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re: Let Me Get This Straight

Posted on 6/14/23 at 12:48 pm to
Posted by kennypowers
AR
Member since Mar 2009
535 posts
Posted on 6/14/23 at 12:48 pm to
quote:

Who exactly are you talking about?


Insurance companies and pharmacy benefit managers are the most obvious answers….there are many more.
Posted by kennypowers
AR
Member since Mar 2009
535 posts
Posted on 6/14/23 at 12:52 pm to
quote:

You need new insurance.


And yet, you just saying it doesn’t help anyone. Maybe he does have shitty insurance…but that just illustrates how dumb the current system of tying insurance to employment is.
Posted by LSUA 75
Colfax,La.
Member since Jan 2019
3884 posts
Posted on 6/14/23 at 1:24 pm to
Demand an itemized bill and go over it with a fine tooth comb.
Everyone I know that has done this find all kinds of erroneous charges,like charged for 10 sleeping pills and were only in hospital 1 night.
Other things that show up are charges for items and drugs that couldn’t possibly have been used considering the diagnosis.
It happens so often I am convinced it’s not an accident.
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140611 posts
Posted on 6/14/23 at 3:28 pm to
quote:

After, mom can always eat the placenta to boost milk production.
Posted by Tempratt
Member since Oct 2013
13972 posts
Posted on 6/14/23 at 3:49 pm to
quote:

This pisses me off. They're incentivizing folks who shouldn't have kids to have kids


Certain groups of people shouldn’t have kids at all. The people that can least afford children seem to have the most.
Posted by rickyh
Positiger Nation
Member since Dec 2003
12512 posts
Posted on 6/14/23 at 4:46 pm to
I hope that you went to college and voted Democrat. Congratulation's on learning things aren't free. Someone has to pick up the tab for those who won't work.
Posted by GeauxOCDP
Member since Jul 2015
1018 posts
Posted on 6/14/23 at 5:00 pm to
You're bitching about poor people, yet in almost every 1st world country, they pay 10% of what we pay for the same Healthcare items. The system is fricked here, its all about the money, not the care. And don't say, "but the care is so much better" because it's not.
Posted by RedheadedStepchild
Member since Oct 2016
135 posts
Posted on 6/14/23 at 5:07 pm to
Do not prepay. Never. Bill the insurance and go from there. If they insist, give them $50 bucks.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:18 pm to
quote:

My hospital bill for my boy was $100,000 before insurance kicked in


Charges don't mean anything. Everybody gets so worked up about the bills. Your insurance copay is the only thing that matters. Nobody pays charges.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:21 pm to
quote:

but at $50 a pop thats $591.15 profit for every 24 Tylenol the hospital gave to patients.


Most stupid and incorrect comment ever. The hospital doesn't get paid $591 by anyone for that Tylenol. The hospital gets paid a lump sum for your stay by Medicare, Medicaid, and some other payors. The hospital gets paid per day by Blue Cross, Aetna, etc. That charge is meaningless.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:22 pm to
quote:

But why is ghetto Joe’s visit only $80 and ceo Joe is $250 at the same hospital??? That’s the problem


Ask your insurance company. They are the ones who dictate what you pay. The hospital has a contract with everyone of them. The insurance company is the one with the power.
Posted by Jim Rockford
Member since May 2011
100198 posts
Posted on 6/14/23 at 5:26 pm to
quote:

You're bitching about poor people, yet in almost every 1st world country, they pay 10% of what we pay for the same Healthcare items. The system is fricked here, its all about the money, not the care. And don't say, "but the care is so much better" because it's not.


Yeah somebody was bitching about the time they were in Europe and had to wait for an ambulance. That shite happens here daily.
Posted by GreenRockTiger
vortex to the whirlpool of despair
Member since Jun 2020
47689 posts
Posted on 6/14/23 at 5:27 pm to
quote:

The insurance company is the one with the power.
really? Bc the insurance pays whatever part they are supposed to according to their contract, but they are billed whatever by the hospital

Maybe I should’ve said it clearer -Medicaid & private insurance are BILLED $250 - Medicaid pays $80, the hospital writes off the rest, but private insurance pays $175 - with ceo Joe left to to pay the rest

I walk in and pay $80 cash

Insurance companies are screwing ppl over
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:32 pm to
quote:

Cuts out the massive amount of for-profit middlemen. Again, we’re already paying all of this money. We know how much the car costs. You’re telling me we can’t do better than this nonsense we have right now?


Yes. Then the amount taken from your check for insurance will be controlled by the Feds. I actually believe a properly run system would work. I just don't believe our govt can run it properly. Look at what happened to insurance premiums after the ACA. All they did was shift coverage. In effect, they could have just expanded Medicaid coverage and left everything else the way it was. Instead, they decided that your insurance is "substandard" and determined what coverage everyone should have, even if you don't want it.

There's plenty money out there in the system to have a good single payor system. But no one will like it. Take your pick of 2...access (appointments with the docs you want, mostly when you want them), cost (not expensive...affordable), cutting edge technology (all the latest treatments, drugs, devices, techniques). You just can't have it all. We keep trying to pretend like we can. So instead, we have ended up with some access and technology. If you pick a cheap plan, you don't even get access. They control it.

We keep patching a broken system and acting like the damn won't break.
Posted by thejuiceisloose
Member since Nov 2018
4872 posts
Posted on 6/14/23 at 5:38 pm to
quote:

Welcome to America. The land of opportunity for only the left.


Damn it must be exhausting to be a perennial victim
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:38 pm to
quote:

eally? Bc the insurance pays whatever part they are supposed to according to their contract, but they are billed whatever by the hospital


No. The insurance company is billed what they contractually agreed to pay for. The hospital writes off the rest of the charges. It's called a contractual adjustment and happens on pretty much every single claim. Insurance companies pay a per diem. So much per day...the hospital writes off the rest. Your copay is what your contract between you and the insurance company says it is. It's not because of the hospital. I agree that insurance companies are screwing people over.

Private INsurance - Billed $250. Private Insurance pays $175. You pay whatever your insurance company said your would.
Posted by LemmyLives
Texas
Member since Mar 2019
7202 posts
Posted on 6/14/23 at 5:39 pm to
quote:

Yeah somebody was bitching about the time they were in Europe and had to wait for an ambulance.


That was me, clown. We could see the front door of the hospital from where the little girl was, and her leg was chewed up and bleeding. The kid couldn't be strapped back into the bike to be pedaled to the hospital.

quote:

NHS ambulance chaos blamed for 230 heart patient deaths a week


LINK Put your blinders back on and keep ignoring reality.
Posted by LaLadyinTx
Cypress, TX
Member since Nov 2018
6476 posts
Posted on 6/14/23 at 5:40 pm to
quote:

Take your pick of 2...access (appointments with the docs you want, mostly when you want them), cost (not expensive...affordable), cutting edge technology (all the latest treatments, drugs, devices, techniques). You just can't have it all. We keep trying to pretend like we can. So instead, we have ended up with some access and technology. If you pick a cheap plan, you don't even get access. They control it.


So does my downvoter think we can have it all? If so, please explain how we can?
Posted by Gideon Swashbuckler
Member since Sep 2019
6011 posts
Posted on 6/14/23 at 5:43 pm to
quote:

yet in almost every 1st world country, they pay 10% of what we pay

Yes.
quote:

for the same Healthcare items

Not even close.
Posted by Duke
Twin Lakes, CO
Member since Jan 2008
36151 posts
Posted on 6/14/23 at 5:46 pm to
quote:

I actually believe a properly run system would work. I just don't believe our govt can run it properly


The question isnt would the gov do a good job.

It is would they do a better job than the current system and for less money?

Clearing "better than now" is a lot easier than good.
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