In case anyone didn't receive the memo...
Mar. 7th, 2008 10:00 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
gerisullivan...how health care expenses are charged and paid for in the United States of America is utterly screwed beyond belief.
My own absurdity du jour? According to the outpatient billing department at medical center where I've been having lab work done for the past 3.5 years, they can't tell me what anything costs. Basic tests, ultrasounds, nothing. They can't (or won't) quote prices for any outpatient services because they might get it wrong, and they can't (or won't) say what past prices were because "prices go up." Y'know, I can allow for that in my planning. But I can't make wise or even sensible financial decisions about which of 100+ insurance plans to buy for the coming year without knowing at least the ballpark prices for the services I can reasonably expect to need.
The medical center has an ombudsman, but only for internal staff and physicians. There is no ombudsman for patients. The billing department rep referred me to the secretary for the vice president of ambulatory services. Her own supervisor wasn't available, and she didn't know who else to point me at.
At least my doctor's office was able to give me the price range for "normal" office visits. Of course, that took two days and a helpful desk clerk. Much as everything is computerized, the price list is kept only in a 3-ring binder in the Nurse Manager's office. The list is so lengthy and confusing that the clerk had a hard time figuring out what prices to give me, and even though they have a lab there, she couldn't find any prices detailing what the tests cost.
I'll see if my insurance company can (or is willing) to provide any useful information.
My own absurdity du jour? According to the outpatient billing department at medical center where I've been having lab work done for the past 3.5 years, they can't tell me what anything costs. Basic tests, ultrasounds, nothing. They can't (or won't) quote prices for any outpatient services because they might get it wrong, and they can't (or won't) say what past prices were because "prices go up." Y'know, I can allow for that in my planning. But I can't make wise or even sensible financial decisions about which of 100+ insurance plans to buy for the coming year without knowing at least the ballpark prices for the services I can reasonably expect to need.
The medical center has an ombudsman, but only for internal staff and physicians. There is no ombudsman for patients. The billing department rep referred me to the secretary for the vice president of ambulatory services. Her own supervisor wasn't available, and she didn't know who else to point me at.
At least my doctor's office was able to give me the price range for "normal" office visits. Of course, that took two days and a helpful desk clerk. Much as everything is computerized, the price list is kept only in a 3-ring binder in the Nurse Manager's office. The list is so lengthy and confusing that the clerk had a hard time figuring out what prices to give me, and even though they have a lab there, she couldn't find any prices detailing what the tests cost.
I'll see if my insurance company can (or is willing) to provide any useful information.
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no subject
Date: 2008-03-08 09:07 pm (UTC)What I find most annoying is that my providers *have* the records right there, showing what I've had done. If I were on a deductible plan right now, I'd have the EOB statements showing me what the clinic charges, what the insurance plan allowed, how much was written off, etc. etc. Similarly, my insurance company has the information.
My one saving grace is that I was on a deductible plan the first year I was here, and I save paperwork. So I can get at least something of a notion from those amounts. I didn't have any ultrasounds done then, so I'm up a creek there. And there's always the unknown future. I don't expect anyone to be able to tell me what that will cost, 'cause there's just no telling.
Yes, I understand about the coding. But I don't think I need the person who does the coding -- I just need someone who can (and will) look at my records, see the codes and the corresponding amounts charged/received/paid/whatever.
This whole system? It's screwed. It's so screwed.
Who, me, attitude? Well, yes, actually.