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re: Here is an interesting story, maybe some lawyer advice might help
Posted on 8/20/26 at 10:25 am to Lucky_Stryke
Posted on 8/20/26 at 10:25 am to Lucky_Stryke
I saw some bullshite the other day where a guy was having surgery. He made sure to check that all the doctors and facilities were in network. After it’s all done he gets a huge bill because some machine they used was loaned from an out of network hospital or something and not covered.
1
Posted on 8/20/26 at 10:26 am to OysterPoBoy
quote:
I saw some bullshite the other day where a guy was having surgery. He made sure to check that all the doctors and facilities were in network. After it’s all done he gets a huge bill because some machine they used was loaned from an out of network hospital or something and not covered.
A guy I work with got a 20k bill because his in network doctor delivered his baby in an out of network hospital.
Posted on 8/20/26 at 10:28 am to Lucky_Stryke
If it was an emergency service, wouldn't any expenses incurred for the emergency be covered as if it were "in-network" until the patient is secure and the services are deemed to no longer be considered an emergency?
Posted on 8/20/26 at 10:34 am to bamaguy17
quote:
A guy I work with got a 20k bill because his in network doctor delivered his baby in an out of network hospital.
Probably had to find one that delivered men’s babies.
Posted on 8/20/26 at 10:39 am to Ingeniero
quote:
Yeah for all the faults that other healthcare systems have, this is something they have figured out. "Out of network" billing shouldn't exist. The fact that you can go to a hospital in network, have a surgeon in network, have a surgery covered by insurance, but the guy who handed the anesthesiologist the potassium to paralyze you was out of network, so you'll be paying that $5000 out of pocket, is ridiculous
I agree. This has happened to us a few times, and it's usually the anesthesiologist that's out of network. I just simply tell them to figure it out on their end b/c i'm not paying it, and we've never had to pay it.
It's one thing if you have some random insurance and things are out of network, but when you have Blue Cross, nothing should be out of network. Blue Cross covers 2/3's of the state of LA. Only AL, also Blue Cross, and KT have a higher percentage of enrollments with one provider.
Posted on 8/20/26 at 11:21 am to Lucky_Stryke
This is why I’m glad my wife does what she does (wish she made more). She is a medical insurance guru, probably one of the best in the State. She can pick apart a EOB or a bill and know exactly what is bullshite and what isn’t. She’s privy to the contracts the providers sign with multiple facilities. I will say out of network anesthesiologist is so fricking common it’s ridiculous. Those guys and gals are traveling Mercs. I think the biggest group that works LC is based in BR. Seems like they are out of network 90% of the time regardless of provider.
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