![]() |
![]() |
![]() |
![]() |
![]() |
#1 |
Ten Point
Join Date: Sep 2018
Location: Bastrop
Hunt In: Public Land
|
![]()
Because of crooks like ATI.
Was quoted "about $40 per visit" when I inquired with receptionist. Ok, that's reasonable after Insurance payment. After the rushing to keep scheduling visits I started to become wary. After 4 visits and still not receiving a bill I stopped going. Last service was in early July. I did not get the first bill until November! Imagine if I had kept going... Had I known these ****ers were going to charge my insurance company $350/visit I would have told them where to stick it. I mean, lawyers don't even charge that much. For what the lady did I could have looked up the exercises on the internet. The first 30 minutes of each visit was spent massaging my next to loosen the muscles. Should have went to the thai massage. At least there I would have gotten a handy. After fighting this for over a year, ATI is still sticking to their guns and refusing to honor the $40 verbal stating that they already filed on insurance and I am liable for remaining balance. |
![]() |
![]() ![]() |
![]() |
#2 |
Pope & Young
![]() Join Date: Oct 2010
Location: Boerne
Hunt In: In camo
|
![]()
Insurance is definitely a scam. Some of the cases my wife tells me about would make your head explode.
|
![]() |
![]() ![]() |
![]() |
#3 |
Pope & Young
![]() Join Date: Oct 2006
Location: White Oak
Hunt In: Bee County
|
![]()
Our leader is trying to do something about the lack of disclosing medical costs before they are incurred.
Hospital groups file lawsuit to block Trump's price transparency rule: https://www.reuters.com/article/us-u..._0dtncc6SMvi9U |
![]() |
![]() ![]() |
![]() |
#4 |
Ten Point
![]() Join Date: Jan 2016
Location: Sugar Land
Hunt In: Leon,Madison and Zavalla
|
![]()
same thing with X-Rays and MRI. If you have no insurance they will do it for a couple hundred dollars. If you have insurance, its a couple grand
|
![]() |
![]() ![]() |
![]() |
#5 |
Ten Point
Join Date: Dec 2016
Location: Smiley, Texas
Hunt In: Gonzales & Young Co and anywhere
|
![]()
Pay $3.00 a month and they'll make a deal with you
|
![]() |
![]() ![]() |
![]() |
#6 |
Eight Point
Join Date: Aug 2016
|
![]()
Yep, wuda been 40 cash, since u filed insurance it was 389... and they still balanced billed you (illegal in most states, but nooottttt texas).
|
![]() |
![]() ![]() |
![]() |
#7 |
Pope & Young
![]() Join Date: Oct 2006
Location: Water Valley, TX
Hunt In: Tom Green/Irion, Fisher Co.
|
![]()
Or/and because people use the ER as their PCP and are uninsured or do not pay their bill and the costs gets inflated to cover all the no pays so the companies that own the hospitals can continue to make **** loads of money....
|
![]() |
![]() ![]() |
![]() |
#8 |
Ten Point
Join Date: Dec 2010
Location: lakeway
|
![]()
You didnt do your homework
We charge tens of thousands to the insurance companies bc they will deny most of the claims. We dont balance bill the pt but some facilities do... that is your responsibility as a patient to ask those questions before you go in for treatment. If you only knew how much our electricity and maintenance bill is every month to keep our MR machine on you would understand. ... try 25 grand just to break even. But I dont expect you to know that or anyone else that is upset about billing practices.. I understand both sides but you should really know what you are signing or dont sign it |
![]() |
![]() ![]() |
![]() |
#9 |
Ten Point
Join Date: Dec 2010
Location: lakeway
|
![]()
Also if you need an MRI or CT just let me know I'll help you out get your scan zero cost to you and promise you wont get a balance bill but we will try to hammer your insurance with one
|
![]() |
![]() ![]() |
![]() |
#10 |
Eight Point
Join Date: Mar 2014
Location: Navarro County
Hunt In: TX, NM, CO
|
![]()
Got dehydrated drank a big coffee, heart started racing.
Family started freaking and made me go to the ER 1 ekg and a bag of fluid heart rate went back down. Bill came for the dr that never touched me and Two hour Er visit. $7,000. When I went in I told them my deductible was $6000. So I was cash pay. They rang it up as insurance. When I called about the bill the girl said it would have been 40% less as cash pay. |
![]() |
![]() ![]() |
![]() |
#11 |
Pope & Young
Join Date: Sep 2013
Location: 3rd Coast
Hunt In: Batson
|
![]()
I’m working on a 500k bill at Texas Children’s
Worth every penny though |
![]() |
![]() ![]() |
![]() |
#12 |
Ten Point
Join Date: Jan 2017
Location: Sisterdale
Hunt In: Sisterdale and el dorado , Jeff Davis, refugio/sinton , San perlita
|
![]()
I keep getting calls from a collection agency, from a ER visit from a doctor that charged me $1000 to read my chart and tell me to drink more water to get my blood sugar down and prescribed seeing my PCP about changing my diabetes medicine, he was out of my insurance network so I was deemed at fault
|
![]() |
![]() ![]() |
![]() |
#13 |
Pope & Young
![]() Join Date: Oct 2006
Location: White Oak
Hunt In: Bee County
|
![]()
Does anybody disagree that our healthcare system is broken!
|
![]() |
![]() ![]() |
![]() |
#14 | |
Pope & Young
Join Date: Oct 2008
Location: The Woodlands
Hunt In: Uvalde, Boerne
|
![]() Quote:
|
|
![]() |
![]() ![]() |
![]() |
#15 |
Ten Point
Join Date: Aug 2015
Location: Leftern Washington
Hunt In: Wherever I can
|
![]() |
![]() |
![]() ![]() |
![]() |
#16 |
Six Point
Join Date: Feb 2014
|
![]()
*
|
![]() |
![]() ![]() |
![]() |
#17 |
Ten Point
Join Date: Oct 2015
Location: Mesquite
Hunt In: where ever I can
|
![]() |
![]() |
![]() ![]() |
![]() |
#18 |
Pope & Young
Join Date: May 2009
|
![]() |
![]() |
![]() ![]() |
![]() |
#19 |
Ten Point
Join Date: Dec 2011
Location: Dayton TX
|
![]()
My wife had a ruptured disk in her lower back. We went to a specialist in Houston. He did the normal x-rays and the talk about everything. He then told me it was going to cost about 20,000 dollars. I said well you are going to have to bill me as I didn't have insurance at the time. Working for a contractor at the time. He said oh you have no insurance you didn't tell me that hang on. He went back to his office and came back and told me the cost would be 6500 for everything payment up front.
Then I was thinking to myself that's why insurance cost so much. |
![]() |
![]() ![]() |
![]() |
#20 |
Pope & Young
![]() Join Date: Apr 2007
Location: Alvin, Texas
Hunt In: Pow Pow!
|
![]()
I though it was because everyone has to pay for the ones that don't?
|
![]() |
![]() ![]() |
![]() |
#21 |
Pope & Young
Join Date: Nov 2016
Location: Mid County
Hunt In: Public
|
![]()
Man I was fired up about this yesterday! My developmentally delayed (born early) 2 year old needs speech therapy. To file with insurance is $260 a visit, recommend twice per week.
Cash payment without insurance is $60. We have a high deductible plan before 90/10 kicks in. So this is just a bull**** deterrent to keep us from filing anything towards that deductible. Last edited by JLivi1224; 01-14-2020 at 07:05 AM. |
![]() |
![]() ![]() |
![]() |
#22 |
Eight Point
Join Date: Jun 2017
Location: Houston
Hunt In: Classified
|
![]()
Before they even have a chance to "cover their costs", the poor person billing it must have to go through calculus to figure how to code the stuff. Went to a PCP. Should be $25 copay. Sir it's gonna be $120. Uhh no it ain't. ER used to be just a $100 copay. Now it's $300 plus whatever else they add. I get it, this stuff is expensive, but they obviously make it where you can't understand so there's no way to keep them from overcharging.
|
![]() |
![]() ![]() |
![]() |
#23 |
Pope & Young
Join Date: Nov 2016
Location: Mid County
Hunt In: Public
|
![]()
Here’s another doozie - the twins mentioned above were on the NICU for 36 days.
Anyone want to take a guess at total cost per child before insurance?? 1.1M per child! Really!? People were great, but that’s asinine! |
![]() |
![]() ![]() |
![]() |
#24 |
Ten Point
![]() Join Date: Jul 2016
Location: Houston Texas
Hunt In: Gillespie Co, Kimble Co, Liberty Co.
|
![]()
Thats crazy..
|
![]() |
![]() ![]() |
![]() |
#25 |
Pope & Young
![]() Join Date: Oct 2008
Location: Harris County
Hunt In: IA + MA
|
![]()
My wife’s PT is $400 per session. I know your pain. We’re about to pull the plug on it again.
|
![]() |
![]() ![]() |
![]() |
#26 | |
Ten Point
Join Date: Jan 2017
Location: Sisterdale
Hunt In: Sisterdale and el dorado , Jeff Davis, refugio/sinton , San perlita
|
![]() Quote:
Example Our pcp doctor had a small practice 3 people in the past Now they have 15+ people sole jobs are to deal with and file insurance paperwork, another group that shuffled around the x ray ,ct mri , then they have a office manager to keep it all running and organized. Crazy it now takes over a dozen people to run one office Same with our dentist, and eye doctor,ect Huge job base And the equipment in all the offices x-ray , ct ,ect have to have specific technical issues and operations Horrible ![]() Sometimes we get bills from 3-8 months before that has been in the paper shuffle Between insurance company and care providers Last edited by pilar; 01-14-2020 at 08:37 AM. |
|
![]() |
![]() ![]() |
![]() |
#27 |
Pope & Young
Join Date: Oct 2006
Location: Magnolia, TX/ Kinney& sometimes Leon
|
![]()
I dropped my normal healthcare when Obamacare kicked in. $1500/ month plus a $6850 per person deductible. I was 39, wife 37, and 3 small kids. I got catastrophic insurance and now operate on the monthly as a cash patient.
The reason in my opinion healthcare is so expensive, is due to the staff required to chase insurance payments. Since they have to chase the payments, they overcharge them, and the ruthless cycle continues. We recently needed basic vaccinations for school. My wife shopped for best pricing as a gringa. It was $760 at Walmart. I work in construction and see that most of my guys get the same stuff as every other kid at a fraction of the cost, so I started looking. Within 5 minutes I found a clinic with free vaccinations, the same ones. But the line was going to be long and no guarantee we could get them that day if they ran out of their allocation. I called another place and they said they had plenty, $20/shot, if 2 could be combined, it was $30/ shot, cash or credit card only, no insurance allowed. Showed up, place was clean, staff friendly, wait wasnt very long, went in and they were very efficient. Paid our $40 or $60,and left. Absolutely zero unnecessary office staff chasing payments and having to file and code things 4 different ways to maximize their accounts receivable. Yes we were the only non-Hispanic people in the joint, but that doesn't bother me a lick. In fact it verified to me I wasn't being wasteful and I had figured out the system. We now do this every single time we go to any medical place. Tell them, no insurance, cash. They help us with the bill, and if it is prescription related, they write it as generic, not name brand, and inform us where to get a coupon to get the best price offered as many pharmacies will price match. The price gap is HUGE!!!!. Sent from my SM-N950U using Tapatalk |
![]() |
![]() ![]() |
![]() |
#28 | |
Pope & Young
Join Date: Dec 2007
Location: Leander
Hunt In: San Saba
|
![]() Quote:
But this was happening long ago. My daughter just turned 18 and we didn't have insurance when she was born. "Normal" price was over 6k but cash up front price was about half that. I think now it's just magnified with lots of confusion. Everyone is basically trying to scam as much money as they can from the system. It's become a big game. |
|
![]() |
![]() ![]() |
![]() |
#29 |
Eight Point
Join Date: Jan 2019
Location: NE TX
Hunt In: KS, AR, TX,LA
|
![]()
Here is the scary thought, at least to me...
Where does it go from here?? |
![]() |
![]() ![]() |
![]() |
#30 | |
Eight Point
Join Date: Jan 2019
Location: NE TX
Hunt In: KS, AR, TX,LA
|
![]() Quote:
It's a self perpetrating bureaucracy that's spiraling out of control...as are many other things.... |
|
![]() |
![]() ![]() |
![]() |
#31 | |||
Pope & Young
Join Date: Dec 2007
Location: Leander
Hunt In: San Saba
|
![]() Quote:
Quote:
At some point working people will have to call BS10 and stop paying while everyone else is free (while still having all luxuries). Quote:
Also I still can't figure out what my insurance covers. Does anyone? I think it's completely random what I get charged. Last edited by RiverRat1; 01-14-2020 at 08:50 AM. |
|||
![]() |
![]() ![]() |
![]() |
#32 |
Pope & Young
Join Date: Oct 2006
Location: Allen, TX
Hunt In: Where ever I get a chance.
|
![]()
Back in 2016 I had to have 2 stents put in my heart. Went to Presbyterian and they tried a procedure that didn't work. Wound up at Baylor Heart Hospital. After it was all said and done, Presby billed insurance $90k just to use the OR. No doctors or anything. just to use the room. Baylor billed for the same only they billed for $40k. Less than half of what Presby billed!
|
![]() |
![]() ![]() |
![]() |
#33 |
Ten Point
Join Date: Jun 2016
Hunt In: Wisconsin, New Mexico, Colorado, Montana, Idaho
|
![]()
I got bloodwork done last summer. I was told there would be no bill. I knew this not to be true because they said the same thing the year prior. Got a bill for like $500 or something from the bloodwork people. I call the bloodwork people, they tell me since it's not preventative, it's not covered. I ask how much the bill would be if paying cash. They have no answer.
So I call my Dr, explain to her my family has a history of Type II Diabetes and high blood pressure/high cholesterol. All of a sudden my $500 bill goes to $0, and the amount charged to insurance goes to ~$50. Our system is absolutely broken. |
![]() |
![]() ![]() |
![]() |
#34 |
Pope & Young
![]() Join Date: Apr 2012
Location: Manvel, TX mostly in the Doghouse
Hunt In: My Truck at night.
|
![]()
I got a bill from a stand alone emergency room in Livingston, TX for $5k to remove a treble hook from my daughters foot. The Dr wasn't even strong enough to cut the barb off the hook and my Brother did it. Insurance paid them $3800 and they sent me a bill for the rest. I told them to go to hell.
|
![]() |
![]() ![]() |
![]() |
#35 |
Pope & Young
![]() Join Date: Dec 2009
Location: Houston
Hunt In: Killing Stuff These Days
|
![]()
Two years back we went on pay as you go. Had my PCP change the account to cash. Yes we do have BC/BS insurance. We have not turned in a penny to insurance so far, and the Dr gives us super cheep prices.
We will use BC/BS for only serious stuff........ |
![]() |
![]() ![]() |
![]() |
#36 |
Ten Point
Join Date: Jan 2010
Location: Here
Hunt In: The wilderness where the wild things are doing wild things.
|
![]() |
![]() |
![]() ![]() |
![]() |
#37 |
Pope & Young
![]() Join Date: Jan 2014
Location: Livingston
Hunt In: East TX, North TX, & SE Oklahoma
|
![]()
This is precisely why I have never had insurance. It is an absolute racket and to say that the system is broken is an understatement. With the current average deductibles and monthly payments for a family, it is not worth the cost for me. We will pay cash for the small stuff (just like the folks with insurance do) and negotiate and pay out any major thing should it happen. I am very thankful that my family is healthy thus far and I pray it stays that way. I understand why some older folks or folks with pre-existing conditions have to have it. It's sad that such a high percentage of one's income has to go to health insurance each month and then you still have to meet a very high deductible while not even being clear on what will be covered and how much it might be.
|
![]() |
![]() ![]() |
![]() |
#38 | ||
Pope & Young
Join Date: Dec 2007
Location: Leander
Hunt In: San Saba
|
![]() Quote:
Quote:
![]() Last hook I got in myself I just cut out myself. Made my brother hold my finger steady so I could cut. Figured it not only saved money but I'd have more fishing time....And they'd have cut it out the same way! |
||
![]() |
![]() ![]() |
![]() |
#39 | |
Eight Point
Join Date: Aug 2016
|
![]() Quote:
|
|
![]() |
![]() ![]() |
![]() |
#40 |
Four Point
Join Date: Dec 2013
Location: Montgomery
Hunt In: Moss Hill, Kansas
|
![]()
My wife went to an Urgent Care/ER for what she thought was appendicitis. They did a CT scan, gave her an IV and pain meds but never diagnosed her with anything other than saying it wasn’t her appendix. I was new to my job so we didn’t have our ID number yet and went with self pay. The bill was $11k, but they reduced it to $2400. I gave them the insurance info once I got it, they were paid $4500 from insurance and sent a bill to us for $6500. I talked to a supervisor and she “lowered” it to $1500. I told them they were paid for their services and won’t see a dime from us. They sent several past due invoices and then haven’t heard a word from them and they didn’t turn it over to collections.
|
![]() |
![]() ![]() |
![]() |
#41 |
Pope & Young
![]() Join Date: Oct 2006
Location: Paris
Hunt In: Lamar and Dickens
|
![]()
The service side of the system is fine, it is the billing side that has past our ability to pay. People complain that insurance is high, but it cost most people $100-300K just to die in a hospital, unless they are DOA. And we ARE ALL GOING TO DIE.
|
![]() |
![]() ![]() |
![]() |
#42 |
Ten Point
Join Date: Oct 2006
Location: Pleasanton
Hunt In: Blackhill, McCoy, Encinal
|
![]()
My wife Is a medical biller for a Ped's office. Long ago insurance companies decided they would only pay 40-60% of the cost of a procedure and or a visit, then some Docs just increased the price of the visit to get the amount they would of originally charged. Then the cycle began, insurance companies payed less, docs charged more and got less. Every month her AR for one practice is 45%-55% of what was billed and most of the time insurance companies just deny a claim hoping it will be missed or it will be denied over 90 days then provider can't collect. And that practice has not over inflated its pricing but has had to decide not to see certain children with certain insurance because they were going out of business from not getting paid at all. It is super jacked up, this is one place I think the government should regulate the insurance companies some how. I know intervention rarely works.
|
![]() |
![]() ![]() |
![]() |
#43 | |
Pope & Young
![]() Join Date: Oct 2006
Location: Paris
Hunt In: Lamar and Dickens
|
![]() Quote:
|
|
![]() |
![]() ![]() |
![]() |
#44 |
Ten Point
Join Date: Oct 2006
Location: Pleasanton
Hunt In: Blackhill, McCoy, Encinal
|
![]()
Totally agree, patients get the shaft for sure, but if pricing is standardized you would have to standardize Insurance reimbursements. If you didn't the care you would get would be substandard because Docs would have to see 2 to 3 times the amount of patients in a day to keep the practice going.
|
![]() |
![]() ![]() |
![]() |
#45 |
Pope & Young
Join Date: Aug 2014
Location: Central Tx
Hunt In: NTX
|
![]() |
![]() |
![]() ![]() |
![]() |
#46 |
Pope & Young
Join Date: Aug 2014
Location: Central Tx
Hunt In: NTX
|
![]() |
![]() |
![]() ![]() |
![]() |
#47 |
Ten Point
Join Date: Jul 2013
Location: Briscoe Tx
Hunt In: Hemphill Co
|
![]()
Last year I needed a particular script and the insurance kept rejecting it. They were wanting me to go to a lab and have several tests run before approving me for the medication I needed. I finally asked the pharmacist how much the medication was and it was only $20. I paid it myself and went on. It would have easily been another $500 bill for a $20 bottle of pills to the insurance had I not just paid for the medicine myself. I thinks its mismanagement all the way around.
![]() Sent from my SM-G973U using Tapatalk |
![]() |
![]() ![]() |
![]() |
#48 |
Pope & Young
Join Date: Nov 2016
Location: Mid County
Hunt In: Public
|
![]()
It’s a simple fix, but there’s trillions of dollars lobbying against it. Make no mistake. The way you fix the entire system is you make them compete. You open up the state lines and have transparency pricing. The rest will naturally sort itself out through the free market system. That is capitalism, fellas! And the insurance industry should not be exempt from what all of us are subject to. It’s a racket, and it’s bull****.
|
![]() |
![]() ![]() |
![]() |
#49 | |
Pope & Young
![]() Join Date: Nov 2009
Location: Brazoria county
Hunt In: Brady,McCulloch Cnty, Brazoria cnty, South Africa, Namibia Nebraska
|
![]() Quote:
IF there is any hope Trump is it.. They fight him at every turn though.. It will probably never be fixed.. Last edited by ttaxidermy; 01-14-2020 at 02:03 PM. |
|
![]() |
![]() ![]() |
![]() |
#50 |
Pope & Young
Join Date: Nov 2016
Location: Mid County
Hunt In: Public
|
![]()
It is also intentionally convoluted, and difficult. As someone who has had an extreme amount of medical debt in the past, sometimes it will take me an hour on the phone just to iron out a small issue. At one point it was literally a full-time job for my wife to address and pay bills.
|
![]() |
![]() ![]() |
![]() |
Thread Tools | |
Display Modes | |
|
|