Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1.5/LADA Diabetes
Confused about my doctors/consultants advice, am I type 1.5?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="christi99" data-source="post: 910608" data-attributes="member: 179601"><p>One word. Insurance. Example, I had an elective cosmetic procedure done, paid out of pocket and was charged 6,000 dollars . It was mistakenly (? or on purpose) sent to my insurance, who also paid it. Except they billed insurance almost $25,000 (so 4 X times what I was charged!!! ) I called my insurance to explain that it was elective (technically cosmetic- but did have medical component- but my doctor did not deem it to be medical necessary- therefore not covered , just comfort and appearance related.), My insurance carrier said "well, your doctor must have thought it was medically necessary!!) So... hospital committed fraud, insurance company didn't care AND I paid all for nothing, They would not reimburse me after several calls. So yeah, hospitals fraudulently using billing codes they know they will be reimbursed for at a high rate. Drugs- Charge more for drugs because insurance companies will pay for it- and indirectly the consumer does- through high monthly premiums and co-pays. That is why I wish we had socialized medicine or I lived in Europe ( my family is english/scottish and I went to college there)! Yeah, pros and cons to both- but if I ever ask my doctors to tests for things based on my review of current studies (I am a researcher!) or other treatment options- they just have NOOOO interest in humoring me! No critical thinking goes on except in limited diagnostics and narrow treatment options (treatment of choice). And their treatments are not working so it is so frustrating. I pay thousands a year for medical , dental and insurance out of pocket and still can't get done what I ask for... Doctors can't either- they have to make a case to insurance based on insurance co. set guidelines, and they frequently deny it! Profit rules our world of medical care.</p></blockquote><p></p>
[QUOTE="christi99, post: 910608, member: 179601"] One word. Insurance. Example, I had an elective cosmetic procedure done, paid out of pocket and was charged 6,000 dollars . It was mistakenly (? or on purpose) sent to my insurance, who also paid it. Except they billed insurance almost $25,000 (so 4 X times what I was charged!!! ) I called my insurance to explain that it was elective (technically cosmetic- but did have medical component- but my doctor did not deem it to be medical necessary- therefore not covered , just comfort and appearance related.), My insurance carrier said "well, your doctor must have thought it was medically necessary!!) So... hospital committed fraud, insurance company didn't care AND I paid all for nothing, They would not reimburse me after several calls. So yeah, hospitals fraudulently using billing codes they know they will be reimbursed for at a high rate. Drugs- Charge more for drugs because insurance companies will pay for it- and indirectly the consumer does- through high monthly premiums and co-pays. That is why I wish we had socialized medicine or I lived in Europe ( my family is english/scottish and I went to college there)! Yeah, pros and cons to both- but if I ever ask my doctors to tests for things based on my review of current studies (I am a researcher!) or other treatment options- they just have NOOOO interest in humoring me! No critical thinking goes on except in limited diagnostics and narrow treatment options (treatment of choice). And their treatments are not working so it is so frustrating. I pay thousands a year for medical , dental and insurance out of pocket and still can't get done what I ask for... Doctors can't either- they have to make a case to insurance based on insurance co. set guidelines, and they frequently deny it! Profit rules our world of medical care. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1.5/LADA Diabetes
Confused about my doctors/consultants advice, am I type 1.5?
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…