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Old 03-30-2012, 09:08 AM
 
Location: Gone
25,231 posts, read 16,944,857 times
Reputation: 5932

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Quote:
Originally Posted by blackandproud View Post
Again, reading comprehension. Go back and read post #22. I called the insurance company to dispute it. Even thought the insurance company made the payment I wanted to know WHY wouldn't they question the amount.
Some information for you and all the other readers here:
It is common practice by insurance companies to question the amounts charged by doctors and hospitals, the common statement is that the cost charged exceeds what they consider the normal charges for the services in question. The answer is to always bring the notice to your doctor or hospital and they write back to the insurance company that the charges are correct for the services provided and guess what; the insurance company pays the disputed amount. It is a scam that insurance companies run and many people are clueless to what is being done and end up pay the amount themselves; hence saving the insurance company Millions every year. JUST SO YA KNOW.
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Old 03-30-2012, 09:13 AM
 
Location: Fairfax, VA
3,826 posts, read 3,389,337 times
Reputation: 3694
Quote:
Originally Posted by subsound View Post
Wow? That's basic economics.

People who can't afford to go to the doctor will often go to the emergency room, the second most expensive area of the hospital in terms of direct costs. Instead of clinics or doctors offices, which are fairly cheap. If those people can't pay the money still needs to come from somewhere, by increasing prices to other patients. Those patients pay higher co-pays and premiums because of it.

A 10 year old should be able to reason through this without difficulty.

I thought you were against choices that made other people bear the cost?

If you mow your own lawn you are depriving a lawncare service from commerce and economic activity. Where does it end?
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Old 03-30-2012, 09:13 AM
 
2,836 posts, read 3,496,916 times
Reputation: 1406
That's why health insurance companies should not be regulated. Their purpose is to provide the least coverage for the most money; to deny claims; and pay big bonuses to their CEO's. That's the American way!
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Old 03-30-2012, 09:16 AM
 
Location: The Republic of Texas
78,863 posts, read 46,645,820 times
Reputation: 18521
Quote:
Originally Posted by Wendell Phillips View Post
That's why health insurance companies should not be regulated. Their purpose is to provide the least coverage for the most money; to deny claims; and pay big bonuses to their CEO's. That's the American way!


Or mandate the insurance companies go back to being non-profit organizations, like they started out to be.

The profit part of the equation, seems to be the elephant in the room.
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Old 03-30-2012, 09:18 AM
 
14,292 posts, read 9,682,360 times
Reputation: 4254
Quote:
Originally Posted by Casper in Dallas View Post
Some information for you and all the other readers here:
It is common practice by insurance companies to question the amounts charged by doctors and hospitals, the common statement is that the cost charged exceeds what they consider the normal charges for the services in question. The answer is to always bring the notice to your doctor or hospital and they write back to the insurance company that the charges are correct for the services provided and guess what; the insurance company pays the disputed amount. It is a scam that insurance companies run and many people are clueless to what is being done and end up pay the amount themselves; hence saving the insurance company Millions every year. JUST SO YA KNOW.
If your operation involved complications and the costs were higher then normal, your doctor can respond to your insurance company to explain this, and they will cover the increase.
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Old 03-30-2012, 09:20 AM
 
14,292 posts, read 9,682,360 times
Reputation: 4254
Quote:
Originally Posted by Wendell Phillips View Post
That's why health insurance companies should not be regulated. Their purpose is to provide the least coverage for the most money; to deny claims; and pay big bonuses to their CEO's. That's the American way!
...and of course, Medicare refuses and drops more claims then any of the private health care insurance providers.
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Old 03-30-2012, 09:20 AM
 
Location: Gone
25,231 posts, read 16,944,857 times
Reputation: 5932
Quote:
Originally Posted by OICU812 View Post
If your operation involved complications and the costs were higher then normal, your doctor can respond to your insurance company to explain this, and they will cover the increase.
Correct, unfortunately many people are not aware that this is a common practice for all sorts of claims.
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Old 03-30-2012, 09:22 AM
 
2,836 posts, read 3,496,916 times
Reputation: 1406
Quote:
Originally Posted by BentBow View Post
Or mandate the insurance companies go back to being non-profit organizations, like they started out to be.

The profit part of the equation, seems to be the elephant in the room.
When it comes to your personal health, should money matter? To have good health is worth more than all the wealth in the world; for without health, nothing else is worth having. You can count on it.
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Old 03-30-2012, 09:25 AM
 
Location: Dallas, TX
31,767 posts, read 28,827,269 times
Reputation: 12341
Quote:
Originally Posted by BentBow View Post
Or mandate the insurance companies go back to being non-profit organizations, like they started out to be.

The profit part of the equation, seems to be the elephant in the room.
Many of us aren't as charitable or in bed with corporate interests as y'all. I would rather have every penny from my pocket be used for the purpose I put it forth.

May be the insurance companies be left unregulated. Great idea if the rest of us get to choose between that, and public options. That will be pretty close to Germany's system (although, Germans benefit from some strict regulations on insurance companies).
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Old 03-30-2012, 09:28 AM
 
6,902 posts, read 7,539,963 times
Reputation: 2018
All I'm saying is, yes lets ensure everyone has access to health care, but at the sametime, something has got to be done about the costs. ER visits are ridiculous and tax payers no matter what will continue to pay for it in the end.
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