HOW WAS YOUR DAY

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Brentai
Woah Dangsaurus
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Re: HOW WAS YOUR DAY

Postby Brentai » Wed Jun 06, 2018 12:31 pm

Most offices I've been to admit it's their own damn fault if the insurance company doesn't cover what they charged, but I suppose I live in an area where people tend to be lawyers.

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Grath
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Joined: Mon Jan 20, 2014 7:34 pm

Re: HOW WAS YOUR DAY

Postby Grath » Wed Jun 06, 2018 1:27 pm

beatbandito wrote:As the consequences of me going HAM with my new good insurance finally catches up to me, I get to learn about "Balance Billing".

That's where you ask your insurance what doctor to go to, that doctor asks the insurance what work they can do, the insurance company pays for the work, then the doctor turns around and tells me they want more than the insurance company gave them and now that's my problem.

My impression was that wasn't actually allowed; my mom used to do billing for a Chiropractor's office and he had specifically inflated his prices (with a "cash at time of service discount" for the uninsured) so that he'd still make enough money to stay in business after the insurance companies said "we don't think your work is worth that much money, we'll only pay 85-90%, and no you can't bill our customers for that either."

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beatbandito
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Re: HOW WAS YOUR DAY

Postby beatbandito » Wed Jun 06, 2018 1:49 pm

It seems like federally it's completely illegal if medicare approved the charges. For New York specifically it's totally illegal for out-of-plan services in the same building as your in-plan provider. However there doesn't seem to be any specific rule about the doctor deciding that the amount they were paid by insurance wasn't enough if they're in-plan for approved work.

Fortunately / Unfortunately that's as far down the rabbit hole as I need to go, it appears it's just a very small, specific type of testing (for anus shades, if you must know) that has a deductible on my plan, and only like 20% of the charge goes to it. I've only ever had "we pay nothing until you hit the deductible" before, so this kind of billing was alien to me.
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Mongrel
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Location: Canadumb

Re: HOW WAS YOUR DAY

Postby Mongrel » Wed Jun 06, 2018 2:01 pm

beatbandito wrote:(for anus shades, if you must know)


A haunted bunghole seems like something you'd talk to a parapsychologist about, rather than a GP.

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Mongrel
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Location: Canadumb

Re: HOW WAS YOUR DAY

Postby Mongrel » Mon Jun 11, 2018 4:22 am

Bought a toy plane on ebay from a guy in Michigan. Dude sends the wrong one. Gets me to return it, which is kind of dumb because it costs way more than just letting me keep it (the plane was $15, but shipping was $25), which is what most sellers do in this kind of situation. But whatever, he wants it back, he covers shipping, okay sure.

After I ship it back he replies "Oh man I wish I had known you live in Canada, cos I also have a Canadian address."

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EDIT: Oh, and this was after he told me "I can't just print and send you a return label since you're not in the US"
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Yoji
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Re: HOW WAS YOUR DAY

Postby Yoji » Sun Jun 17, 2018 6:35 pm

It's nearing nap time, so we better get kiddo to the park and let him burn off some energy... wait, they have an honest-to goodness sandbox. We better bring sand toys!

(fifteen minutes later)

Oh crap, there's a whole church's worth of families here. Oh crap, their kids want to play with us... well, I guess there's no harm in sharing.

(fifty seconds later)

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