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Old 10-19-2013, 10:38 AM
ilovetv ilovetv is offline
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Quote:
Originally Posted by aln View Post
I couldn't agree with you more! On july 22 2013 I went to MRMC with severe angina via ambulance to emergency. After a cath and 1 night stay the bill was $22,000. (twenty two thousand). After medicare discounted $16,000, they paid 80.19% of the balance. Because they paid OVER 80% my UHC PPO group plan's terms say that if medicare pays over 80 the UHC pland doesnt' kick in till out of pocket exceeds $2200. I have to pay $1000 and complained to no avail. And just to note, I have met all my deductibles. I guess my point is INSURANCE SUCKS!
What really sucks is having to pay your entire medical bill yourself.....every last dollar of it. All of us "spread our risk around" and dilute it in an insurance risk-sharing pool, whether it's medicare or private insurance or the two combined.

I realize in the case you're describing that a technicality or fine print with the deductible in certain situations left you with a $1000 bill when you'd met your deductibles, and those technicalities do stink. But for the most part, I think many people are so focused on demanding 1st-dollar coverage that they overlook the big claims the insurer (and the taxpayer) does pay on the insured's behalf.