Thứ Hai, 18 tháng 9, 2023

Hypothetical Homeless Person Serious Injury

By    06:32 // No comments

I was just recently thinking about the healthcare system in America, specifically about the extreme costs Americans have to pay. Let’s say you are a homeless person, who is obviously uninsured, and you end up suffering a life threatening injury and need treatment asap. What exactly happens to the costs? Will they forever be in debt and essentially fucked for life? Thanks in advance



https://ift.tt/HXhlmLK Submitted September 18, 2023 at 05:33AM by mrthrowawayhehexd https://ift.tt/ln4DBK9

Chủ Nhật, 17 tháng 9, 2023

How does the Canadian Healthcare system differ to the British one?

By    18:32 // No comments

The Canadian Healthcare system is often held up as a model example of a great modern healthcare system in a first world country, and I was wondering if anyone could explain how it differs the British NHS.

Both countries have a similar political culture, and though the geography is very different, it would be interesting to know what the structural and mechanical differences are between the two systems, if there are any.

Many thanks



https://ift.tt/YhyI5qv Submitted September 17, 2023 at 05:49PM by misomiso82 https://ift.tt/xDpRLTh

Where exactly can I find hospital outpatient Medicare reimbursement rate by CPT code (unable to locate on CMS website)?

By    13:31 // No comments

Help!

I'm trying to get the reimbursement rate by Medicare for the facility component (outpatient hospital fee) for a procedure with CPT 64640. How can I find this information? I tried looking on the CMS website (https://www.cms.gov/medicare/physician-fee-schedule/search?Y=6&T=4&HT=0&CT=3&H1=64640&M=5) but all I find is the professional (physician) fee. Any help would be greatly appreciated! TIA!



https://ift.tt/YhyI5qv Submitted September 17, 2023 at 12:41PM by pantaloonsss https://ift.tt/BQxC10t

I’m so sick of dealing with the insurance companies!

By    05:32 // No comments

So I have been having a lot of diagnostic tests lately for multiple health issues and maintenance. I had called the insurance company just to double check about by endoscopy and Colonoscopy. They told me yeah your doctor is Tier one but the ambulatory center is not? So this didn’t sound right to me. I was on the phone for hours and they said that’s what it is. So I’m starting to panic using the insurance website and I can’t find anymore information. Then I call the clinic and they told me everything has been approved months ago. But the clinic doesn’t know if it’s covered tier one or tier two or the dreaded “In network” which is the most expensive. I have PPO so it’s not an HMO thing. Then so call the insurance company again and they tell me yeah it’s tier one care! So a completely different answer from a different CSR. So I gave up and just went in for the procedures because I wanted the endoscopy done while having the colonoscopy at the same time. Well I got the pre insurance price back and it’s $12,000 before discounts insurance and copay. So now I’m fretting about what my actual copay will be? The website is trash and outdated and this is a major insurance company! What other businesses can just leave you in the dark about your out of pocket costs? I’m getting another diagnostic test on Monday and it’s pretty minor. The clinic I usually use doesn’t do the procedure there and they want me to go to a satellite office. The insurance company says they can’t find the office so it’s not in network. So I call the clinic and they tell me it’s the same tax ID so it shouldn’t make a difference?!? Still I’m insecure about what my out of pocket price is?!? And it’s a big difference between Tier one tier 2 and standard care. Tier one and tier two difference is a $700 out of pocket per year than 15% after that and tier 2 is like $1400 per year and 25% after that until $4000?!? Forget “standard care it’s like 50% out of pocket until $10,000! It’s so damn confusing! Are they doing this on purpose? Even if I find a tier 1 outside my clinic my doctor at the clinic can’t refer outside the clinic because it’s not contracted and of course it’s more difficult for him to get the results anyway from another clinic! I’m in Chicago so there are Tons of providers so that’s not the issue! The issue is it’s impossible to tell if their tier one or not and I get different answers from different CSRs at the insurance company! Therefore I don’t really know what my out of pocket is?!? Who would purposely go to any provider other than tier one unless they had some rare disease? I’m in the 3rd biggest city in the United States! I already have anxiety issues if you haven’t noticed and now I’m going through procedures not knowing what I’ll be paying for weeks until insurance reimbursement to the providers?!? Is this normal? Does this make sense to anyone?



https://ift.tt/YhyI5qv Submitted September 17, 2023 at 05:08AM by PissedCaucasian https://ift.tt/jiogDUz

How to get birth control when changing providers? (California, United States)

By    03:33 // No comments

Hello! For the longest time I’ve been with Kaiser Permanente health insurance, and it’s always been super easy to get my birth control pills. Due to changing jobs I’m now under a new insurance (Blue Cross/Blue Shield) and am no longer with Kaiser.

Do I need to make a doctor’s appointment under my new health insurance provider to get prescribed birth control pills? Or can I go directly to an in-network pharmacy and request the prescription?

Trying to understand how this works. Thanks!



https://ift.tt/YhyI5qv Submitted September 17, 2023 at 02:39AM by superfox650 https://ift.tt/30EZcGh
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