• jaschen@lemm.ee
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    9 months ago

    I paid 1200 USD a month for a family of 3 for my health insurance to have the privilege of paying more a hospital bill.

    I had to go to the ER because I slit my pinky on some glass and waited in the ER for 5 hours. They had to rip then dried blood and paper towel that was stuck on my finger because it took so long.

    After all that, I had to pay 3000usd of my own money which didn’t cover my minimum. Why DA FUCK DO I EVEN NEED INSURANCE!?!?!?

    The fucking nurse on staff that came to help me for a few minutes was not within my network. Ya fuck that hospital too.

    • spider@lemmy.nz
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      9 months ago

      The fucking nurse on staff that came to help me for a few minutes was not within my network.

      Oh, that’s unfortunately quite common in the States – the hospital itself might be in your network, but their own ER docs, etc. are technically contract employees who are not. So then you get out-of-network bills.

      Imagine trying to sort through all this when, for example, you’re having trouble breathing and need immediate medical care.

      It’s f**ked up, bad, and has been for years.

    • june@lemmy.world
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      9 months ago

      For small wounds like that I generally recommend an urgent care clinic over the ER. Way cheaper and they can handle that shit. Save the ER for proper trauma.

      • JasonDJ@lemmy.zip
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        9 months ago

        Sure. If the urgent care is open.

        God forbid you slice your hand open outside of regular business hours.

        I used to get some random unexplained swelling in one leg. My wife has a family history of blood clots. I don’t , but that doesn’t keep her from panicking, or from inciting my own panic. Only way to know for sure that it’s not a clot, as far as anyone told me, is imaging…sonograms specifically.

        I don’t think any urgent care around me has sonograms. It’s ER, or get PCP to refer out and have an appointment in 3 weeks.

        If you Google “Ultrasound Machine” and look at the shopping listings, you’ll find more than a few entire fucking machines that cost less than half of just one of those visits. And what did I have for that time? A few hours of waiting, interspersed with 5 minutes with an ultrasound tech, and 20 seconds with a doctor telling me (in the hallway) that nothing was wrong.

        • june@lemmy.world
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          9 months ago

          Yes, this was general advice. If there’s no urgent care open and you need to see someone more immediately, go to the ER. For a cut that needs stitches, you can probably wait for the urgent care to open.

    • jeffw@lemmy.worldM
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      9 months ago

      It’s illegal for them to send you a bill because a provider isn’t your network. One of the few good things passed under Trump. Lmk if you need any specific help or information in disputing that bill.

      Edit: assuming this ER visit happened on or after 1/1/2022. Or potentially earlier depending on your state.

      • jaschen@lemm.ee
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        9 months ago

        It has been years. I actually decided to move out of the USA. Paid the bill and decided to be more careful.

    • SeaJ@lemm.ee
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      9 months ago

      My wife had to go to the ER and we went to a hospital that was in network. The hospital is indeed in network but the fucking ER is a separate entity and was not. I guess we should have been better informed consumers. /s

      • Styxia@lemmy.world
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        9 months ago

        ER was in-network. The nurse and doctor was also in-network. The second nurse, who connected me to the ECG, and the person who read the ECG was not in-network. No way of knowing at the time. Balance billing was permitted in that state at that time, which out-of-network provider used to the full extent.

        I’m still salty about that.

        • nybble41@programming.dev
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          9 months ago

          That part is messed up. You shouldn’t be dealing with individual contractors as a patient. All billing should go through the hospital, and be considered in-network provided the hospital is in-network, regardless of what kind of specialist sees you there. Any exception, such as bringing in someone who doesn’t normally work there to treat a rare condition, should require separate and specific authorization from the patient in advance.

          • Styxia@lemmy.world
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            9 months ago

            Ridiculous isn’t it? I had my annual physical a few weeks back, which for me is filling an online form and having my blood pressure read and a few blood tests. $550, insurance pays for everything.

            Well. Almost. Turns out 2 of my blood tests were not covered by some healthcare bill passed in 2007. $267. And the mole I asked to be checked, billing code wasn’t covered as standard checkup, and so that question was $240. Mole was benign, and surprisingly didn’t result in some convenience fee.

      • jaschen@lemm.ee
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        9 months ago

        That is seriously fucked up.

        For me, I called my insurance on the phone while bleeding profusely and wanted to make sure I went to the right hospital. I still got hit with out of network bills.

      • Billiam@lemmy.world
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        9 months ago

        We have waits for specialists too. To get my vasectomy, I had to wait six weeks from my referral to my first consult, then another month from the consult to the actual surgery.

        And then I got a bill from the surgical center, a bill from the urologist, and a bill from the anesthesiologist, despite only going to one office for the whole thing.

        • PaleRider@feddit.uk
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          9 months ago

          I’m in the UK. From my first enquiry to the operation was about the same…

          … but I didn’t get any bills after.

      • SeaJ@lemm.ee
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        9 months ago

        Where the fuck are you in the US that you do not have to wait for specialists? You living in Fantasy Land? Even a simple specialist like a dermatologist is a 2-3 month wait.

        • jaschen@lemm.ee
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          9 months ago

          He said UK. We only wish we only needed to wait 2 weeks for a specialist.

        • nonailsleft@lemm.ee
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          9 months ago

          Yeah I know, it was a cruel joke. But if you talk to a con about this, you’re sure to find this in their argument salad

      • jeffw@lemmy.worldM
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        9 months ago

        OECD data shows that wait times don’t significantly vary based on how a system is funded. The USA is just plain bad at wait times. That being said, the UK’s system is not the best example.

      • jaschen@lemm.ee
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        9 months ago

        Lol, we wish we could wait 2 weeks. My wife needed a tumor removed in her stomach and took 6 months.

      • june@lemmy.world
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        9 months ago

        I just scheduled and appointment for my PCP. His next available is in June. Fucking 4 months for primary care.

        I’ll take wait times in the UK with no bill over this bullshit any day.