Random, Thoughts, X,XXIV

#4,927
#4,927
Behr said:
Guess he's interested in my testicles. I'm surprised you hadn't noticed he's like that. Not that there's anything wrong with it.
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Plot twist it's a she. She/he will be back when they are swinging. You may have to do the Dundee check.
 
#4,935
#4,935
giphy.gif
 
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#4,943
#4,943
Do we got anyone that understands insurance I have a 25$ copay to see PC I pay it when I go.I still get a bill for 50$ ? I hate dealing with insurance.
 
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#4,945
#4,945
rocytop2624 said:
Do we got anyone that understands insurance I have a 25$ copay to see PC I pay it when it go.I still get a bill for 50$ ? I hate dealing with insurance.
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If it is an in network provider you should (may) have a contract rate with said provider. They aren't "supposed" to charge more than the contracted rate. That should be on your insurance EOB. If they are charging you more than what insurance says is the contracted rate, contact someone in your HR and ask them. I had a hospital charge me $500 more for a procedure this year that was contracted. Made them pay me back.
 
#4,948
#4,948
82_VOL_83 said:
What do you mean by PC? I am having a brain fart.
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Primary care physician. And it's in network. I ask my doctor and she said she used to be a specialist and she has had patients charged to much. The dang bill it starts at 2000 negotiated to 200 and then down to 125 insurance paid 75 and it says I owe like 50. And it's just principal my last insurance company did not do this. This is supposed to be better.
 
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#4,950
#4,950
joevol33 said:
@VolNExile maybe
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Oh lawd...

What 82_Vol_83 said. What kind of insurance do you have? Is it one of those high-deductible kind that you have to pay out of pocket some gi-normous amount before it kicks in? (If so, you would have probably been hit with this already this year.)

What is the "bill", and who is it from?
- Is it from your insurance company and maybe called an EOB (Estimate of Benefits)? If so, it will have a section with columns such as provider billed / "we" (meaning insurance company) pay (the contract amount with the doctor / you have already paid (your $25) / you owe $___ / reason code (the reason why you still owe. If you see that, look toward the bottom or on the back for the reason code and the explanation.
- If this bill is from your provider (doctor), and you just recently went, then pish. Wait for your insurance company to crunch the doctor's bill and send you an EOB telling you what if anything you owe. It is possible that your doctor's office is in a year-end scramble to collect anything due, and they're not caring if it's from the insurance company (as it should be) or from you (which it shouldn't.0

Check your insurance card. There should be a phone number you can call to help you navigate through this. Do this especially if the statement has a reason code saying that you owe the $50. It is possible that they are saying that the procedure wasn't covered. Maybe the visit was coded as a routine ("how ya doin'') office visit instead of a problem (new pain, recent injury, recent new diagnosis needing follow-up) and they assigned the wrong code. Also they might have lumped some uncovered procedure in there (see superdave's question about labs.)

@82_VOL_83 : by PC I think he means PCP, primary care provider (your regular doctor or nurse practitioner, etc.)

Note: my career was in socialized medicine (the VA), and as a kid/ Army dependent, I was also part of socialized medicine, treated as a dependent at military hospitals. I am terrible at figuring out the travesty of healthcare costs that make up the US version of medicine, but I'll be happy to give this a whack if you need more help. (The VA does bill some patients, if they (a) have private insurance and (b) aren't being treated for a service connected condition, but it's rarely more than 10% of the total population that we care for, so insurance wrangling is definitely not my strong point. But I'm absolutely happy to try to help, as I did wrestle with this to some extent at my job.)
 
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