tag:blogger.com,1999:blog-30764196.post2023231254996123080..comments2023-07-03T09:41:52.948-04:00Comments on Cosmic Cat: The Strange "Logic" of Health Insurancefermicathttp://www.blogger.com/profile/06912496005011895707noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-30764196.post-72263121714925042952010-10-06T00:16:26.275-04:002010-10-06T00:16:26.275-04:00Im glad you are ok. Im sure it was a big relief. ...Im glad you are ok. Im sure it was a big relief. But always go with your instincts and get a second opinion if you need to. The last time I had a mammo, I had to do it three times because they said they detected something. So the third time, I went to a different place and they were able to confirm that there wasnt anything there. I have since gone back to the first place to have the ultrasound and there isnt anything there. <br /><br />My old insurance sucked and I had to pay for some stuff out of pocket. My new insurance is really great though. They pay for everything except the copay and there isnt a cap on the Rx either. The old one capped at $1000 per year, per person. My daughters medications ate that up in two months.BChttps://www.blogger.com/profile/03155453665167051044noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-84876075763256305692010-10-04T23:26:26.937-04:002010-10-04T23:26:26.937-04:00Got another letter from my insurance company today...Got another letter from my insurance company today. Apparently the stuff they "cover" is only covered 90%, so I can expect yet another bill from the breast imaging center. *sigh*<br /><br />Why can't they be man enough to just bill me for my part up front, ONE TIME. How long are they going to dick around with sending a bill for this and a bill for that?fermicathttps://www.blogger.com/profile/06912496005011895707noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-22126735541164975212010-09-30T19:09:55.008-04:002010-09-30T19:09:55.008-04:00Wow Jim, that's messed up.Wow Jim, that's messed up.fermicathttps://www.blogger.com/profile/06912496005011895707noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-91184363229138526872010-09-30T12:39:32.410-04:002010-09-30T12:39:32.410-04:00Semi-unrelated, but I had an absurd to-and-fro wit...Semi-unrelated, but I had an absurd to-and-fro with a hospital over an ER visit that I never even made. Doctor must have put wrong SS number down or something. (I had been there a month or two earlier after a small accident, so I was in their computers.)<br /><br />This took several months and many hours worth of phone calls to straighten out. Eventually, the woman from the billing department called and said with amazement in her voice, "Well, it appears you were never here!"<br /><br />Incidentally, there appears to be a insurance rate for an ER visit which is more than what a person walking in w/o insurance would pay. My insurance company wouldn't pay because I told them I hadn't been there. The hospital wanted me, personally, to pay the higher insurance rate because I had insurance, rather than what a no-insurance person would have paid.<br /><br />Oy. <br /><br />PS: Glad everything worked OK health-wise!Jim Donahuehttps://www.blogger.com/profile/04140325442403671800noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-87377059663596912832010-09-29T22:29:05.940-04:002010-09-29T22:29:05.940-04:00I could have appealed their idiot decision (they s...I could have appealed their idiot decision (they sent me the paperwork to do), but it wasn't enough money to go through a process that would be sure to irritate me and be a big hassle. This isn't the first thing they haven't covered. Some of the routine labwork my doctor orders isn't covered, but I respect her opinion that it is important and pay for it out of pocket.fermicathttps://www.blogger.com/profile/06912496005011895707noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-66487863855610483362010-09-29T18:15:21.349-04:002010-09-29T18:15:21.349-04:00Sorry... no help from this quarter either.Sorry... no help from this quarter either.LLhttps://www.blogger.com/profile/01614843246640462976noreply@blogger.comtag:blogger.com,1999:blog-30764196.post-49793593984441078972010-09-29T00:48:39.977-04:002010-09-29T00:48:39.977-04:00I think in my recent posts I have mentioned my old...I think in my recent posts I have mentioned my oldest (first) cousin and I are both cancer patients now and she and her husband have pretty much identical insurance to mine -same company, just slightly different name to the plans for her area of PA and mine. We phone back and forth usually at least once a week to compare notes on how we're feeling, treatments, legal junk about our homes and kids when we die and yes, about insurance and what they charge, what they pay. And we've decided it is all craziness!<br />She got a statement the other day -I got one similar to it too -about our chemo charges etc. Neither of us is sure what the hell either of these statements mean but she's now been told it is going to cost her $300 per chemo treatment now or very near future. The hospital where she goes charges a huge co-pay before being admitted there -mine, none nor did any of the hospitals I was admitted to in Pittsburgh. My bill for the 5 days I was in the hospital in early August for the surgery came to over $80,000! That's $16,000 per day and that is absolutely insane plus, I also had to pay for the tv in my room but at the local hospital, the tv comes with the room and much lower costs -much! -all around too. And to think that there are actually some people in this country who see no problems with our health care system. Now that is crazy too isn't it? All of it is a huge "go figure" me thinks!!<br />And I'm really glad to hear your scare turned out to be just a scare and not the real deal, Kiddo!Jenihttps://www.blogger.com/profile/16425701332785470116noreply@blogger.com