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GLD 366.51+1.2%Nov 5 4:00 PM EST
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To: Cogito Ergo Sum who wrote (148995)6/5/2019 3:32:34 AM
From: Elroy Jetson1 Recommendation

Recommended By
elmatador

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I see the same deal with joint replacement in the US with insurance companies or Medicare approval.

People get "staged" by how bad they are, involving years of wait - not for an operating room, but a wait until the joint is "bad enough" to qualify being replaced.

When I fell off a wall 7 years ago my ankle was quite thoroughly broken in 7 pieces and fixed with titanium, starting that evening and over the next six days at Cedars-Sinai in LA. Recovery and healing obviously longer. The whole experience cost insurance payments of $118k. With titanium parts it was like my ankle was never broken.

But once healed a coupe of years later I realized the accident had destroyed the meniscus in my left knee as well.

Cedars-Sinai osteopathic surgical group that year was now out of network for me. Going to the insurance company approved hospital I could see they were essentially going to be putting me on a long multi-year glide slope to a knee replacement - once it got bad enough.

I went back to the Cedars-Sinai osteopathic group which had a surgeon with a tool to make a really revolutionary menicus repair mostly with suture tightened enough to expose only the cartilage to the joint. I cut a cash deal for a mere $4,700 for the entire procedure and anesthesia in an outpatient surgical center rather than Cedars.

If had waited two years, Cedars-Sinai was back in-network.

Healthcare in the US is different from Canada but also the same. If you can pay out of pocket the $118k - it wouldn't have mattered if Cedars-Sinai was not in-network the year I broke my ankle. Fortunately it wasn't.
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