Holly Crap Murrrrrrica

whoknows87

macrumors 6502a
Original poster
Aug 8, 2012
667
30
S.Florida
Just received this Bill in the mail, the patient responsible for the Bill has insurance and did have it at the time of admission, I'm going to call tomorrow to find out what did the insurance pay if anything and if they paid 0 ( that's what the bill indicates) Why?

Still WOW, the duration of the stay was 14 days ( Post Acute Care Services Care Hospital)
 

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osx11

macrumors 6502a
Jan 16, 2011
816
0
Just recieved this Bill in the mail, the patient responsible for the Bill has insurance and did have it at the time of admission, I'm going to call tomorrow to find out what did the insurance pay if anything and if they paid 0 ( that's what the bill indicates) Why?
what was the treatment?
 

Shrink

macrumors G3
Feb 26, 2011
8,914
1,596
New England, USA
Just recieved this Bill in the mail, the patient responsible for the Bill has insurance and did have it at the time of admission, I'm going to call tomorrow to find out what did the insurance pay if anything and if they paid 0 ( that's what the bill indicates) Why?
Kind of light on information in this post. Very tough to make any judgement on the fairness or unfairness of the bill or whether the insurance company should have paid all, or part, of it.
 

Shrink

macrumors G3
Feb 26, 2011
8,914
1,596
New England, USA
He was given pain killers 80% of the time, no Physical Therapy was done and wound care about 2-3 times during the whole stay...
Perhaps I was not specific enough...

For what reason was the patient hospitalized?

How long was the patient in the hospital?

What procedures were done, if any.

Exactly what kind if insurance does the patient have

Need detailed specifics of coverage, exclusions, any annual or lifetime limits...and other specifics of the policy.

In short, you should call the insurance company and discuss it with them. There is nothing that anyone here can tell you that will be of any use until you call your insurance company.


Weird. I thought Grand MAster Obama was supposed to foot the bill.

:p
This post is based on extensive knowledge of the specifics of the situation...correct?
 

Sydde

macrumors 68020
Aug 17, 2009
2,104
2,162
IOKWARDI
One thing I keep hearing about is that some facilities may be in the coverage plan but they hire contractors, so the doctors and/or nurses may in fact not be covered. If there is a way for business to take your money, they will find and use it.
 

Shrink

macrumors G3
Feb 26, 2011
8,914
1,596
New England, USA
Preconceived notions are an anathema to intelligent investigation.

Even so, a for-profit hospital does not fill me with confidence. :eek:
Do we know that this was a for-profit hospital?

I'm not taking any side in this issue, just seeking information that allows one to make informed judgements about the situation.
 

whoknows87

macrumors 6502a
Original poster
Aug 8, 2012
667
30
S.Florida
Do we know that this was a for-profit hospital?

I'm not taking any side in this issue, just seeking information that allows one to make informed judgements about the situation.
Fortune 500 Company

I have not looked at the specifics yet, I'm going to give them a call tomorrow to get a few questions answered mainly Why didn't they the insurance pay, did they file a cliam or no, maybe there is sometime of Cap maybe this facility wasn't covered I have no clue yet, the hospital arranged for this transfer and everything was forwarded, I do remember them asking me for insurance info and that was given, but nothing was ever mentioned if the insurance claim rejected, usually I get itemized bills from every Doctor/facility, but this one flat out said amount due ...... adjustements 0, Payments 0 :confused:

Politics aside isn't 100K a large bill for a 14 days hospital stay there were people in that facility that have been there for months who pays that bill? there was a whole floor just for the elderly most of them will not live or ever leave that facility....I'm assuming Medicare will pay
 

jnpy!$4g3cwk

macrumors 65816
Feb 11, 2010
1,100
1,293
Just received this Bill in the mail, the patient responsible for the Bill has insurance and did have it at the time of admission, I'm going to call tomorrow to find out what did the insurance pay if anything and if they paid 0 ( that's what the bill indicates) Why?

Still WOW, the duration of the stay was 14 days ( Post Acute Care Services Care Hospital)
I think if people start sharing this information more freely, it will help other people understand why the US system is broken. Sure, there may be a good reason for this huge bill, but, I doubt it.
 

iJohnHenry

macrumors P6
Mar 22, 2008
16,505
15
On tenterhooks
A country that allows for-profit hospitals does not fill me with confidence. :eek:
England has the National Heath and private hospitals for those with money, or who are unwilling to wait their turn depending on circumstances.

We have the same in Canada, especially for highly-paid athletes. ;)
 

edk99

macrumors 6502a
May 27, 2009
701
709
FL
A country that allows for-profit hospitals does not fill me with confidence. :eek:
Government run hospitals or insurance don't fill me with confidence either. Looks like some Swedes agree with that too as government healthcare is not all that it is cracked up to be.

Swedes buy insurance to skip long health queues

One in ten Swedes now has private health insurance, often through their employers, with some recipients stating it makes business sense to be seen quickly rather than languish in national health care queues.

More than half a million Swedes now have private health insurance, showed a new review from industry organization Swedish Insurance (Svensk Försäkring). In eight out of ten cases, the person's employer had offered them the private insurance deal.

"It's quicker to get a colleague back to work if you have an operation in two weeks' time rather than having to wait for a year," :eek: privately insured Anna Norlander told Sveriges Radio on Friday. "It's terrible that I, as a young person, don't feel I can trust the health care system to take care of me."

The insurance plan guarantees that she can see a specialist within four working days, and get a time for surgery, if needed, within 15.

In December, the queues in the Swedish health care system pushed the country down a European ranking of healthcare.

http://www.thelocal.se/20140117/hospital-queues-tied-to-insurance-trend
 

Renzatic

Suspended
Government run hospitals or insurance don't fill me with confidence either. Looks like some Swedes agree with that too as government healthcare is not all that it is cracked up to be.
I don't agree with government covering 100% of the system, either. Not because I'm scared of it like some people, but because you don't want to put all your eggs in one basket, and government does tend to overly bureaucratize things in an attempt to streamline all the hundreds of thousands of programs it has to deal with on a daily basis.

That's why I believe in a healthy mix and match of free enterprise and government assistance in the right places, and an willingness to constantly tweak the formula to see what works best. Don't be so attached to a system you can't see its flaws, and refuse to change something when something desperately needs changing.

Not sure if either of these are serious or sarcasm.
Dead serious. My dad worked 10 jobs just to put a cheap can of spaghetti-o's for me and mom to eat on the table. He pulled himself up by his bootstraps, and didn't complain one bit until the day he died of the black lung. :mad: