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Started By
Message
re: Hospitals unable to verify Obamacare insurace (Updated with new stories)
Posted on 1/3/14 at 9:13 am to dr smartass phd
Posted on 1/3/14 at 9:13 am to dr smartass phd
quote:Partly true. If you really had insurance, it is likely that the insurance plan has negotiated a price less than the $500 and yes, she would have had to pay it because of the deductible but I would bet it would be a good bit less than $500
Dumb bitch has a $5000 deductible, so she was going to pay the $500 anyway. People don't understand insurance. they think it's FREE!!
Posted on 1/3/14 at 9:46 am to Lsut81
How dare these impudent sub-human pigs question Der Fuhrer?
This post was edited on 1/3/14 at 9:47 am
Posted on 1/3/14 at 9:48 am to Champagne
quote:
How dare these impudent sub-human pigs question Der Fuhrer?
you mean
quote:
Kate Holly, 33, tells KOIN-TV that she originally championed President Barack Obama’s signature health care law because she thought it would help people in her situation.
“I’ve been a cheerleader for the Affordable Care Act since I heard about it and I assumed that it was designed for people in my situation,” Holly, a freelance yoga instructor, told KOIN. “I was planning on using the Affordable Care Act and I had done the online calculator in advance to make sure I was going to be able to afford it.”
Holly’s husband works for a non-profit organization that pays for his health care, but the couple is unable to afford to have her and their son covered under his plan. And she’s been told their combined income is too much to qualify for a subsidized health care plan under Cover Oregon.
“It wasn’t until I started the process and got an agent that I started hearing from them I wasn’t going to qualify for subsidies because I qualify on my husband’s insurance,” she told KOIN.
LINK /
Posted on 1/3/14 at 9:54 am to Lsut81
quote:
Holly, a freelance yoga instructor
Posted on 1/3/14 at 9:58 am to Lsut81
quote:
Holly, a freelance yoga instructor
quote:
Holly’s husband works for a non-profit organization
How would these two + a kid not qualify for a subsidy with those occuptations? Apparently Yoga is a good biz to be in
Posted on 1/3/14 at 9:58 am to dcrews
quote:
Sooooo
quote:
Holly’s husband works for a non-profit organization that pays for his health care, but the couple is unable to afford to have her and their son covered under his plan. And she’s been told their combined income is too much to qualify for a subsidized health care plan under Cover Oregon.
So basically, she had the opportunity to purchase insurance but thought it was "too expensive"... So instead of getting a job to pay to purchase insurance, she'd rather be a freelance yoga instructor and mooch off of others with subsidized or free insurance. Sounds reasonable
Posted on 1/3/14 at 10:00 am to idlewatcher
quote:
Holly, a freelance prostitute
Posted on 1/3/14 at 10:01 am to Lsut81
quote:
'The people in there told me that since I didn't have an insurance card, I would be billed for the whole cost of the x-ray,'
Seems like there would be a way around this.
Posted on 1/3/14 at 10:02 am to Lsut81
Just for the record...
My practice has had absolutely no contact or initial negotiations regarding any fee schedules for exchange bought plans. None of the major payors, who all have plans on the exchange, have even attempted to get us in network.
And I am the largest provider of my specialty in this suburb of Houston.
If a patient came to my office with any plan they got on the exchange, my docs couldn't see them.
My practice has had absolutely no contact or initial negotiations regarding any fee schedules for exchange bought plans. None of the major payors, who all have plans on the exchange, have even attempted to get us in network.
And I am the largest provider of my specialty in this suburb of Houston.
If a patient came to my office with any plan they got on the exchange, my docs couldn't see them.
Posted on 1/3/14 at 10:04 am to MSMHater
quote:
My practice has had absolutely no contact or initial negotiations regarding any fee schedules for exchange bought plans. None of the major payors, who all have plans on the exchange, have even attempted to get us in network.
Just pull a NYC doctor and sue the insurance companies for dropping you from their networks
What is your specialty? Just out of curiousity
Posted on 1/3/14 at 10:06 am to Lsut81
More good news...
quote:
CHICAGO (AP) — The new year brought relief to some Illinois patients newly insured under the nation’s health care law. Others still weren’t sure whether they were covered, despite their best efforts to navigate the often-balky new system.
The major benefits of President Barack Obama’s health care overhaul took effect Wednesday, the first day of 2014. By Thursday, the first business day of the new insurance system, it became clear that snags in the rollout of the Affordable Care Act still remained.
On the plus side, the law’s protections mean consumers can no longer be denied coverage if they’re in poor health. New limits on how much insured patients must pay for care will mean fewer bankruptcies after catastrophic illnesses. Insurance plans must offer a minimum level of essential benefits, and care such as flu shots and mammograms will be fully covered without cost to patients.
But early problems with the federal HealthCare.gov website led many people to wait until last week to sign up, and insurers are still processing enrollment forms.
Paperwork problems almost delayed suburban Chicago resident Sheri Zajcew’s scheduled surgery Thursday, but Dr. John Venetos decided to operate without a routine go-ahead from the insurance company. That was after Venetos’ office manager spent two hours on hold with the insurer Thursday, trying to get an answer about whether the patient needed prior authorization for the surgery. The office manager finally gave up.
“I’m not a happy camper,” said Nate Zajcew, the patient’s husband. The couple signed up for a Blue Cross Blue Shield bronze plan through the federal HealthCare.gov site on Dec. 16. “I understand it’s just a matter of paperwork and yesterday was a holiday. I can be an SOB, too, at times, but since they’re going on with the procedure, it’s OK.”
Venetos, a Chicago digestive system specialist, described “tremendous uncertainty and anxiety” among patients calling his office recently. Some thought they’d signed up for coverage but hadn’t received insurance cards yet. Others had insurance policies that were canceled and weren’t sure if their coverage had been reinstated after Gov. Pat Quinn decided to allow one-year extensions of canceled plans.
Venetos said he has decided to take a risk and provide care for these patients, at least until there’s less confusion about coverage.
“We feel it’s the right thing to do,” Venetos said. “We may end up stuck holding the bag and not getting paid on these claims.”
This post was edited on 1/3/14 at 10:10 am
Posted on 1/3/14 at 10:07 am to jamboybarry
quote:
quote:
This Obamacare rollout is about like the invention of the automobile before the roads were built
Only if everyone was forced to buy an automobile
Posted on 1/3/14 at 10:10 am to Lsut81
quote:
What is your specialty?
GI
ETA: I'm admin, not MD.
This post was edited on 1/3/14 at 10:11 am
Posted on 1/3/14 at 10:20 am to Lsut81
Wow look - a hospital billing department cant figure out who owes what to who. This has never happened before (don't fricking get me started on Ochsner).
Posted on 1/3/14 at 10:23 am to SpidermanTUba
quote:
Wow look - a hospital billing department cant figure out who owes what to who. This has never happened before (don't fricking get me started on Ochsner).
Some of these idiots don't even have insurance cards because they haven't paid 1 month's premium.
The reason they're in that spot is because of Obamacare
Posted on 1/3/14 at 10:24 am to Lsut81
We goin forward bitches get on the bus or GTFO
Posted on 1/3/14 at 10:44 am to SpidermanTUba
quote:
Wow look - a hospital billing department cant figure out who owes what to who. This has never happened before (don't fricking get me started on Ochsner).
How do you think that billing department knows how much to actually bill? You think they need contractual language that sets a fee schedule for each payor? And who negotiates those contracts for the exchange plans? Oh that's right...fricking nobody yet.
But it's the billing departments fault?
Posted on 1/3/14 at 10:48 am to jamboybarry
quote:
Some of these idiots don't even have insurance cards because they haven't paid 1 month's premium.
Why are you calling them idiots?
Posted on 1/3/14 at 10:49 am to MSMHater
quote:
How do you think that billing department knows how much to actually bill?
In my experience they usually don't.
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