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Medical procedures - Affordability

Posted on 4/17/18 at 1:29 pm
Posted by Mariner
Mandeville, LA
Member since Jul 2009
1928 posts
Posted on 4/17/18 at 1:29 pm
Wife is currently having a planned knee surgery at the hospital. Even though I have met the deductible, I will still get a bill for at least $2500. I was told it would have cost $14K without insurance. This does not include all the other Dr visits for the family during the year. I make a good living and have the money to pay for this, but still have to deal with the normal financial stresses of life.

I am sitting in the waiting room looking at all the other people having surgeries done. There is no way that everyone in here has the money to pay or can pay for the procedure over time. How do people afford this? This topic came to mind when we had our first baby and the 2ND baby required intensive care and several grand in bills, even with private insurance.

Do people just let it go to collections and avoid the phone? I just don't get it. These hospitals must make major write offs. I cannot imagine doing a service for someone knowing that I won't get paid.

Please shed some light. Especially if you are in the medical field. This topic boggles my mind.
Posted by tiggerthetooth
Big Momma's House
Member since Oct 2010
61081 posts
Posted on 4/17/18 at 1:31 pm to
Wealth redistribution.
Posted by oleyeller
Vols, Bitch
Member since Oct 2012
32015 posts
Posted on 4/17/18 at 1:32 pm to
They just get it done. Pay the hospital $30 a month for the rest of their life, there is noting anyone can do about it.
Posted by Jcorye1
Tom Brady = GoAT
Member since Dec 2007
71322 posts
Posted on 4/17/18 at 1:32 pm to
They pay them off over time, or just add it to their buckets and buckets of debt.

Personally I have a 10k emergency fund that I would use first.
Posted by Tiger in Gatorland
Moonshine Holler
Member since Sep 2006
9075 posts
Posted on 4/17/18 at 1:41 pm to
I’ve noticed this myself as I’ve had two outpatient surgeries this year. The part that is bothersome to me is that it’s about impossible to determine how much it will cost before the procedure. The insurance plans have so much fine print and everyone who even says “good morning” will be submitting a bill to your ins company.
Ex: shoulder surgery used four small implants to suture the labrum to the shoulder. They were considered implants so subject to 30% copay to the tune of $300 each for me. So I met a $1200 unexpected bill portion of that procedure.
Posted by LZ83
La
Member since Sep 2016
17406 posts
Posted on 4/17/18 at 1:41 pm to
You prob have an 80/20 plan after your deductible is met.
Posted by OysterPoBoy
City of St. George
Member since Jul 2013
34904 posts
Posted on 4/17/18 at 2:00 pm to
Do you have an out of pocket max?

I just treat that as my deductible since the last few times we reached the deductible we also reached the out of pocket max. It's all too damn complicated.
Posted by Centinel
Idaho
Member since Sep 2016
43318 posts
Posted on 4/17/18 at 2:02 pm to
quote:

I am sitting in the waiting room looking at all the other people having surgeries done. There is no way that everyone in here has the money to pay or can pay for the procedure over time. How do people afford this?


They don't. Which is why the procedure cost 14k.

Posted by Red5LSU
Knoxville
Member since Aug 2011
494 posts
Posted on 4/17/18 at 2:02 pm to
My wife needed a small growth removed from her leg last year. I paid for the majority of it, but she is paying for the rest of it. I think her part was around $700. She set up an installment plan with the hospital and is paying $30 a month. I would assume most other people that can't afford to pay their medical bill would do the same as my wife, regardless of the amount of the bill. So people that have high medical bills can pay these small installments for a really long time. The thing I noticed is that there is no interest or late payments charged on these bills. They do however send you a letter saying they will send your debt to collections if you don't make a payment on the bill.
Posted by lnomm34
Louisiana
Member since Oct 2009
12604 posts
Posted on 4/17/18 at 2:07 pm to
quote:

My wife needed a small growth removed from her leg last year. I paid for the majority of it, but she is paying for the rest of it.


Posted by Martini
Near Athens
Member since Mar 2005
48829 posts
Posted on 4/17/18 at 2:07 pm to
quote:


My wife needed a small growth removed from her leg last year. I paid for the majority of it, but she is paying for the rest of it. I think her part was around $700. ho


Do you split the grocery bill?
Posted by Wermanium
Member since Apr 2016
754 posts
Posted on 4/17/18 at 2:08 pm to
$14K seems cheap. My mom had her knees done last year. Was almost $50k per knee.
Posted by Pelican fan99
Lafayette, Louisiana
Member since Jun 2013
34632 posts
Posted on 4/17/18 at 2:09 pm to
It’s a total disgrace how expensive stuff like that is
Posted by shel311
McKinney, Texas
Member since Aug 2004
110576 posts
Posted on 4/17/18 at 2:10 pm to
quote:

Do people just let it go to collections and avoid the phone?
This, or small payments plans for the rest of eternity basically.

quote:

These hospitals must make major write offs
That they do...a lot.
Posted by Mariner
Mandeville, LA
Member since Jul 2009
1928 posts
Posted on 4/17/18 at 2:10 pm to
Yes I have an out of pocket Max, which is why it will only be $2500. Out of pocket Max is 7 grand. That's awesome but not everyone has that kind of insurance, and I have a $14K out of network out of pocket Max. I have maxed out my HSA for the past three years and have spent nearly every last dime on two births, this surgery, er, and another minor surgery along with the normal pediatrician/Dr visits. That is about $18-20K during that time span. No way the average Joe could pay for that.

To the poster about the "Good morning" bills. I received an $800 out of network bill after our first child from a Dr I have never heard of. Turns out she came in for five minutes several hours after the birth and I have no idea what she did or said as I was dead tired. I had to beg the insurance company to make it in network.

This post was edited on 4/17/18 at 2:12 pm
Posted by h0bnail
Member since Sep 2009
7379 posts
Posted on 4/17/18 at 2:16 pm to
They vastly overcharge insured and paying customers to make up the difference.
Posted by East Coast Band
Member since Nov 2010
62712 posts
Posted on 4/17/18 at 2:18 pm to
Skinnier people tend not to have knee problems.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
37355 posts
Posted on 4/17/18 at 2:19 pm to
quote:

There is no way that everyone in here has the money to pay or can pay for the procedure over time. How do people afford this?


They don't. They either pay $10 per month for ten years or just don't pay. That's partially why your bill is so high, because a lot of fricks don't pay.
Posted by StringedInstruments
Member since Oct 2013
18311 posts
Posted on 4/17/18 at 2:20 pm to
quote:


I am sitting in the waiting room looking at all the other people having surgeries done. There is no way that everyone in here has the money to pay or can pay for the procedure over time. How do people afford this? This topic came to mind when we had our first baby and the 2ND baby required intensive care and several grand in bills, even with private insurance.



See, you're doing this in a hospital where people HAVE to get the procedure done or else they may be disabled or die.

I look at all the people on the highway and wonder how the frick the average "$55k/year" American family affords $80k worth of vehicles and insurance.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
37355 posts
Posted on 4/17/18 at 2:20 pm to
quote:

These hospitals must make major write offs. I cannot imagine doing a service for someone knowing that I won't get paid.



Exactly.

Hell, even treating Medicare and Medicaid patients is basically work for free compared to private insurance, and the average Medicaid and Medicare patient fricking sucks and is the most difficult to deal with.
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