ST Alpha - "Andie, from b2. most insurance companies have agreements with various docs/hospitals on the amount a procedure can be reimbursed at." (Reading a Post)

SlickerTalk
Search Archives
The Leaderboard
The FAQ

Down to Post

Backboards:

Posts: 155

Andie, from b2. most insurance companies have agreements with various docs/hospitals on the amount a procedure can be reimbursed at.

Posted by tRuMaN (aka Truman) Jul 21 '09, 07:20

so a hospital might charge $1000 for this if you walked in with no insurance. The insurance company may only pay $500, and your copay is only say $50. so the hospital "looses" $450.

that is why the guy is trying to get my dad to pay the full cost, as opposed to what the insurance company will pay him.

Responses:

also, this scenario explains why the procedure costs a $1000 - tRuMaN Jul 21, 07:21 4
- This is less true. The overwhelming majority of their services will be covered by insurance. - TFox Jul 21, 07:23 3
  - health care for profit IS a bad business model - Danedukenuuk Jul 21, 07:26
  - not all insurance companies pay the same rate, have the same deductible, etc. its an accounting pricing model which is setup to - tRuMaN Jul 21, 07:24 1
    - No, I agree. I think we just got twisted. You were saying that the low price of $500 explains why they charge $1000 for the uninsured. - TFox Jul 21, 07:29
Yep, that's true. -- nm - TFox Jul 21, 07:21

Post a message top

Andie, from b2. most insurance companies have agreements with various docs/hospitals on the amount a procedure can be reimbursed at.

Replies are disabled on threads older than 7 days.