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Started By
Message
re: Med bill question
Posted on 1/16/25 at 11:03 am to Pedro
Posted on 1/16/25 at 11:03 am to Pedro
quote:
I’ve never heard of a medical practice trying to bill for something before it even happens
I had the Bone & Joint Clinic try an bill me ahead of time for knee surgery. Said nope and went elsewhere and was advised to do PT. Did that and didn't have to undergo surgery.
Posted on 1/16/25 at 11:05 am to Herschal
quote:
as mentioned below - did not cover bloodwork/urinalysis.
Just like in the sex trade, blood and urine is always extra.
Posted on 1/16/25 at 11:07 am to Pezzo
I mean I’m gonna get a large bill anyway from the hospital charges. I’d rather everything go through insurance and know what the final outcome is and cross that bridge then.
Part of my frustration as well is that there’s some sort of miscommunication between the office and insurance with the prenatal visits being covered or not it seems. Our insurance covers that 100% as “routine checkups” but it seems like the office is saying they don’t.
I understand not wanting to be screwed over or whatever it just seems weird to me to do it this way.
To answer your statement, boat, I would love that, personally, but her last pregnancy ended in an emergency section so I doubt that is a realistic option for us.
Part of my frustration as well is that there’s some sort of miscommunication between the office and insurance with the prenatal visits being covered or not it seems. Our insurance covers that 100% as “routine checkups” but it seems like the office is saying they don’t.
I understand not wanting to be screwed over or whatever it just seems weird to me to do it this way.
To answer your statement, boat, I would love that, personally, but her last pregnancy ended in an emergency section so I doubt that is a realistic option for us.
This post was edited on 1/16/25 at 11:09 am
Posted on 1/16/25 at 11:09 am to OysterPoBoy
Trading for sex is what got him into this billing conundrum. He should just stop before he it gets in too deep.
Posted on 1/16/25 at 11:10 am to Bullfrog
quote:it already was that’s why I’m here
before he it gets in too deep.
Posted on 1/16/25 at 11:12 am to LSUA 75
Do not pay anything. Take the "payment plan" amount and save that in an account every month. Collect the interest yourself and wait for your bill. Once you recieve the bill, contact the hospital and ask for a discount if you pay in full, in cash, at one time.
Hospital collections is very challenging in today's climate. Goverment payors pay almost nothing and make up 50%, insurance is paying less and less, and few people pay thier bills in a timely manner. You can literally send 5 or 10 dollars a month and most hospitals will not try to sell your debt to collectors.
If they do not offer a discount if paid in full, start a payment plan and offer again in a few months.
Hospital collections is very challenging in today's climate. Goverment payors pay almost nothing and make up 50%, insurance is paying less and less, and few people pay thier bills in a timely manner. You can literally send 5 or 10 dollars a month and most hospitals will not try to sell your debt to collectors.
If they do not offer a discount if paid in full, start a payment plan and offer again in a few months.
Posted on 1/16/25 at 11:14 am to Pedro
OP that sounds like a typical medical billing scam. I wouldn't pay anything to those frickers right now other than copay at regular visits. Tell them and their "estimates" to F off until after delivery.
This post was edited on 1/16/25 at 11:15 am
Posted on 1/16/25 at 11:15 am to OysterPoBoy
quote:
They probably didn't just pass a law that says it won't affect your credit if you don't pay your architecture bill.
Shoot me straight, is this a thing? I have a bill and they refuse to take my HSA card for payment, so I'm thinking of just ignoring it forever out of principle.
Posted on 1/16/25 at 11:21 am to Pedro
quote:
I mean I’m gonna get a large bill anyway from the hospital charges. I’d rather everything go through insurance and know what the final outcome is and cross that bridge then.
Part of my frustration as well is that there’s some sort of miscommunication between the office and insurance with the prenatal visits being covered or not it seems. Our insurance covers that 100% as “routine checkups” but it seems like the office is saying they don’t.
Yeah based on this, zero chance any “estimate” they’d base an installment plan on is accurate.
Question is, how much does your wife want this particular OB to handle her care/delivery? You can tell them to kick rocks but they could tell you that it’s a condition of her prenatal care/delivery.
Posted on 1/16/25 at 11:24 am to GRTiger
quote:
Shoot me straight, is this a thing? I have a bill and they refuse to take my HSA card for payment, so I'm thinking of just ignoring it forever out of principle.
It’s a thing.
Now, they can continue collecting on it by calling you and mailing you until the end of time, and they can technically sue you within the statue of limitations of your state (odds are low for that with amounts under $1K), but no credit bureau reporting will happen.
Posted on 1/16/25 at 11:26 am to GetCocky11
quote:
My hospital offered me to pay the estimated amount ahead of time for a discount of 10%
Why would anybody with insurance do this? Your insurance company will get at least a 50% discount, then they’ll pay a lot of the bill before you ever see it.
Or they’ll tell the billing party “sorry, not covered” and just not pay them, and advise you to not pay either.
This post was edited on 1/16/25 at 11:28 am
Posted on 1/16/25 at 11:32 am to Pedro
Did we already do this? Does the OB also moonlight as a chiro?
I have heard about this being a common thing and being sold as a way to keep you from getting hit with a large bill at the end. But the reality is, it's a way to ensure they receive their full payment and don't have to harass you for payment after the fact. As others pointed out, with medical bills no longer affecting people's credit; there is a huge risk/concern for medical providers that they will have to eat huge write-offs.
They would need to be a significant discount for me to pay up-front (over 20%), and the refund process would need to be clear and guarantees of seamless. What if you change providers mid-way, the OB isn't available around the due date and you need to go somewhere else, lose the baby at any point during the pregnancy, etc. I doubt you would want to deal with the hassle of getting your money back while also dealing with these difficult issues.
I have heard about this being a common thing and being sold as a way to keep you from getting hit with a large bill at the end. But the reality is, it's a way to ensure they receive their full payment and don't have to harass you for payment after the fact. As others pointed out, with medical bills no longer affecting people's credit; there is a huge risk/concern for medical providers that they will have to eat huge write-offs.
They would need to be a significant discount for me to pay up-front (over 20%), and the refund process would need to be clear and guarantees of seamless. What if you change providers mid-way, the OB isn't available around the due date and you need to go somewhere else, lose the baby at any point during the pregnancy, etc. I doubt you would want to deal with the hassle of getting your money back while also dealing with these difficult issues.
Posted on 1/16/25 at 11:38 am to Macfly
I’m thankful I had my son years ago(almost 25). Insurance was so much better back then. It costs us a whopping $25. He ended up having to be in the NICU for three days. Total bill back for both was around $48k without insurance.
Posted on 1/16/25 at 11:47 am to Pedro
I am in the medical field and have mixed feelings about this. On one hand, we need to have that discussion so people know what they can expect and we need the money to keep paying the bills. On the other hand, I don’t like charging for services that aren’t completed yet.
Posted on 1/16/25 at 11:58 am to DeltaTiger14
Yea if I was saying I don’t understand at all why this is a thing I’d be disingenuous. I get it. It’s just frustrating on the patient side when I thought this was part of the whole point of insurance. I called them (insurance) a few hours ago and the said the total is likely to be way less than that. This isn’t a mom and pop operation either (the OB) it’s a pretty large office that sees a ton of patients. I doubt they’re hurting for the money that bad to need it right this instant.
This post was edited on 1/16/25 at 11:59 am
Posted on 1/16/25 at 12:03 pm to Pedro
Do you know who the father is?
Posted on 1/16/25 at 12:06 pm to el Gaucho
How dare you assume their gender.
And I thought you were progressive
And I thought you were progressive

Posted on 1/16/25 at 12:07 pm to Pedro
either way you do it, when you get the bill don't pay it for a while. the insurance provider and the collections will be hashing it out for months. we did it twice. in fact we still haven't paid for our second after 9 months but we will be soon. reason being for about 4 or so months we received revised bills in the mail every two to three weeks with charges that were originally not covered, now covered. and we also had an itemized bill sent to us for the hospital so we could make sure it was accurate.
Posted on 1/16/25 at 12:08 pm to Pedro
quote:
Got an “estimate” from my wife’s OB in the mail yesterday trying to charge us the “estimated charges for pregnancy care” and get us on a payment plan with the first payment due at her first visit.
Seems like the hospitals are doing this bc of all the people who never pay their medical bills...but i don't really see an advantage for the patient bc it's not like you can't set up a payment plan at the end of it all
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