US health insurance
#151
Re: US health insurance
Yes the payment/billing person is annoying in US hospitals, probably the most annoying aspect
Just for the record, everyone, even the people doing the collections, find it hard. Insurance companies are a constant battle, and one thing that most people fail to realize is that healthcare providers are not required by law to bill your insurance company in the first instance at all. We do it as a curtesy to the customer, and because it would make like a lot more difficult if we sent the $104k bill to you in the first instance.
#152
BE Forum Addict
Joined: Apr 2010
Posts: 1,157
Re: US health insurance
I have a question no one seems to be able to answer ... if you are having, say, a breast MRI or a stomach MRI, do they still put you in 'head first'? It seems totally illogical / unnecessary that they will put you in head first; they should be able to put you in 'feet first', leaving your head un-restricted, and thus not causing claustrophobia.
#153
BE Enthusiast
Joined: Feb 2017
Location: Newnan, GA
Posts: 802
Re: US health insurance
Thanks, I'll remember to let my collections team know how annoying you find them
Just for the record, everyone, even the people doing the collections, find it hard. Insurance companies are a constant battle, and one thing that most people fail to realize is that healthcare providers are not required by law to bill your insurance company in the first instance at all. We do it as a curtesy to the customer, and because it would make like a lot more difficult if we sent the $104k bill to you in the first instance.
Just for the record, everyone, even the people doing the collections, find it hard. Insurance companies are a constant battle, and one thing that most people fail to realize is that healthcare providers are not required by law to bill your insurance company in the first instance at all. We do it as a curtesy to the customer, and because it would make like a lot more difficult if we sent the $104k bill to you in the first instance.
#154
Re: US health insurance
Well..... obviously. I think any simple minded person would realize that the system has evolved to be as quick and painless as possible. It's just still not that quick or painless.
We can and do sometimes end up sending entire bills to patients where insurance companies repeatedly deny for no seemingly legitimate reason. Doesn't happen often, but it does happen.
We can and do sometimes end up sending entire bills to patients where insurance companies repeatedly deny for no seemingly legitimate reason. Doesn't happen often, but it does happen.
#155
Account Closed
Joined: Oct 2003
Posts: 0
Re: US health insurance
Thanks for the feedback! Did your 'open' one look like the one in the picture? I got worked up just THINKING about the first one I had in 2016, hence the request for the valium on that first one. Now, I just want the valium because I like feeling relaxed .
I have a question no one seems to be able to answer ... if you are having, say, a breast MRI or a stomach MRI, do they still put you in 'head first'? It seems totally illogical / unnecessary that they will put you in head first; they should be able to put you in 'feet first', leaving your head un-restricted, and thus not causing claustrophobia.
I have a question no one seems to be able to answer ... if you are having, say, a breast MRI or a stomach MRI, do they still put you in 'head first'? It seems totally illogical / unnecessary that they will put you in head first; they should be able to put you in 'feet first', leaving your head un-restricted, and thus not causing claustrophobia.
And yes that is exactly like the open one and I still felt better with the valium
#156
Re: US health insurance
I was so pleased with myself last week, finding a 'cash price' MRI for about $450 (instead of the usual 'insurance' cost of $1200+), but I just got a bill from my insurance company for $3,500 for a heart monitor that was fitted for three days; 'not in network'.
I visited a cardiologist a few weeks ago due to some heart issues, making sure he was 'in network'. While in his office, he fitted me with an 'Extended Holter Monitor' - a device glued to my chest to take extended readings over a 3 day period, with instructions to detach the device and mail in using pre-paid label. The device proved very helpful, finding some serious problems. But now I get a bill for $3,500 for the service / device! Since it was fitted by the (covered) doctor in his (covered) office, I didn't have the opportunity to even think about whether it was covered or not. I guess I'll be challenging this one!
I visited a cardiologist a few weeks ago due to some heart issues, making sure he was 'in network'. While in his office, he fitted me with an 'Extended Holter Monitor' - a device glued to my chest to take extended readings over a 3 day period, with instructions to detach the device and mail in using pre-paid label. The device proved very helpful, finding some serious problems. But now I get a bill for $3,500 for the service / device! Since it was fitted by the (covered) doctor in his (covered) office, I didn't have the opportunity to even think about whether it was covered or not. I guess I'll be challenging this one!
#157
Re: US health insurance
I was so pleased with myself last week, finding a 'cash price' MRI for about $450 (instead of the usual 'insurance' cost of $1200+), but I just got a bill from my insurance company for $3,500 for a heart monitor that was fitted for three days; 'not in network'.
I visited a cardiologist a few weeks ago due to some heart issues, making sure he was 'in network'. While in his office, he fitted me with an 'Extended Holter Monitor' - a device glued to my chest to take extended readings over a 3 day period, with instructions to detach the device and mail in using pre-paid label. The device proved very helpful, finding some serious problems. But now I get a bill for $3,500 for the service / device! Since it was fitted by the (covered) doctor in his (covered) office, I didn't have the opportunity to even think about whether it was covered or not. I guess I'll be challenging this one!
I visited a cardiologist a few weeks ago due to some heart issues, making sure he was 'in network'. While in his office, he fitted me with an 'Extended Holter Monitor' - a device glued to my chest to take extended readings over a 3 day period, with instructions to detach the device and mail in using pre-paid label. The device proved very helpful, finding some serious problems. But now I get a bill for $3,500 for the service / device! Since it was fitted by the (covered) doctor in his (covered) office, I didn't have the opportunity to even think about whether it was covered or not. I guess I'll be challenging this one!
#158
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: US health insurance
It's just another example of how first class healthcare is combined with an insane system of access.
#159
Re: US health insurance
Another time my husband had an appointment to see our doctor to go over some results. The doctor had been called away urgently. He was asked if he agreed for the nurse to give him the results. Yup…she wasn’t in network.
#160
Re: US health insurance
A few years ago I took hubby to the ER during the night with chest pains. Upon discharge, the doctor who had been treating him, asked if we would wait as his attending wanted to introduce himself. Got a bill for a few hundred dollars…the attending was not in network.
Another time my husband had an appointment to see our doctor to go over some results. The doctor had been called away urgently. He was asked if he agreed for the nurse to give him the results. Yup…she wasn’t in network.
Another time my husband had an appointment to see our doctor to go over some results. The doctor had been called away urgently. He was asked if he agreed for the nurse to give him the results. Yup…she wasn’t in network.
#162
Re: US health insurance
Yes, sick or injured people aren't in the best position to question these things. I wonder if some enterprising soul could come up with an app for health professionals, where they could quickly find out if their services were covered by their patient's insurer? At least then most patients could give informed consent.
#163
Account Closed
Joined: Oct 2003
Posts: 0
Re: US health insurance
A few years ago I took hubby to the ER during the night with chest pains. Upon discharge, the doctor who had been treating him, asked if we would wait as his attending wanted to introduce himself. Got a bill for a few hundred dollars…the attending was not in network.
Another time my husband had an appointment to see our doctor to go over some results. The doctor had been called away urgently. He was asked if he agreed for the nurse to give him the results. Yup…she wasn’t in network.
Another time my husband had an appointment to see our doctor to go over some results. The doctor had been called away urgently. He was asked if he agreed for the nurse to give him the results. Yup…she wasn’t in network.
#165
Re: US health insurance