Texas Fishing Forum

Insurance is a joke

Posted By: RATZ

Insurance is a joke - 01/12/21 06:52 PM

My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.
Posted By: stuntmandave

Re: Insurance is a joke - 01/12/21 06:54 PM

That's just insane...
Posted By: T Bird

Re: Insurance is a joke - 01/12/21 06:55 PM

crazy
Posted By: Shallow Waters

Re: Insurance is a joke - 01/12/21 07:02 PM

I am not trying to stand up for insurance companies here, but you do know that the doctors office is billing them $5400 for the same procedure that they would bill you directly $400. Personally, I think insurance is a joke as well, but not everything they get blamed for is their fault.
Posted By: banker-always fishing

Re: Insurance is a joke - 01/12/21 07:07 PM

Good move. Hope your daughter is going to be OK! thumb
Posted By: Sawhorse

Re: Insurance is a joke - 01/12/21 07:12 PM

Originally Posted by RATZ
My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.

I have one scheduled for the 21st. After the Kamala/Biden ticket gets sworn in on the 20th, all healthcare will be free. I don’t need an MRI, I’ve just never had one and want to see what it’s all about.
Posted By: bloo_rainger

Re: Insurance is a joke - 01/12/21 07:38 PM

Originally Posted by Sawhorse
Originally Posted by RATZ
My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.

I have one scheduled for the 21st. After the Kamala/Biden ticket gets sworn in on the 20th, all healthcare will be free. I don’t need an MRI, I’ve just never had one and want to see what it’s all about.


tell them you only want to go in head first and that you don't need no stinking head phones.
Posted By: Spiderman

Re: Insurance is a joke - 01/12/21 07:38 PM

Insurance is a scam but it seems all the politicians are scared to mess with it. It's seems that the doctors / hospitals could be forced to charge a reasonable price.

I guess the flip side would be free enterprise, can't regulate prices.


Again I'm sure the politician's donor have instructed him on where to side on this issue or it would be different.
Posted By: Trickster

Re: Insurance is a joke - 01/12/21 07:42 PM

Wow.
Posted By: Siberman

Re: Insurance is a joke - 01/12/21 07:44 PM

Needed an MRI several years ago . Had to drive to Paris for it to be covered . Here in MP (where I pay taxes) it would've cost me $1500 .
Posted By: soggybottom

Re: Insurance is a joke - 01/12/21 07:48 PM

its all a scam for insurance not to pay anything. the insurance company tells you its 3000K when they actually only pay $400, so with your deductible they pay nothing.
I was told my echocardiogram would be 2300, so I said how much if I just pay you cash, $210. Wth?
Posted By: COFF

Re: Insurance is a joke - 01/12/21 07:50 PM

You can't expect to force doctors to charge a reasonable rate when you also require them to treat all patients, regardless of their ability to pay.

Nothing will come of healthcare until we are willing to turn people away at the door.
Posted By: Emit R Detsaw

Re: Insurance is a joke - 01/12/21 07:53 PM

Imagine that, for profit medical operations, negotiating with for profit middle man insurance companies, for rates that would lock in additional profits for both parties. Paperwork and additional staffing adds lots of costs to the process.
Posted By: Sawhorse

Re: Insurance is a joke - 01/12/21 07:58 PM

Originally Posted by Siberman
Needed an MRI several years ago . Had to drive to Paris for it to be covered . Here in MP (where I pay taxes) it would've cost me $1500 .

They were scamming you. I know where Paris is...you can’t drive there.
Posted By: Siberman

Re: Insurance is a joke - 01/12/21 08:46 PM

Originally Posted by Sawhorse
Originally Posted by Siberman
Needed an MRI several years ago . Had to drive to Paris for it to be covered . Here in MP (where I pay taxes) it would've cost me $1500 .

They were scamming you. I know where Paris is...you can’t drive there.

rolleyes
Posted By: Keystone

Re: Insurance is a joke - 01/12/21 08:48 PM

Not long ago had my blood drawn,results I asked what was my testosterone level? Oh sir that would have to a be another blood test, ok. Went ahead got it done,week later I get a bill for $48...they charged the insurance company $812 and left me with $48...it all is a scam
Posted By: Coach Hark

Re: Insurance is a joke - 01/12/21 09:25 PM

Insurance without a doubt is a racket. But they have you by the balls because you’ve got to have it. I hope everything is good with your daughter Brandon. Knee, shoulder or something internal?
Posted By: Bob Davis

Re: Insurance is a joke - 01/12/21 09:29 PM

Originally Posted by bloo_rainger
Originally Posted by Sawhorse
Originally Posted by RATZ
My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.

I have one scheduled for the 21st. After the Kamala/Biden ticket gets sworn in on the 20th, all healthcare will be free. I don’t need an MRI, I’ve just never had one and want to see what it’s all about.


tell them you only want to go in head first and that you don't need no stinking head phones.



Yes, headphones would only mask the robotic whirring and clicking sounds. It's cool. Stay perfectly still or you will have to do it more times. I pretend I am in a torpedo tube waiting to be fired at a German sub.
Posted By: Bentman63

Re: Insurance is a joke - 01/12/21 10:22 PM

Originally Posted by bloo_rainger
Originally Posted by Sawhorse
Originally Posted by RATZ
My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.

I have one scheduled for the 21st. After the Kamala/Biden ticket gets sworn in on the 20th, all healthcare will be free. I don’t need an MRI, I’ve just never had one and want to see what it’s all about.


tell them you only want to go in head first and that you don't need no stinking head phones.


when I had my MRI I got headphones and they played Judas Priest for me.
I am still making payments on that MRI
Posted By: Stump jumper

Re: Insurance is a joke - 01/12/21 10:23 PM

I once fought with insurance company for a month over covering an MRI. I suspect that they were not use to getting requests for MRIs from a plastic surgeon. After 2nd request was turned down we had my orthopedic surgeon request it. Cigna has an orthopedic surgeon that reviews all MRI requests. I shopped around prices vary quite a bit for MRIs.
Posted By: RATZ

Re: Insurance is a joke - 01/12/21 10:32 PM

Originally Posted by Coach Hark
Insurance without a doubt is a racket. But they have you by the balls because you’ve got to have it. I hope everything is good with your daughter Brandon. Knee, shoulder or something internal?

head, she's been having tons of headaches and with my history we didn't want to take a chance it was something more than migranies. Not that those don't suck.
Posted By: rj74955

Re: Insurance is a joke - 01/12/21 10:41 PM

Prayers up for Ratzebeth brother.
Posted By: CrazyCrappieGuy

Re: Insurance is a joke - 01/12/21 10:43 PM

Originally Posted by RATZ
My daughter needs a mri. Well with insurance and our $3000 deductible it was going to be $2400. So I called envision and asked for self pay price and they said $400. Guess where I am having her mri right now.

Yeah, that is BS. I just got an MRI and noticed the same thing. Why such a price difference? Can anyone explain that? The $400 self pay price is apprantly a market price, I was quoted the same. Why are insurance companies paying such high prices over "market"? Makes me wounder if insurance gets some kinda end of year kick back or something.
Posted By: Smurfs

Re: Insurance is a joke - 01/12/21 10:49 PM

Havent had Ins. in over a year. Best move yet!
Posted By: barndoor

Re: Insurance is a joke - 01/13/21 02:20 AM

I don't understand why everyone is calling the insurance companies the crooks. The doctor and imaging offices are the crooks. Why are they charging 2 different prices for the same services. Someone mentioned the paperwork, but with the amount of patients the insurance company refer to them from "in network" referrals, they should get a better deal than any cash payer.

Originally Posted by Keystone
Not long ago had my blood drawn,results I asked what was my testosterone level? Oh sir that would have to a be another blood test, ok. Went ahead got it done,week later I get a bill for $48...they charged the insurance company $812 and left me with $48...it all is a scam


Solidifies my point.^^^^^
Posted By: RayBob

Re: Insurance is a joke - 01/13/21 02:36 AM

Originally Posted by Stump jumper
I once fought with insurance company for a month over covering an MRI. I suspect that they were not use to getting requests for MRIs from a plastic surgeon. After 2nd request was turned down we had my orthopedic surgeon request it. Cigna has an orthopedic surgeon that reviews all MRI requests. I shopped around prices vary quite a bit for MRIs.


MRI quality varies too. Sometimes it's the Yugo vs Mercedes thingy.
Posted By: RayBob

Re: Insurance is a joke - 01/13/21 02:38 AM

Insurance should be for catastrophic situations that's impossible for Average Joe to pay for.
Posted By: Coach Hark

Re: Insurance is a joke - 01/13/21 02:54 AM

Originally Posted by RATZ
Originally Posted by Coach Hark
Insurance without a doubt is a racket. But they have you by the balls because you’ve got to have it. I hope everything is good with your daughter Brandon. Knee, shoulder or something internal?

head, she's been having tons of headaches and with my history we didn't want to take a chance it was something more than migranies. Not that those don't suck.


My thoughts and prayers will be with you and baby girl.
Posted By: COFF

Re: Insurance is a joke - 01/13/21 04:38 AM

Let’s say you own a burger restaurant. You serve a couple hundred paying customers a day and make a nice living. But then one day a law was passed that you had to give a free burger and fries to every homeless person that walked in the door.

How would you feel?

Now let’s say you own a Mercedes dealership. You now have to give a $80,000 car to every homeless person that walks in.

How does that one feel?
How would you keep your head above water?
Posted By: barndoor

Re: Insurance is a joke - 01/13/21 04:47 AM

Originally Posted by COFF
Let’s say you own a burger restaurant. You serve a couple hundred paying customers a day and make a nice living. But then one day a law was passed that you had to give a free burger and fries to every homeless person that walked in the door.

How would you feel?

Now let’s say you own a Mercedes dealership. You now have to give a $80,000 car to every homeless person that walks in.

How does that one feel?
How would you keep your head above water?



That is a bad analogy. A doctor provides a service not sell a product.
Posted By: the skipper

Re: Insurance is a joke - 01/13/21 05:42 AM

Originally Posted by barndoor
Originally Posted by COFF
Let’s say you own a burger restaurant. You serve a couple hundred paying customers a day and make a nice living. But then one day a law was passed that you had to give a free burger and fries to every homeless person that walked in the door.

How would you feel?

Now let’s say you own a Mercedes dealership. You now have to give a $80,000 car to every homeless person that walks in.

How does that one feel?
How would you keep your head above water?



That is a bad analogy. A doctor provides a service not sell a product.

That's a bad argument.
Posted By: Duck_Hunter

Re: Insurance is a joke - 01/13/21 05:52 AM

Originally Posted by Shallow Waters
I am not trying to stand up for insurance companies here, but you do know that the doctors office is billing them $5400 for the same procedure that they would bill you directly $400. Personally, I think insurance is a joke as well, but not everything they get blamed for is their fault.


The insurance industry lobbied for this system. Government only creates winners and losers with everything it does. It isn’t complicated.
Posted By: Duck_Hunter

Re: Insurance is a joke - 01/13/21 05:53 AM

Prayers up for your daughter, Ratz.
Posted By: mudd

Re: Insurance is a joke - 01/13/21 05:58 AM

I ordered flowers and got fishing baits for some weird reason. Hopefully the mri being cheap doesn’t show up as an X-ray
Posted By: Fishin' Nut

Re: Insurance is a joke - 01/13/21 02:11 PM

Originally Posted by Bentman63
when I had my MRI I got headphones and they played Judas Priest for me.


Mine was worse. I asked for a talk radio station. It was NPR reciting President Obama's greatest accomplishments.
Posted By: Pinkus

Re: Insurance is a joke - 01/13/21 02:15 PM

Same here, it is always cheaper to pay cash if you haven’t met your deductible.. I dropped my health insurance this year, it got to be higher than my mortgage and was paying cash for [censored] anyway since they try to rape you to meet the deductible
Posted By: Oldrabbit

Re: Insurance is a joke - 01/13/21 04:35 PM

Prayers for your daughter RATZ. Hopefully there is nothing major to be found, but hope they can find the source of her headaches.
Posted By: COFF

Re: Insurance is a joke - 01/13/21 04:53 PM

Originally Posted by barndoor
Originally Posted by COFF
Let’s say you own a burger restaurant. You serve a couple hundred paying customers a day and make a nice living. But then one day a law was passed that you had to give a free burger and fries to every homeless person that walked in the door.

How would you feel?

Now let’s say you own a Mercedes dealership. You now have to give a $80,000 car to every homeless person that walks in.

How does that one feel?
How would you keep your head above water?



That is a bad analogy. A doctor provides a service not sell a product.

It's actually the hospital we are talking about here, not the doctor. They invest in a multimillion dollar machine that helps diagnose illness. Then they pay high salaries to doctors and nurses for their expertise and training. In order to recoup these investments, they charge the patients that use them. But something like 25-30% of the patients they treat are indigents that pay nothing.

Look, I'm not saying its fair. But the reality is you cannot half regulate. You can't have a for profit system and not allow the market to regulate itself.

A fully capitalistic medical system would provide the absolute best medical care. But it would require some people to not have access to it.

A state funded medical system would provide full medical care to all, but because you are taking the incentive for profit out of the equation the quality of care diminishes.

Sure the UK has universal healthcare to all. But their level of healthcare is basically go to a clinic and get a prescription for an antibiotic and an aspirin. Getting an MRI to diagnose an underlying problem is a 6-month process. People in England with the means to do so come here for medical treatment, as do Canada.
Posted By: GeoFisher

Re: Insurance is a joke - 01/13/21 05:13 PM

Rewind 5 years ago. Take my daughter into Tx Childrens for Scoliosis follow up. Waiting room filled with 50-60 people. They are behind an hour or so we wait, wait, wait. Never once did I see one single person go to "cashier" window before being called in. Our name is called and before I can even get to the door, I am cut off by someone that says I need to report to the cashier before services can be rendered. I go to cashier and boom......$350. I paid it of course. I never saw one other party PAY anything. I am a teacher. I have OK insurance. I want whatever plan those other 58 people are on!!
Posted By: DCmac

Re: Insurance is a joke - 01/13/21 08:48 PM

What else did you expect when the dumbocrats and insurance companies got together to provide an affordable medical coverage plan.
Posted By: GarySHO

Re: Insurance is a joke - 01/13/21 08:55 PM

Originally Posted by Oldrabbit
Prayers for your daughter RATZ. Hopefully there is nothing major to be found, but hope they can find the source of her headaches.
yes. Sometimes hormone imbalance will cause them also.
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