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- Posted February 21, 2013 by
- Roadbuilder2 Follow
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Mechanicsville, Maryland
Mechanicsville, Maryland
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Why I hate our current healthcare system.....
So here's the latest "Fuck you" from the healthcare system. After my son had hurt his elbow quite badly last November, a Northern Virginia orthopedic doctor had wanted him to get a special brace to wear whenever he returned to skateboarding. We made a special trip to the doctor just before the end of 2012 for them to examine his elbow and order the brace. I specifically remember asking that the brace be ordered before the end of the year so that it would apply to the 2012 deductible which had already been met. I was assured that it would happen that way. It didn't. Around January 4th, I received word from the doctor that they had not ordered the brace in 2012. Now, before they would order the brace for me, I had to submit a form that stated, if the insurance coverage denied the claim for the brace, I would pay them $138.45 for the full purchase price of the brace. I agreed. We picked up the brace in mid-January. I just received the doctor's bill. The bill was for $349.33. I called to find out what was up with the bill. I was informed that the medical insurance did accept the coverage for the brace. The doctor charged them $550.00 and they received a discount of $200.67 because the doctor is in their network. The insurance then informed the doctor's office that I had not met my deductible for 2013 yet and to send me the remaining bill. Thus, I have to pay approximately $211 more for the same brace because my insurance accepted the claim. How is it that my insurance is willing to pay nearly $350 for a brace that the doctor told me only costs them $138.45 and how is it that the doctor can charge so much more than it costs to the insurance company? The whole system is such a scam. It makes me want to bang my head against the wall but obviously, I dare not.
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