colonoscopy bill for $1500??

[Anonymous]

No, that sounds about right. Maybe you should ask why your elected leaders in DC don't get your bill down.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Did you have a deductible to meet before it's "100% covered"?

Not op. It doesn’t matter. If it’s a screening and you’ve never had polyps, insurance has to cover it

I'm guessing out-of-network, too. Insurance has to cover it, but they don't have to cover it up to a million dollars, right? They can put limits, such as requiring in-network or otherwise designate as set of providers?

OP. It was in network.

[Anonymous]

Call and ask, and the next time you do it, make sure the anesthesiologist is in network. Most are not.

[Anonymous]

Anonymous wrote:OP here. I did have a few small polyps at my last one 5 years ago. So that has now changed them forever to diagnostic? That seems crazy. Insurance is such a racket.[/quote

Correct. Screening is every 10 years. You went back in 5.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here. I did have a few small polyps at my last one 5 years ago. So that has now changed them forever to diagnostic? That seems crazy. Insurance is such a racket.[/quote

Correct. Screening is every 10 years. You went back in 5.

Ok, starting to really get it now. My father had colon cancer and since I had polyps before the age of his cancer diagnosis, I am on the 5-year plan.

[Anonymous]

God, healthcare in this country SUCKS.

[Anonymous]

Anonymous wrote:God, healthcare in this country SUCKS.

No. It really doesn't.

[Anonymous]

Anonymous wrote:Call and ask, and the next time you do it, make sure the anesthesiologist is in network. Most are not.

Which is BS since you don’t even know who they are and only meet them at the last minute! If the anesthesiologist is in an in-network facility working with an in-network doctor, they should be considered to be in-network.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Call and ask, and the next time you do it, make sure the anesthesiologist is in network. Most are not.

Which is BS since you don’t even know who they are and only meet them at the last minute! If the anesthesiologist is in an in-network facility working with an in-network doctor, they should be considered to be in-network.

I don’t disagree that they should be in network when they’re your only choice, but many doctors (mine included) were completely transparent going in that it wouldn’t be covered. I had a choice to look elsewhere, which I get is not possible in an emergent situation but OP had a routine screening procedure.

In any case, my colonoscopy was diagnostic, not screening, with an OON anesthesiologist, and I still came nowhere near $1500 out of pocket. I’d definitely be asking questions.

[Anonymous]

Anonymous wrote:OP here. I did have a few small polyps at my last one 5 years ago. So that has now changed them forever to diagnostic? That seems crazy. Insurance is such a racket.

When did your gastroenterologist tell you to come back next time?

The ACA makes preventative tests free for the patient, but yours was no longer considered preventative since you previously had polyps removed.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Call and ask, and the next time you do it, make sure the anesthesiologist is in network. Most are not.

Which is BS since you don’t even know who they are and only meet them at the last minute! If the anesthesiologist is in an in-network facility working with an in-network doctor, they should be considered to be in-network.

I don’t disagree that they should be in network when they’re your only choice, but many doctors (mine included) were completely transparent going in that it wouldn’t be covered. I had a choice to look elsewhere, which I get is not possible in an emergent situation but OP had a routine screening procedure.

In any case, my colonoscopy was diagnostic, not screening, with an OON anesthesiologist, and I still came nowhere near $1500 out of pocket. I’d definitely be asking questions.

Presumably she has a moderately high deductible.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here. I did have a few small polyps at my last one 5 years ago. So that has now changed them forever to diagnostic? That seems crazy. Insurance is such a racket.

When did your gastroenterologist tell you to come back next time?

The ACA makes preventative tests free for the patient, but yours was no longer considered preventative since you previously had polyps removed.

5 years

[Anonymous]

Anonymous wrote:

Anonymous wrote:God, healthcare in this country SUCKS.

No. It really doesn't.

Spoken like someone who has always had Cadillac insurance provided by their employer.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP here. I did have a few small polyps at my last one 5 years ago. So that has now changed them forever to diagnostic? That seems crazy. Insurance is such a racket.

When did your gastroenterologist tell you to come back next time?

The ACA makes preventative tests free for the patient, but yours was no longer considered preventative since you previously had polyps removed.

5 years

You'll need to pay again next time.

[Anonymous]

Is this a high deductible plan? Even if it's a diagnostic a 1500 copay is insane. Even surgery has only a 100 to 150 copay on BCBS.