Which insurance company/medical provider do you work for???

I've already learned the hard way, FYI. People like me who have to go with a basic govt policy DO NOT get the same kind of treatment as someone who has a larger group policy thru a BC/BS.

I have a number of friends and familyin the medical industry. They have pointed me in the right direction for where to go and who to see. I trust their opinions more than a Dr who is pushing people to his golf buddy specialist.

Also, what would a HEALTH insurance policy do to help me financially if I have a career ending injury? I almost had one once (with insurance) and the medical costs helped me lose my house 12 years ago.

Since I've created my own network of Drs and specialist who take cash, my out of pocket costs have been less than 1 month of coverage from a policy.

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Posted by Auburn80

Backwater, TN

Member since Nov 2017

7584 posts

Posted on 6/24/20 at 12:04 pm to dbbuilder79

quote:
Which insurance company/medical provider do you work for???

I have been a hospital CFO for 32 years.

The problem with healthcare is that it's a 3 party transaction instead of the usual 2 party transaction. You could even call it a 4 party transaction because your employer gets involved in it too. You have the employer, insurance company, healthcare provider, and the patient involved in a transaction. Usually the patient gets caught in the middle of this because they are legally required to pay the bill. Many times it's not the hospital or the insurance company that is to blame. It's your employer with their high deductible and high co-pays along with special carve outs on certain items.

To be really honest here, I am a fiscal Conservative, but I am moving much closer to being OK with a single payer system. It wasn't very complicated until employers started jacking up deductibles and co-pays to save costs. Patients pay a tremendously larger portion of the bill now and hospitals have to collect it to stay viable.

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Posted by tiger91