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re: Med bill question

Posted on 1/16/25 at 11:03 am to
Posted by Macfly
BR & DS
Member since Jan 2016
9520 posts
Posted on 1/16/25 at 11:03 am to
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 by OysterPoBoy
City of St. George
Member since Jul 2013
40597 posts
Posted on 1/16/25 at 11:05 am to
quote:

as mentioned below - did not cover bloodwork/urinalysis.


Just like in the sex trade, blood and urine is always extra.
Posted by Pedro
Geaux Hawks
Member since Jul 2008
36437 posts
Posted on 1/16/25 at 11:07 am to
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.
This post was edited on 1/16/25 at 11:09 am
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
59057 posts
Posted on 1/16/25 at 11:09 am to
Trading for sex is what got him into this billing conundrum. He should just stop before he it gets in too deep.
Posted by Pedro
Geaux Hawks
Member since Jul 2008
36437 posts
Posted on 1/16/25 at 11:10 am to
quote:

before he it gets in too deep.
it already was that’s why I’m here
Posted by nogoodjr
Member since Feb 2006
831 posts
Posted on 1/16/25 at 11:12 am to
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.
Posted by Marciano1
Marksville, LA
Member since Jun 2009
19350 posts
Posted on 1/16/25 at 11:14 am to
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 by GRTiger
On a roof eating alligator pie
Member since Dec 2008
65929 posts
Posted on 1/16/25 at 11:15 am to
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 by Dadren
Jawja
Member since Dec 2023
2557 posts
Posted on 1/16/25 at 11:21 am to
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 by Dadren
Jawja
Member since Dec 2023
2557 posts
Posted on 1/16/25 at 11:24 am to
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 by TheHarahanian
Actually not Harahan as of 6/2023
Member since May 2017
21648 posts
Posted on 1/16/25 at 11:26 am to
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 by Weekend Warrior79
Member since Aug 2014
19132 posts
Posted on 1/16/25 at 11:32 am to
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.
Posted by C-Bear
A Texas Tiger
Member since May 2005
892 posts
Posted on 1/16/25 at 11:38 am to
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 by tke_swamprat
Houma, LA
Member since Aug 2004
10535 posts
Posted on 1/16/25 at 11:46 am to
Totally normal.
Posted by DeltaTiger14
Shangri La
Member since Nov 2015
180 posts
Posted on 1/16/25 at 11:47 am to
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 by Pedro
Geaux Hawks
Member since Jul 2008
36437 posts
Posted on 1/16/25 at 11:58 am to
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 by el Gaucho
He/They
Member since Dec 2010
56847 posts
Posted on 1/16/25 at 12:03 pm to
Do you know who the father is?
Posted by Pedro
Geaux Hawks
Member since Jul 2008
36437 posts
Posted on 1/16/25 at 12:06 pm to
How dare you assume their gender.

And I thought you were progressive
Posted by Pezzo
Member since Aug 2020
2579 posts
Posted on 1/16/25 at 12:07 pm to
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 by Topwater Trout
Red Stick
Member since Oct 2010
68701 posts
Posted on 1/16/25 at 12:08 pm to
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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