We are blessed to have health insurance. I have no idea what’d we do without. Crazy scary to be uninsured. Despite being one of the fortunate ones, I believe our system is broken. I take no political stance here; only going to give you some examples.
B had his five year routine colonoscopy screening. Here is the breakdown of the charges:
- Amount billed
- Surgical Center = $2100
- Member rate = $2063
- Plan pays 100% or $2063
- Amount billed
- For Doctor = $575
- Member rate = $375
- Plan pays 100% or $375
- Amount billed
- For anesthesia (doctor and procedure) = $1190
- Member rate = $474.50
- Plan pays 100% or $474.50
Grand spanking total = $3865 with plan paying $2912.50 and $0 out of pocket since screening is a perk of having the insurance.
Am I complaining? Nope. Well, yes! And I have to ask, what is the true cost? Did someone get shorted $952.50? Or is the true cost $2,912.50? My guess is neither and there in lies the problem.
We are playing with people’s lives. Those who can afford testing, medication, etc and those who go without. Criminal I tell ya! How’d we begin to pony up $3865 as a no insurance patient? The answer is sad. People don’t. They skip preventive, they cut back on medications, they sacrifice … that’s the word. Sacrifice. I said I would not be political but it’s shameful.
One more example before I go. My emergency office visit. Here I found out I was nearly normal.
- Amount billed
- For doctor = $258
- Member rate = $98.07
- Amount billed
- For CT with contrast = $1084 plus $50 for iodine
- Member rate = $553.34 plus $12 for iodine (bet I can find iodine on shelves for $1.99)
Stop it Jilly! But no! I wanna know!! What’s the real cost? Is it $1392 or $663.41?
In this case, I had not met my $2700 deductible. Therefore the plan pays nothing. I was billed onsite for $607.10. Had to pay before they’d treat me. When things came out in the wash, I owed $565.34. I called again to find out where the difference was and a request to credit my card was made. I will have a credit in 7 to 10 business days versus the 30 to 45 days if I had allowed the system to reconcile things on its’ own timeline.
I paid the doctor $98.07 out of HSA funds since I did’t understand the whole big red boat thing anyway. I surely won’t get rich from healthcare tax deferral. A – I do not put in enough and B – the interest is only a dollar. Would be years before I use these funds to get my yacht.
Well we’re moving on up, to the east-side, to a deluxe apartment in the skkky iiii … we finally got a piece of the piiiiieee.
I’d laugh if it wasn’t pitiful. And my family and I, we are the fortunate ones. I had a credit card with no balance to drop the charges on. I hate like heck that’s what it took but I am grateful I could. Why should I even care about anyone else? Oh but I do. Cue the haters. I can take it.
As always, more to come.