Reply to How can I dispute hapital’s predatory billing?

Forum Index » Health and Medicine

Reply to "How can I dispute hapital’s predatory billing?"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Why are you going to a hospital for Botox???? [/quote]

This. I recognize it isn't helpful to hear this after the fact, but hospital facility fees are much, much higher than outpatient centers.[/quote]

Listen prick DCUM’ers, op said this if what she did. I’m sure she didn’t push to go to a hospital and be charged a 13k extra fee, but someone suggested it to her and she, assuming medical practitioners were following their oath and ethics, agreed. I’ve had non cosmetic Botox and I have it done in a ‘procedure’ room, not in a regular patient setting. It’s not something that should have been OP’s issue to catch, so move on. You are annoying AF [/quote]

If it isn't the patient's responsibility to check coverage, whose responsibility is it? The provider directory didn't bill the facility fee- the hospital did. Did the OP check with the hospital and/or her insurance company?

For any elective procedures, you need to be very, very careful before having them done at a hospital. No, it isn't fair, but you need to triple check coverage for every provider and facility involved.[/quote]

The place was in network and she got it pre authorized, not sure what else a person is reasonably expected to do. Figure out every possible fee that could be charged outside of insurance and ask them about each one before booking?[/quote]

Did it require pre-authorization? If so, that would likely cover the procedure itself, not the facility fee.

Likely her insurance doesn't cover facility fees for hospitals in these situations. So she's probably getting hit with the full cost herself. The $13k is likely just the invoice price, not what insurance companies would actually pay if it was covered.

It's unfortunate, but yes, if you're getting an elective procedure, you need to be careful about fees. You need to ask about every provider that will be involved- especially any anesthesiologists- and about the facility. You will very often get different bills from each of these entities if you have a procedure done.[/quote]

In my experience if the facility is in network, that means the facility is covered and I would never expect to pay that out of pocket, so if this is a legitimate charge I'd certainly be right there with the OP and get hit with this bill and be stunned, I think DCUM posters are more detail oriented than most people, so it's just crazy that the average person could get that charge for a routine procedure, in network. Imagine if she'd had it several times before receiving the bill!

Hopefully OP will call insurance wnd update us.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics