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Old 02-06-2014, 11:45 AM
 
Location: East Northport
3,351 posts, read 9,763,579 times
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It appears that Stony Brook University Hospital has determined not to accept any of the insurance plans being offered in New York under the Affordable Care Act.

Stony Brook University Hospital Opts Out Of ObamaCare | Long Island | New York Insurance
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Old 02-06-2014, 12:05 PM
 
863 posts, read 2,108,586 times
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Alert the media. You can still get treated without insurance, they can't refuse to treat you, however with the number of people dying in hospital emergency rooms these days it doesn't matter much either way. On another note they will sue SBU Hospital and they will eventually cave because the federal funds they receive possibly keep them operating
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Old 02-06-2014, 12:10 PM
 
1,110 posts, read 672,747 times
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A wise and pertinent business decision.

The reimbursement scale on the State exchange plans are so embarrassingly low that the hospital would be operating at a loss when accepting them (so the only way to bring to books back into balance would be to overcharge those with plans or cash that would accept resolving those bills at the overcharged rate).
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Old 02-06-2014, 12:25 PM
 
Location: Nassau, Long Island, NY
16,408 posts, read 33,314,963 times
Reputation: 7341
Quote:
Originally Posted by AKA Bubbleup View Post
A wise and pertinent business decision.

The reimbursement scale on the State exchange plans are so embarrassingly low that the hospital would be operating at a loss when accepting them (so the only way to bring to books back into balance would be to overcharge those with plans or cash that would accept resolving those bills at the overcharged rate).
Isn't that what hospitals have been doing for decades already as a standard M.O.? For example ... to make money back on the uninsured who don't pay their bills and low Medicaid and Medicare reimbursements? You act like this is something hospitals would NEVER ever think of doing ...
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Old 02-06-2014, 12:28 PM
 
Location: Nassau, Long Island, NY
16,408 posts, read 33,314,963 times
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Quote:
Originally Posted by nycbrooklyn View Post
Alert the media. You can still get treated without insurance, they can't refuse to treat you, however with the number of people dying in hospital emergency rooms these days it doesn't matter much either way. On another note they will sue SBU Hospital and they will eventually cave because the federal funds they receive possibly keep them operating
Oh yes they can. They can refuse you for elective surgery for example.

They only cannot refuse to treat you if the situation is IMMEDIATELY life threatening, so if you have a bad gallbladder, you need to come in EXACTLY when it is ready to pop or they can STILL turn you away.
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Old 02-06-2014, 01:05 PM
 
133 posts, read 283,801 times
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Quote:
Originally Posted by I_Love_LI_but View Post
Oh yes they can. They can refuse you for elective surgery for example.

They only cannot refuse to treat you if the situation is IMMEDIATELY life threatening, so if you have a bad gallbladder, you need to come in EXACTLY when it is ready to pop or they can STILL turn you away.
Where are you getting this information from? Do you just make it up as you go along?
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Old 02-06-2014, 01:09 PM
 
Location: Nassau, Long Island, NY
16,408 posts, read 33,314,963 times
Reputation: 7341
Quote:
Originally Posted by whinnner1 View Post
Where are you getting this information from? Do you just make it up as you go along?
Go and try to check in to get treated at a private hospital with no insurance for a non-emergency situation and see what happens. Don't believe me by any means. Why should you?

By the way, are you a jerk with nothing better to do than to bother me? I have to warn you, I've been bothered by the best (most annoying) "nudges" on CD LI.
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Old 02-06-2014, 01:52 PM
 
3,669 posts, read 6,578,451 times
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Stony Brook is an outlier in the region and so this isn't really as big a deal as it may seem. I'm also willing to bet that there were plenty of plans they also didn't except before the ACA even existed.

Quote:
Originally Posted by I_Love_LI_but View Post
Oh yes they can. They can refuse you for elective surgery for example.

They only cannot refuse to treat you if the situation is IMMEDIATELY life threatening, so if you have a bad gallbladder, you need to come in EXACTLY when it is ready to pop or they can STILL turn you away.
Are the uninsured really having rhinoplasty procedures performed?
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Old 02-06-2014, 02:35 PM
 
Location: Nassau, Long Island, NY
16,408 posts, read 33,314,963 times
Reputation: 7341
Quote:
Originally Posted by NYC2RDU View Post
Stony Brook is an outlier in the region and so this isn't really as big a deal as it may seem. I'm also willing to bet that there were plenty of plans they also didn't except before the ACA even existed.



Are the uninsured really having rhinoplasty procedures performed?
Rhinoplasty is most often NOT reimbursed by insurance, for your information.

Insurance doesn't pay for rhinoplasty in most cases because most people opt for it for cosmetic reasons, rarely is it actually performed because it is medically necessary and thus reimbursable by insurance.

PS: That's "accept" not "except." Look up the meanings of the words in the dictionary; big difference.
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Old 02-06-2014, 02:56 PM
 
4,676 posts, read 9,997,426 times
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Hmmmmmmmm.....I wonder if there is any provision in the Federal fine print of this act to address just this type of situation.

Hospitals receive all sorts of Federal funds.......Hill Burton, Medicare PIP, etc.
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