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Politics : Actual left/right wing discussion -- Ignore unavailable to you. Want to Upgrade?


To: michael97123 who wrote (124)9/6/2006 3:02:35 PM
From: JeffA  Read Replies (2) | Respond to of 10087
 
My sis-in-law works her butt off. She doesn't have health insurance. Your health plan may get a write off to $20, she don't.



To: michael97123 who wrote (124)9/6/2006 3:41:14 PM
From: Jim S  Read Replies (2) | Respond to of 10087
 
No, Mike, I don't have a PPO. My health insurance is very similar to Medicare, and pays the same provider prices. Other charges are similar, but a bit less dramatic, such as a Dr visit being charged $120, accepted as being worth $50, with the insurance paying $42 and my copay being $8. Very similar to what medicare does.

If we could all get medicare prices, we could pay for our routine health care without insurance, and would only need catastrophic insurance for things that really cost a lot. Catastrophic coverage (say, for expenses that exceed $500, $1000, or whatever we think we need) would be pretty durn cheap. All the people who work at the small clinic in a small town that I go to seem to be doing pretty well financially, and a large part of their patients are on medicare. Which leads me to believe that the high charges they quote are excessively high. Sorta like used car dealers, actually -- the asking price is well above their costs, and even settling for "Blue Book" sales prices, they still make quite a bit.

I'm not knowledgeable of national figures and statistics regarding healthcare, I can only look to my own little microcosm. And in that little tiny part of the big picture, the providers are overcharging those who don't have health insurance.



To: michael97123 who wrote (124)9/6/2006 4:12:06 PM
From: Lazarus_Long  Read Replies (2) | Respond to of 10087
 
Does this make you wonder what's REALLY going on with medical prices? Is the hospital willing to accept a contract write-off because they KNOW they will be paid by the insurance company, whereas if Joe Blow walks in without insurance, maybe they get paid, maybe not?

I've had a $30K hospital bill settled for $6K by the insurance company and another one for $50K settled for $8K. How could the possibly do this if their real costs were their billed costs?