Help me understand out of pocket maximums

[Anonymous]

Anonymous wrote:Then there's the OON doctor who participated in the 8 hour surgery you didn't even know was there. Or so I have read about.

This is why I write on all consent forms “consent to in network providers only”.

I have had administrative staff collecting these forms challenge me - “you can’t change the form”. But consent has to be informed. When I consent to treatment, it is with a specific doctor on specific terms. Unbeknownst to me, there was an out of network provider present at an anesthetized test me son had at georgetown U Hosp., and I challenged the out of network provider charge as unconsented-to medical treatment and they ate the entire bill without another word.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Then there's the OON doctor who participated in the 8 hour surgery you didn't even know was there. Or so I have read about.

This is why I write on all consent forms “consent to in network providers only”.

I have had administrative staff collecting these forms challenge me - “you can’t change the form”. But consent has to be informed. When I consent to treatment, it is with a specific doctor on specific terms. Unbeknownst to me, there was an out of network provider present at an anesthetized test me son had at georgetown U Hosp., and I challenged the out of network provider charge as unconsented-to medical treatment and they ate the entire bill without another word.

Medical billing is a scam and if half these providers stopped thinking about their own wallets for long enough to consider the medical impacts that the stress improper and fraudulent medical billing causes to their patients, they'd realize they're violating their oaths. I'm an attorney, and I think that these unannounced out of network people who show up unannounced, bill you some outrageous amount that is several orders of magnitude higher than what insurance would pay, then ruin your credit and possibly your employment opportunities when you refuse or can't, are committing fraud and extortion. I used to do something similar to PP on forms and I've noticed that now all these consent forms are going on ipads so that it's not possible to do this anymore. You have to beg to have it on paper or feign an inability to see/read on electronic devices.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Then there's the OON doctor who participated in the 8 hour surgery you didn't even know was there. Or so I have read about.

This is why I write on all consent forms “consent to in network providers only”.

I have had administrative staff collecting these forms challenge me - “you can’t change the form”. But consent has to be informed. When I consent to treatment, it is with a specific doctor on specific terms. Unbeknownst to me, there was an out of network provider present at an anesthetized test me son had at georgetown U Hosp., and I challenged the out of network provider charge as unconsented-to medical treatment and they ate the entire bill without another word.

Medical billing is a scam and if half these providers stopped thinking about their own wallets for long enough to consider the medical impacts that the stress improper and fraudulent medical billing causes to their patients, they'd realize they're violating their oaths. I'm an attorney, and I think that these unannounced out of network people who show up unannounced, bill you some outrageous amount that is several orders of magnitude higher than what insurance would pay, then ruin your credit and possibly your employment opportunities when you refuse or can't, are committing fraud and extortion. I used to do something similar to PP on forms and I've noticed that now all these consent forms are going on ipads so that it's not possible to do this anymore. You have to beg to have it on paper or feign an inability to see/read on electronic devices.

PP here - there is always room to sign like this - MyName/PPO Consent only. I also refuse to sign without being shown a paper copy of form which I then take a photo of on my phone.