
Kaleesa
@Kaleesa
9 Years
Comments: 0 · Posts: 98 · Topics: 5



Posted by irreconcilabledifferences
😐

Posted by irreconcilabledifferencesPosted by KaleesafinePosted by irreconcilabledifferences
😐
Do you have insurance?
I want to know because a lot of people use their healthcare as their reason they voted for Trump. It is in light of all the other topics just narrowing down this subject specifically layer by layer.
How bad/good IS insurance compared to others?
medicard
about $ 600 a year
never use it or get sick except if i eat sweet potatosclick to expand


Posted by lisabethur8No, self pay and NOT insured. Thanks for providing the link, I am reading it now.
you said you're self pay insured? is that from your work then?
i'm not u.s. but, it's interesting to find out what's going to happen in the near future.
I think the TrumpCare, that's going to replace ObamaCare, is not going to take into effect until January.
http://www.huffingtonpost.com/entry/donald-trump-obamacare-replacement_us_56d7b3fde4b0ffe6f8e834f1
"so people are going to look for other healthcare.
Today, anyone who gets health insurance from an employer already doesn’t pay taxes on the value of that fringe benefit. This proposal would level the playing field for people who buy health coverage directly from an insurer, although they already can deduct the cost now under limited circumstances.
That may be a great deal for people who make a lot of money, giving them a big new tax break. But anyone with a low income or middle income may still find health insurance unaffordable — and that’s especially true for those who earn so little that the cost of insurance is higher than what they owe in taxes. And this would be enormously expensive for the government"

Posted by WiseOwlYea, 😢 Ive yet to find a private insurance that DOES cover hearing aids && they are crazy expensive too! You have to purchase EACH hearing aid right? They do not come in a "pair." My dad had to pay over $ 1,000 per ear and he has a great plan under BCBS.
I have UnitedHealthCare For me it's a waste of time. They won't cover my Hearing Aids I need those to hear. I'm surprised they covered my eyeglasses.


Posted by Deedee86Eck! And thankfully you DID have insurance to cover the exceptionally high prices for your appendectomy ya know (Hospital bills are meticulously itemized and up-charged). So, you paid for insurance and you had a $ 5,000 deductible but you still owed around $ 11,000? What are you disputing for $ 6,700?
I was uninsured and self pay for all of my adult life. I purchased insurance through the exchange in January 2015. For just myself, the premium is $ 498 monthly plus $ 5000 deductible and high copays. Copay for a CBC was $ 100. They removed my insurance at the lab and charged me $ 60 for self pay!
Also, the coverage is terrible. Many tests and procedures are rejected or they don't pay as much as the hospital charges. I will say that I was lucky to have insurance in 2015 though. I spent my entire life without as much as a flu and ended up with a ruptured appendix in February 2015 followed by lots of complications.
Without insurance I would've ended up with a minimum $ 30000 bill. With insurance I thought that I ended up with around $ 11,000 total but I just received something in the mail yesterday that I'm disputed for $ 6700.
I did dump the insurance a couple months ago so now I have no coverage whatsoever. I'm hoping to find something less expensive for next year.

Posted by fugu2State plan? That's not shabby at all. Any idea your deductible? What about generic prescriptions?
I get insurance through work. $ 50 copay
MA

Posted by TheLibraMudra
Regence Blue Shield
Delta Dental
VSP vision
-free
-free for my child
- $ 30 copays
I'm very blessed to work in a children's hospital

Posted by KaleesaPrescriptions are like $ 10. Unfortunately I don't know my deductible, and it's not a state plan, but a private insurer.Posted by fugu2State plan? That's not shabby at all. Any idea your deductible? What about generic prescriptions?
I get insurance through work. $ 50 copay
MA
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Posted by fugu2Thanks! Sounds like a good one.Posted by KaleesaPrescriptions are like $ 10. Unfortunately I don't know my deductible, and it's not a state plan, but a private insurer.Posted by fugu2State plan? That's not shabby at all. Any idea your deductible? What about generic prescriptions?
I get insurance through work. $ 50 copay
MA
click to expand


Posted by sultrykittySo do you keep your insurance plan in case of a medical emergency? Or to prevent from paying the fine? (My fine this year was around $ 800. I wonder if I'll have to pay a fine again next year or if it will change)
I'm in Oregon, most employers here pay for or offer health insurance. I have mine through my employer and pay about $ 130 a month for my plan. I pay $ 25 a visit for a regular doctor in the network or $ 45 for a specialist. I have a $ 1500 deductible for other services and another $ 1200 deductible for prescriptions. Once I reach my deductible (ie never), insurance pays 80% .
I have a chronic disease (autoimmune) and take meds (replacement hormones), amd see mu doc every 6 months. Otherwise, I'm generally healthy.
My doctor (naturopath) charges $ 210/visit plus whatever supplements I need, and he writes my prescriptions. My meds are cheaper ro buy out of pocket so I don't use my insurance. My labs aren't paid for until the deductible so those are out of pocket (he has an arrangement with a lab that means labwork that can be upwards of $ 750 only costs me $ 45).
So really, I would be much better off not buying insurance amd just paying out of pocket.
In the "old days", if I didn't have employer insurance, I would get a catostrophic plan for cheap amd then pay my naturopath or am urgent care clinic out of pocket when I need it.
I can't imagine having to pay $ 500+ a month for health care, especially if I rarely or never went to the doctor. Yet someone felt that others should be forced to.

Posted by KaleesaPosted by Deedee86Eck! And thankfully you DID have insurance to cover the exceptionally high prices for your appendectomy ya know (Hospital bills are meticulously itemized and up-charged). So, you paid for insurance and you had a $ 5,000 deductible but you still owed around $ 11,000? What are you disputing for $ 6,700?
I was uninsured and self pay for all of my adult life. I purchased insurance through the exchange in January 2015. For just myself, the premium is $ 498 monthly plus $ 5000 deductible and high copays. Copay for a CBC was $ 100. They removed my insurance at the lab and charged me $ 60 for self pay!
Also, the coverage is terrible. Many tests and procedures are rejected or they don't pay as much as the hospital charges. I will say that I was lucky to have insurance in 2015 though. I spent my entire life without as much as a flu and ended up with a ruptured appendix in February 2015 followed by lots of complications.
Without insurance I would've ended up with a minimum $ 30000 bill. With insurance I thought that I ended up with around $ 11,000 total but I just received something in the mail yesterday that I'm disputed for $ 6700.
I did dump the insurance a couple months ago so now I have no coverage whatsoever. I'm hoping to find something less expensive for next year.
On the exchange did you have UHC or BCBS? Just you or did this cover dependents? Sounds like you had a BCBS Platinum plan.
I am sill on the lookout to buy next year too.
click to expand

Posted by KaleesaThankfully, naturopaths here are licensed and can be PCP's if you have an HMO, and many are in network if you have a plan that lets you choose a doctor. I just found out today that my in-network ND was being considered a specialist so I'm being billed $ 45 ( not his $ 210) but I'll be challenging that. Still, paying for insurance with how little I use it seems a waste.Posted by sultrykittySo do you keep your insurance plan in case of a medical emergency? Or to prevent from paying the fine? (My fine this year was around $ 800. I wonder if I'll have to pay a fine again next year or if it will change)
I'm in Oregon, most employers here pay for or offer health insurance. I have mine through my employer and pay about $ 130 a month for my plan. I pay $ 25 a visit for a regular doctor in the network or $ 45 for a specialist. I have a $ 1500 deductible for other services and another $ 1200 deductible for prescriptions. Once I reach my deductible (ie never), insurance pays 80% .
I have a chronic disease (autoimmune) and take meds (replacement hormones), amd see mu doc every 6 months. Otherwise, I'm generally healthy.
My doctor (naturopath) charges $ 210/visit plus whatever supplements I need, and he writes my prescriptions. My meds are cheaper ro buy out of pocket so I don't use my insurance. My labs aren't paid for until the deductible so those are out of pocket (he has an arrangement with a lab that means labwork that can be upwards of $ 750 only costs me $ 45).
So really, I would be much better off not buying insurance and just paying out of pocket.
In the "old days", if I didn't have employer insurance, I would get a catostrophic plan for cheap amd then pay my naturopath or am urgent care clinic out of pocket when I need it.
I can't imagine having to pay $ 500+ a month for health care, especially if I rarely or never went to the doctor. Yet someone felt that others should be forced to.
Luckily it's $ 130 but that still adds up w/ your $ 210 twice a year plus lab work, prescriptions and other unplanned visits. If you added it up it would be cheaper on the assumption you stay healthy as is.
And the catastrophic plans that were offered via exchange were ridiculous and they had an age limit - I think of 32 & under only..
click to expand


Posted by KaleesaPosted by Deedee86Eck! And thankfully you DID have insurance to cover the exceptionally high prices for your appendectomy ya know (Hospital bills are meticulously itemized and up-charged). So, you paid for insurance and you had a $ 5,000 deductible but you still owed around $ 11,000? What are you disputing for $ 6,700?
I was uninsured and self pay for all of my adult life. I purchased insurance through the exchange in January 2015. For just myself, the premium is $ 498 monthly plus $ 5000 deductible and high copays. Copay for a CBC was $ 100. They removed my insurance at the lab and charged me $ 60 for self pay!
Also, the coverage is terrible. Many tests and procedures are rejected or they don't pay as much as the hospital charges. I will say that I was lucky to have insurance in 2015 though. I spent my entire life without as much as a flu and ended up with a ruptured appendix in February 2015 followed by lots of complications.
Without insurance I would've ended up with a minimum $ 30000 bill. With insurance I thought that I ended up with around $ 11,000 total but I just received something in the mail yesterday that I'm disputed for $ 6700.
I did dump the insurance a couple months ago so now I have no coverage whatsoever. I'm hoping to find something less expensive for next year.
On the exchange did you have UHC or BCBS? Just you or did this cover dependents? Sounds like you had a BCBS Platinum plan.
I am sill on the lookout to buy next year too.
click to expand

Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?

Posted by sultrykittyThe fines will gradually increase but that's under the assumption that Trump doesn't flush the ACA laws down the crapper along with the mandated fines for not being insured. I guess I'll have to stay tuned on that development, lol.Posted by KaleesaThankfully, naturopaths here are licensed and can be PCP's if you have an HMO, and many are in network if you have a plan that lets you choose a doctor. I just found out today that my in-network ND was being considered a specialist so I'm being billed $ 45 ( not his $ 210) but I'll be challenging that. Still, paying for insurance with how little I use it seems a waste.Posted by sultrykittySo do you keep your insurance plan in case of a medical emergency? Or to prevent from paying the fine? (My fine this year was around $ 800. I wonder if I'll have to pay a fine again next year or if it will change)
I'm in Oregon, most employers here pay for or offer health insurance. I have mine through my employer and pay about $ 130 a month for my plan. I pay $ 25 a visit for a regular doctor in the network or $ 45 for a specialist. I have a $ 1500 deductible for other services and another $ 1200 deductible for prescriptions. Once I reach my deductible (ie never), insurance pays 80% .
I have a chronic disease (autoimmune) and take meds (replacement hormones), amd see mu doc every 6 months. Otherwise, I'm generally healthy.
My doctor (naturopath) charges $ 210/visit plus whatever supplements I need, and he writes my prescriptions. My meds are cheaper ro buy out of pocket so I don't use my insurance. My labs aren't paid for until the deductible so those are out of pocket (he has an arrangement with a lab that means labwork that can be upwards of $ 750 only costs me $ 45).
So really, I would be much better off not buying insurance and just paying out of pocket.
In the "old days", if I didn't have employer insurance, I would get a catostrophic plan for cheap amd then pay my naturopath or am urgent care clinic out of pocket when I need it.
I can't imagine having to pay $ 500+ a month for health care, especially if I rarely or never went to the doctor. Yet someone felt that others should be forced to.
Luckily it's $ 130 but that still adds up w/ your $ 210 twice a year plus lab work, prescriptions and other unplanned visits. If you added it up it would be cheaper on the assumption you stay healthy as is.
And the catastrophic plans that were offered via exchange were ridiculous and they had an age limit - I think of 32 & under only..
I do keep mine for bigger things like if I need surgery or more extensive testing (ultrasounds or to see am endocrinologist), or if I need to go to the ER for something. Luckily that hasn't happened yet (recently).
I would be like you; just pay the fine. But I heard that the plan is that next year, fines would be punitive (more than the insurance) as an "incentive" to get healthy and younger people to sign up.
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Posted by Deedee86You have the reduction offer- good. What check was cancelled? The one you paid the original $ 2060 with in Feb? When did they cancel it and when did you find out?Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?
Yes. I have everything. I have the reduction offer from the hospital and the canceled check. When I received the first letter 6 weeks ago I immediately called the attorney that sent it. The woman on the phone was very nice and I explained the situation. She said that she would take care of it. I didn't really think about it again until the new letter came yesterday. I figured that it was a simple mistake but now I'm nervous.
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Posted by sultrykitty
@Kaleesa
I'm (technically) single, female, no kids, 46 yo.
The ACA was doomed from the beginning. The only people who benefitted from it are those who were able to get "insurance" through Medicaid. That was the plan all along. Make it so expensive that people had no choice but to go on Medicaid, and with a little more tweaking, you now you have (essentially) a single payer system.

Posted by FknNerd
First, what state in USA or Country in the world are you from? If outside US can you explain how your insurance works?
Ohio
Are you self pay? Are you on your parent's plan? Job plan? The NO plan because you never get sick?
Parents plan
How much do you pay? (monthly/yearly)
Nothing
What is your deductible and co pays?
$ 350 deductible for ER
Primary doc $ 20
Meds usually cost $ 10
Who are you insured by? BCBS? UHC? Medicare/Medicaid? Aetna? Tricare?
Cigna
Did you sign up on the exchange? (ACA - Affordable Care Act)
No.

Posted by KaleesaPosted by Deedee86You have the reduction offer- good. What check was cancelled? The one you paid the original $ 2060 with in Feb? When did they cancel it and when did you find out?Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?
Yes. I have everything. I have the reduction offer from the hospital and the canceled check. When I received the first letter 6 weeks ago I immediately called the attorney that sent it. The woman on the phone was very nice and I explained the situation. She said that she would take care of it. I didn't really think about it again until the new letter came yesterday. I figured that it was a simple mistake but now I'm nervous.
click to expand

Posted by Deedee86Posted by KaleesaPosted by Deedee86You have the reduction offer- good. What check was cancelled? The one you paid the original $ 2060 with in Feb? When did they cancel it and when did you find out?Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?
Yes. I have everything. I have the reduction offer from the hospital and the canceled check. When I received the first letter 6 weeks ago I immediately called the attorney that sent it. The woman on the phone was very nice and I explained the situation. She said that she would take care of it. I didn't really think about it again until the new letter came yesterday. I figured that it was a simple mistake but now I'm nervous.
The check was cashed (canceled) just a few days after I mailed it in February and it matches the amount on the reduction offer. I knew it was cashed soon after, when I balanced my checkbook. I didn't hear another word until that attorney letter in September.
click to expand

Posted by KaleesaPosted by Deedee86Posted by KaleesaPosted by Deedee86You have the reduction offer- good. What check was cancelled? The one you paid the original $ 2060 with in Feb? When did they cancel it and when did you find out?Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?
Yes. I have everything. I have the reduction offer from the hospital and the canceled check. When I received the first letter 6 weeks ago I immediately called the attorney that sent it. The woman on the phone was very nice and I explained the situation. She said that she would take care of it. I didn't really think about it again until the new letter came yesterday. I figured that it was a simple mistake but now I'm nervous.
The check was cashed (canceled) just a few days after I mailed it in February and it matches the amount on the reduction offer. I knew it was cashed soon after, when I balanced my checkbook. I didn't hear another word until that attorney letter in September.
Oh I see, by cancelled you mean it was cashed. NOT sent back to you. That's my mistake.
6 weeks ago you called the attorney (hopefully you got her name) and she said she'd take care of it. Meanwhile you get a bill yesterday for $ 4,700 due to the interest tacked on...
Damn. I have to be missing something?
Who is the attorney you spoke to 6 wks ago? Did you hire her or was she on the collections side taking your payment?
You called the hospital but to no avail yet. Did you call back the attorney too? I don't mean to get all in your business but it sounds fishy. Have you checked your credit report? What are you planning on doing? : (
(@least health care bills cannot lower your credit score no matter the amount) but it would still show up.. not on the free credit karma sites but the ones you get to use once a year to check your credit.
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Posted by Deedee86If it's an error then yeah. Make sure you request an itemized bill. Check the diagnoses. And you can call your insurance company and ask what wasn't covered but be prepared to be on hold a while. If you call the hospital ask for their billing Dept or better yet, go drive there and do it in person? Good luck! Keep me posted.Posted by KaleesaPosted by Deedee86Posted by KaleesaPosted by Deedee86You have the reduction offer- good. What check was cancelled? The one you paid the original $ 2060 with in Feb? When did they cancel it and when did you find out?Posted by Kaleesa
@deedee86 Um yeah! Hopefully you kept all your receipts? Doesn't surprise me how much interest they applied.
So you paid $ 2060 Feb2016.
And about 6 weeks ago you received the bill of $ 4,700 correct? Did you contact anyone about the first letter?? Who did you call and what happened?
Yes. I have everything. I have the reduction offer from the hospital and the canceled check. When I received the first letter 6 weeks ago I immediately called the attorney that sent it. The woman on the phone was very nice and I explained the situation. She said that she would take care of it. I didn't really think about it again until the new letter came yesterday. I figured that it was a simple mistake but now I'm nervous.
The check was cashed (canceled) just a few days after I mailed it in February and it matches the amount on the reduction offer. I knew it was cashed soon after, when I balanced my checkbook. I didn't hear another word until that attorney letter in September.
Oh I see, by cancelled you mean it was cashed. NOT sent back to you. That's my mistake.
6 weeks ago you called the attorney (hopefully you got her name) and she said she'd take care of it. Meanwhile you get a bill yesterday for $ 4,700 due to the interest tacked on...
Damn. I have to be missing something?
Who is the attorney you spoke to 6 wks ago? Did you hire her or was she on the collections side taking your payment?
You called the hospital but to no avail yet. Did you call back the attorney too? I don't mean to get all in your business but it sounds fishy. Have you checked your credit report? What are you planning on doing? : (
(@least health care bills cannot lower your credit score no matter the amount) but it would still show up.. not on the free credit karma sites but the ones you get to use once a year to check your credit.
The attorney works as a collection agent for the hospital. The bill 6 weeks ago was for $ 4700 now it is $ 6700!!!
I agree. It does sound fishy. My next step is to speak directly to the hospital. I will give it until Monday before I call back since tomorrow is a holiday.
If I do really owe it, My only choice is to pay but try and get it reduced.
I may file a complaint with the hospital regarding my surgery mishap though. Maybe they will waive the remainder out of fear that I may sue.
I'm not a medical expert but I think that I have a case. I'm not lawsuit happy and I'm ok now so it never really crossed my mind.
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Are you self pay? Are you on your parent's plan? Job plan? The NO plan because you never get sick?
How much do you pay? (monthly/yearly)
What is your deductible and co pays?
Who are you insured by? BCBS? UHC? Medicare/Medicaid? Aetna? Tricare?
Did you sign up on the exchange? (ACA - Affordable Care Act)
In light of the election I see a lot of people talk about healthcare.