a guess.

                        1 Reply Last reply
                        • HoraceH Online
                          HoraceH Online
                          Horace
                          wrote on last edited by
                          #12

                          the american system of health care is more bonkers than can really be expressed with mere words.

                          Education is extremely important.

                          1 Reply Last reply
                          • RainmanR Offline
                            RainmanR Offline
                            Rainman
                            wrote on last edited by
                            #13

                            Wow, Horace. You're pretty cool and collected about this, I think I'd be a wreck.
                            Of course the difference is, $98,000 is just pocket change to you, not that big a deal, just a nuisance, a slight bother, just one less bottle of expensive wine, one hour less in the Gulfstream.

                            The thumb issue though, that's different. As someone that likes to dabble playing the piano, that would be more than catastrophic. I think it would send me into an emotional tailspin.

                            As I recall, Trump issued an EO that at least prescription prices on ads would need to be displayed, as a first step towards people being able to compare prices in the health care field. Blocked by a court (again).

                            Good luck and give 'em hell.

                            1 Reply Last reply
                            • AxtremusA Away
                              AxtremusA Away
                              Axtremus
                              wrote on last edited by
                              #14

                              I keep telling you folks, single-payer universal healthcare FTW.

                              LarryL 1 Reply Last reply
                              • KlausK Offline
                                KlausK Offline
                                Klaus
                                wrote on last edited by
                                #15

                                American exceptionalism at its best.

                                Don't worry, though. If you sit in front of a mirror and say "But we have the best healthcare in the world!" a thousand times you can make yourself believe it.

                                Aqua LetiferA 1 Reply Last reply
                                • KlausK Klaus

                                  American exceptionalism at its best.

                                  Don't worry, though. If you sit in front of a mirror and say "But we have the best healthcare in the world!" a thousand times you can make yourself believe it.

                                  Aqua LetiferA Offline
                                  Aqua LetiferA Offline
                                  Aqua Letifer
                                  wrote on last edited by
                                  #16

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

                                  American exceptionalism at its best.

                                  Don't worry, though. If you sit in front of a mirror and say "But we have the best healthcare in the world!" a thousand times you can make yourself believe it.

                                  Klaus, everything is best over here. Because over here is America.

                                  You might not know what that means, but I'll clue you in: everything American is better than everything non-American, simply by virtue of being American. American cheese is better than non-American cheese. The same goes for American German beer, American museums that house European works of art, American incarceration rates, American healthcare debt, etc., etc.

                                  Please love yourself.

                                  Doctor PhibesD 1 Reply Last reply
                                  • Aqua LetiferA Aqua Letifer

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

                                    American exceptionalism at its best.

                                    Don't worry, though. If you sit in front of a mirror and say "But we have the best healthcare in the world!" a thousand times you can make yourself believe it.

                                    Klaus, everything is best over here. Because over here is America.

                                    You might not know what that means, but I'll clue you in: everything American is better than everything non-American, simply by virtue of being American. American cheese is better than non-American cheese. The same goes for American German beer, American museums that house European works of art, American incarceration rates, American healthcare debt, etc., etc.

                                    Doctor PhibesD Offline
                                    Doctor PhibesD Offline
                                    Doctor Phibes
                                    wrote on last edited by
                                    #17

                                    @Aqua-Letifer said in Pretty soon you're talking about real money:

                                    American cheese product is better than non-American cheese product .

                                    FIFY

                                    I was only joking

                                    1 Reply Last reply
                                    • HoraceH Online
                                      HoraceH Online
                                      Horace
                                      wrote on last edited by
                                      #18

                                      I haven't finalized anything yet, but it is seeming like this surgery center sends these huge bills as leverage to get the patient to pay the smaller amount they are really looking for, asap. Like, before the patient pays any other bills they may have. The problem is that I never received a bill for the smaller amount. Only this estimate they gave me before the surgery.

                                      Education is extremely important.

                                      1 Reply Last reply
                                      • HoraceH Online
                                        HoraceH Online
                                        Horace
                                        wrote on last edited by
                                        #19

                                        The surgery center is basically choosing to be a bad citizen by doing whatever they can within the law and clearly outside ethical boundaries, to jump to the front of the customer's priority queue for paying their bills.

                                        Education is extremely important.

                                        1 Reply Last reply
                                        • AxtremusA Axtremus

                                          I keep telling you folks, single-payer universal healthcare FTW.

                                          LarryL Offline
                                          LarryL Offline
                                          Larry
                                          wrote on last edited by
                                          #20

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

                                          I keep telling you folks, single-payer universal healthcare FTW.

                                          No. If that had been in place he would have had to wait so long to get his surgery that the joints would have healed leaving him deformed, when he finally did get to have surgery it would have been done by a half trained flunky who didn't give a shit whether or not he did a good job because he's working for peanuts and if you don't like it tough shit because the government writes his paycheck not you.

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