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Old 03-13-2019, 05:17 AM   #1
The future is unwritten
Join Date: Oct 2002
Posts: 69,537
Medical Billing

I get a monthly report from my insurer and this one has the year end totals.
It shows the bills, then what the "plan" approved which was a tick over 30%.
Next it shows what the "plan" paid which was a tick under 30% leaving almost a grand difference.
Subtracting what I paid from that difference leaves $763 agreed but unpaid.
Adding the $763 to the 70% billed but not agreed to(read unpaid) amounts to $110,731 billed but unpaid.
This amount just evaporates, vanishes into the ether, supper for birds and beasties.
I wonder if the bill sender can write it off as a loss? Otherwise why bill for more than had already been agreed with the insurance company.
Maybe it's to legally establish their price for people who don't have insurance, or more coverage.
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Old 03-13-2019, 06:31 AM   #2
still says videotape
Join Date: Feb 2001
Posts: 25,603
My (step) FiL was sat up in bed by a PT. This is apparently a trigger for halting insurance, now he has to go to a nursing home and his insurance company washes its hands of him. That pushes him off onto medicare after they eat his assets. You ever get the idea that tax-payers are already paying for the most expensive care?
If you would only recognize that life is hard, things would be so much easier for you.
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Old 03-13-2019, 07:34 AM   #3
Makes some feel uncomfortable
Join Date: Dec 2005
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Originally Posted by xoxoxoBruce View Post
Maybe it's to legally establish their price for people who don't have insurance, or more coverage.
Ed Zachary
"I'm certainly free, nay compelled, to spread the gospel of Spex. " - xoxoxoBruce
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Old 03-13-2019, 08:29 AM   #4
The Un-Tuckian
Join Date: Apr 2007
Location: South Central...KY that is
Posts: 38,746
Momdigr's hospital stay many years ago came to ~$65k, after all was said and done (and billed multiple times) her part came to just over $1000.

Popdigr's bypass was something like $55k (I'm not 100% on that number), his part came to about $1800.

Insurance is a money pit, and money thrown away...until you need that first time.


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