So, remember that little thing that happened to me back in August?
That little thing that landed me in the hospital?
I've been paying for that little thing since the day I got out. No! Literally the day I left the hospital there was a bill from the hospital in the mail.
I think, though I'm not positive, that I have finally received and paid the last of the bills. As, I have been paying these bills I became very curious about who was billing what, who was paying what, and what were the balances to all this paper showing up in my mail. Okay, curious may not be the best word. Pissed off may be a better term. It seemed to me that the doctors were billing outrageous amounts, that the insurance company was adjusting that amount by a lot, and that the insurance company was either paying less out of pocket than I was or pretty close to the same.
Turns out I was mostly right on all accounts. Instead of bludgeoning you with numbers let's look at a little visual I put together this morning, because I deal better in visuals.
A 3.5 day stay at the hospital cost over $33 thousand dollars. Had I not had insurance I would have been responsible for ALL of this amount. No adjustments are granted to those that do not have insurance. You are on the hook for the entire amount. Unless you don't care about your credit rating, never want to buy a house, a car or anything else on credit for that matter.In that case you just skip out of the bill.
The insurance company decided that over $29K was just the doctors and hospital being silly. Which they probably were but if they didn't bill this high of an amount I suspect the insurance company would have still adjusted the total. Insurance companies love to take money, they are just not real good about paying that money out when they are supposed to. Funny how that is.
Now, let's get to the part that really pisses me off.( Besides the fact that most Americans are uninsured or under-insured because our legislators are pussies or corporate sell outs and the insurance executives are greedy assholes. Who obviously reduce me to swearing.) It's the $1483.19 that I had to pay out of pocket. While the insurance company paid $2185.83. I pay every single month for insurance. If you were to total those payments up for an entire year it would equal about $2400. That is just for me and does not include what I pay for JR. I have gone to the doctor a sum total of one time this year for a checkup. That's right folks. One time. I'm no mathematician but somehow I get the feeling that I'm getting the short end of this stick. What do I have to do to break even? Get sicker? Get sick more often?
It looks to me that I'm paying every single month to get that adjustment. Why don't they just give me the adjustment to start with and I'll stop paying my insurance premiums every month. I could put that money (looks like about 11%) into a credit union and earn a little interest. Maybe, get ahead? What a concept!
And, don't give me that crap (not that I think any of you would) about you should put some of your money into the medical flex savings account. It's tax free! WhooHoo! I still have to have insurance and I rarely spend $1400 per year on out of pocket medical bills. As I understand it, according to the rules if you put money into a medical flex account you must spend all of it in a given year on medical bills, dental bills or stuff you pick up over the counter. Seriously, I can afford to buy aspirin when I have a headache. I can afford my prescriptions. I can afford my co-pay. And if I couldn't it was because I wasn't working so wouldn't be able to put into the flex savings account anyway. AND, If you don't spend it you lose it. What kind of a crazy ass system is that? I'm better off putting the money in a savings account every month. The interest may be not balance out what I pay in taxes but at least on Sept. 30th that money is still mine.
Sorry about the rant. I think I just needed to get this off my chest.
What are your thoughts on the medical insurance biz?