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re: Medical Billing has gone mad

Posted on 5/17/19 at 11:10 am to
Posted by MikeBRLA
Baton Rouge
Member since Jun 2005
16499 posts
Posted on 5/17/19 at 11:10 am to
quote:

We need a system where you know what the visit is going to cost you upfront. I had to see an ENT a few months ago. Relatively routine visit. I pay my $30 copay or whatever it is and get a bill for $325 a few weeks later.


I remember about 20 years ago I needed a minor surgery and I was discussing the details with the nurse. I was on a HDHCP at the time so I asked her how much it was going to cost me. She looked at me like I had 3 heads or something and said she had never been asked such a thing her entire career.

I explained to her that many people have HDHCP now and that they have to come out of pocket for a lot. I’d simply like to know if this was going to cost me $1K or $15K since I was the one paying for it.


They are so used ordering procedures and essentially giving themselves a blank check. In no other profession do you approve a job be done, and then discuss the cost after the fact. It’s crazy.
Posted by CajunSuperJeff
US military
Member since Dec 2007
588 posts
Posted on 5/17/19 at 12:32 pm to
quote:

HDHCP

I had to Google this. I happily have Tricare and have had to only pay a copay a few times over the years when we did not have an MTF to go to (you can google MTF). My wife went to a civilian emergency room for a broken wrist 10 years ago and we got a $15K bill in the mail that stated it was being fully covered.

Bottom line, the jobs a bitch but the benefits are good. I have maybe paid $500 in copay to out of network hospitals or doctors over the last 23 years.
Posted by stniaSxuaeG
Member since Apr 2014
1586 posts
Posted on 5/17/19 at 2:21 pm to
quote:

I explained to her that many people have HDHCP now and that they have to come out of pocket for a lot. I’d simply like to know if this was going to cost me $1K or $15K since I was the one paying for it. They are so used ordering procedures and essentially giving themselves a blank check. In no other profession do you approve a job be done, and then discuss the cost after the fact. It’s crazy.

The problem is, most of the time there is no way of knowing how much these things cost. Even if you call the insurance company to try to find out, they usually can’t tell you. Then on the back end, there is some magical calculation that goes on to say how much it’s going to cost. To say there is no transparency is an understatement. It’s incredibly frustrating for patients and doctors alike.
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