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[GMCnet] Welcome to Obama Care [message #284274] Sat, 08 August 2015 11:10 Go to next message
glwgmc is currently offline  glwgmc   United States
Messages: 1014
Registered: June 2004
Karma: 10
Senior Member
Hi Emery,

The last thing you need is angst over the bill while you are recovering. My strong suggestion is to hire a lawyer or patient advocate right now and have them handle all the interface issues with the insurance company and medicare for you. They do this junk every day and know the ins and outs of our broken medical system far better than any of us. My guess is they can bring this down to a manageable level. Just don’t try to navigate these shark infested waters on your own. Focus your energy on your recovery. Be well.

Jerry
Jerry Work
The Dovetail Joint
Fine furniture designed and hand crafted in the 1907 former Masonic Temple building in historic Kerby, OR

glwork@mac.com
http://jerrywork.com
==============
Message: 12
Date: Sat, 08 Aug 2015 09:44:55 -0600
From: Emery Stora
To: gmclist@list.gmcnet.org
Subject: [GMCnet] Welcome to Obama Care
Message-ID:
Content-Type: text/plain; charset=utf-8

I just received a copy from Humana insurance of the billing for my second back surgery.

The total billed charges were $203,737.95. This is just for the hospital and doesn?t included the surgeon?s charge.

The total denied by the insurance was $202,269.03

The denied included charges for radiology, operating room, anesthesia, physical therapy, general pulmonary, ekg and recovery room.

Now I am scared as to how much they plan to bill me. If I have to pay $200,000 that will be the amount of Social Security that I will likely draw for the rest of my life.
I believe that I had to sign a form saying that I would be responsible for anything that the insurance didn?t cover.

The GMC content of this email is that if they bill me for the difference I may have to sell my GMC to raise money!

Emery Stora
77 Kingsley
Frederick, CO
=============








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Jerry & Sharon Work
78 Royale
Kerby, OR
Re: [GMCnet] Welcome to Obama Care [message #284277 is a reply to message #284274] Sat, 08 August 2015 11:27 Go to previous messageGo to next message
A Hamilto is currently offline  A Hamilto   United States
Messages: 4508
Registered: April 2011
Karma: 39
Senior Member
glwgmc wrote on Sat, 08 August 2015 11:10
...issues with the insurance company and medicare...
That lights a bulb. Doctors and hospitals shotgun medical bills when there is more than one coverage. They probably billed both medicare and the insurance company, and the insurance company will deny the part that should be covered by medicare, and vice versa.
Re: [GMCnet] Welcome to Obama Care [message #284279 is a reply to message #284277] Sat, 08 August 2015 11:42 Go to previous messageGo to next message
emerystora is currently offline  emerystora   United States
Messages: 4442
Registered: January 2004
Karma: 13
Senior Member
The problem is that I technically am not covered by Medicare. The plan I have with Humana is a Medicare plan where I assign all Medicare payments to Humana and Medicare doesn't pay any claims directly to providers.

I'll have to wait and see what happens with billings to me from the hospital.

Emery Stora

> On Aug 8, 2015, at 10:27 AM, A. wrote:
>
> glwgmc wrote on Sat, 08 August 2015 11:10
>> ...issues with the insurance company and medicare...
> That lights a bulb. Doctors and hospitals shotgun medical bills when there is more than one coverage. They probably billed both medicare and the
> insurance company, and the insurance company will deny the part that should be covered by medicare, and vice versa.
> --
> '73 23' Sequoia For Sale
> '73 23' CanyonLands For Sale
> Upper Alabama
> There will always be a demand for scapegoats. The job sucks, but the work is steady.
>
> _______________________________________________
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> Unsubscribe or Change List Options:
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Re: [GMCnet] Welcome to Obama Care [message #284284 is a reply to message #284277] Sat, 08 August 2015 12:03 Go to previous messageGo to next message
James Hupy is currently offline  James Hupy   United States
Messages: 6806
Registered: May 2010
Karma: -62
Senior Member
Emery, I can relate to what you are feeling. When Mary was in Salem
Hospital under the care of Dr. Winkler and his band of merry pranksters
that some might mistakenly call a cardiac team, her stay was in the ccu for
78 days, plus two stints at rehab at a facility owned by Salem Health (the
same company as the hospital) her bill came to $43,000.00 less than ONE
MILLION DOLLARS. When I received that bill, I said this can't be right. The
insurance covered a huge portion of it, but there were supplemental
billings from Professional ?? Consultants and many others that were not
covered by insurance. After I removed her for Salem Hospital by medical
transport against the doctors advice and transferred her to OHSU Hospital,
The bills continued to arrive. Mary had to have a second surgery to repair
the damage that Dr Winkler and his gaggle of clowns did, and she was not
strong enough to survive it, she passed away. After her funeral and
memorial service, I received her life insurance benefit. She had a
participating policy that I purchased when I was about 22 years old. Face
value of the policy was $15,000.00, but we had borrowed against the policy,
so the payout was $12,500.00. Because the policy worked like an investment,
there was included an additional check for $50,000.00.
When the dust finally settled, I paid out of pocket costs in excess of
$40,000.00. If Mary would have survived, I could not have paid off the
bills if I paid over half of my retirement income for the rest of my life.
The real kick in the butt was that Salem Health has every attorney in
the State under retainer to prevent someone like you and I from bringing
legal action against them, due to conflict of interest.
Wrongful death lawsuits often go on for many years. I don't think my
case will see a courtroom until 2020 or so. By that time many of the
parties involved will have died of old age. What a boondoggle.
Emery, I am really sorry that you have to suffer twice. Once with back
pain, and once where the pain is somewhat lower on the anatomy, your
pocketbook. Find a good ombudsman or advocate that is not in the employ of
the hospital where you were treated (that's a joke, what kind of treat is
that) and if necessary, secure the services of the meanest, junk yard dog
lawyer you can find. Hang in there my friend.
Jim Hupy
Salem, OR
78 GMC Royale 403

On Sat, Aug 8, 2015 at 9:27 AM, A. wrote:

> glwgmc wrote on Sat, 08 August 2015 11:10
>> ...issues with the insurance company and medicare...
> That lights a bulb. Doctors and hospitals shotgun medical bills when
> there is more than one coverage. They probably billed both medicare and the
> insurance company, and the insurance company will deny the part that
> should be covered by medicare, and vice versa.
> --
> '73 23' Sequoia For Sale
> '73 23' CanyonLands For Sale
> Upper Alabama
> There will always be a demand for scapegoats. The job sucks, but the work
> is steady.
>
> _______________________________________________
> GMCnet mailing list
> Unsubscribe or Change List Options:
> http://list.gmcnet.org/mailman/listinfo/gmclist_list.gmcnet.org
>
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Re: [GMCnet] Welcome to Obama Care [message #284285 is a reply to message #284284] Sat, 08 August 2015 12:15 Go to previous messageGo to next message
James Hupy is currently offline  James Hupy   United States
Messages: 6806
Registered: May 2010
Karma: -62
Senior Member
Oh, yes I forgot GMC content. That is why I still work on GMC motorhomes. I
am 75 years old and need to rebuild my savings in the likely event that I
survive my upcoming aortic valve replacement surgery. Free health care,
affordable for every American? What a travesty that is. Bitter? You bet.
Jim Hupy
Salem, OR
78 GMC Royale 403

On Sat, Aug 8, 2015 at 10:03 AM, James Hupy wrote:

> Emery, I can relate to what you are feeling. When Mary was in Salem
> Hospital under the care of Dr. Winkler and his band of merry pranksters
> that some might mistakenly call a cardiac team, her stay was in the ccu for
> 78 days, plus two stints at rehab at a facility owned by Salem Health (the
> same company as the hospital) her bill came to $43,000.00 less than ONE
> MILLION DOLLARS. When I received that bill, I said this can't be right. The
> insurance covered a huge portion of it, but there were supplemental
> billings from Professional ?? Consultants and many others that were not
> covered by insurance. After I removed her for Salem Hospital by medical
> transport against the doctors advice and transferred her to OHSU Hospital,
> The bills continued to arrive. Mary had to have a second surgery to repair
> the damage that Dr Winkler and his gaggle of clowns did, and she was not
> strong enough to survive it, she passed away. After her funeral and
> memorial service, I received her life insurance benefit. She had a
> participating policy that I purchased when I was about 22 years old. Face
> value of the policy was $15,000.00, but we had borrowed against the policy,
> so the payout was $12,500.00. Because the policy worked like an investment,
> there was included an additional check for $50,000.00.
> When the dust finally settled, I paid out of pocket costs in excess
> of $40,000.00. If Mary would have survived, I could not have paid off the
> bills if I paid over half of my retirement income for the rest of my life.
> The real kick in the butt was that Salem Health has every attorney in
> the State under retainer to prevent someone like you and I from bringing
> legal action against them, due to conflict of interest.
> Wrongful death lawsuits often go on for many years. I don't think my
> case will see a courtroom until 2020 or so. By that time many of the
> parties involved will have died of old age. What a boondoggle.
> Emery, I am really sorry that you have to suffer twice. Once with
> back pain, and once where the pain is somewhat lower on the anatomy, your
> pocketbook. Find a good ombudsman or advocate that is not in the employ of
> the hospital where you were treated (that's a joke, what kind of treat is
> that) and if necessary, secure the services of the meanest, junk yard dog
> lawyer you can find. Hang in there my friend.
> Jim Hupy
> Salem, OR
> 78 GMC Royale 403
>
> On Sat, Aug 8, 2015 at 9:27 AM, A. wrote:
>
>> glwgmc wrote on Sat, 08 August 2015 11:10
>>> ...issues with the insurance company and medicare...
>> That lights a bulb. Doctors and hospitals shotgun medical bills when
>> there is more than one coverage. They probably billed both medicare and the
>> insurance company, and the insurance company will deny the part that
>> should be covered by medicare, and vice versa.
>> --
>> '73 23' Sequoia For Sale
>> '73 23' CanyonLands For Sale
>> Upper Alabama
>> There will always be a demand for scapegoats. The job sucks, but the work
>> is steady.
>>
>> _______________________________________________
>> GMCnet mailing list
>> Unsubscribe or Change List Options:
>> http://list.gmcnet.org/mailman/listinfo/gmclist_list.gmcnet.org
>>
>
>
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Re: [GMCnet] Welcome to Obama Care [message #284287 is a reply to message #284285] Sat, 08 August 2015 12:28 Go to previous messageGo to next message
Olly Schmidt is currently offline  Olly Schmidt   United States
Messages: 1265
Registered: February 2014
Location: Germany and Scottsville, ...
Karma: 8
Senior Member
[..]
> Free health care, affordable for every American? What a travesty that
> is.
[..]

As a foreigner it is hard to understand, that on one side it is said,
that everybody is insured, and on the other hand people receive huge
bills. Anyone care to enlighten me on this (URLs are fine).

In Germany, we have public health insurance, and private health
insurance. When you are publicly insured, you only have to pay health
related expenses that are not necessary. Sometimes it is debatable
whether a procedure is necessary or not, but still. In general, things
that have been mentioned, ie. Emery's lower back surgery, as well as the
cardiac surgery, would both be covered by public insurance, however some
not so well meaning physicians might have added stuff to the bill that
was not necessary, and that would have to be paid by the insured person
themselves. These items are always subject to long discussions between
physician and patient.


--
Best regards

Peer Oliver Schmidt
the internet company
PGP Key ID: 0x83E1C2EA

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Best regards

Olly Schmidt
PGP Key ID: 0x18a9 3a1f 4196 bf22
'76a Eleganza II, VA
'73 Sequoia, SH, Germany
Re: [GMCnet] Welcome to Obama Care [message #284291 is a reply to message #284287] Sat, 08 August 2015 13:07 Go to previous messageGo to next message
A Hamilto is currently offline  A Hamilto   United States
Messages: 4508
Registered: April 2011
Karma: 39
Senior Member
Peer Oliver Schmidt wrote on Sat, 08 August 2015 12:28
...As a foreigner it is hard to understand, that on one side it is said, that everybody is insured, and on the other hand people receive huge bills. Anyone care to enlighten me on this (URLs are fine). ...
Everybody is not insured. Federal law REQUIRES that everyone get insurance, and subsidizes those that can't afford it. One problem with that is that is the subsidy is rarely 100%, and there are people that can't/won't pay anything. They are uninsured. When an uninsured person needs emergency care, they get it. The hospital attempts to bill them. They don't pay. Cost of health care is higher for everyone else, because that cost gets added to charges to everyone else, which becomes higher insurance premiums.

And insurance has deductibles and co-pays. I have to pay $350 per person before insurance kicks in on procedures, $700 for the family if more than one person needs care. Then insurance pays 80% until I am out of pocket $3000 before insurance even considers paying 100%. Plus $20 per doctor visit. $15 per prescription.

Medical care costs are wildly out of line with reality in this country anyway. But that's because there is no competition with a public health care system for the general population. Hospitals and doctors charge ridiculous amounts. Thousands of dollars per day for a room. Just an ordinary room that costs a hundred dollars a day at a hotel.

And when a doctor pops in to the hospital room and asks the patient how he is doing, that is either an exam or a consultation - $75 per minute.

And they are crooked. Primary care doctor asks doctor 2 what he thinks about your condition. Doctor 2 says "I dunno". Cha ching. You get a $100 bill for a consultation. Nobody asked your permission to incur the additional charge, it just arrives in your mailbox after the fact. Same with tests. Blood, x-rays, tissue, whatever. Separate bills, one after the other, for things you neither asked for nor approved. No other industry would even attempt that. There would be litigation that would put them out of business in no time.

Don't get me started on how they wring every dollar they can from Medicaid.

Medical care is important enough that the industry knows they can get away with the extortion.

Try not to need anything major while visiting, unless you have insurance.
Re: [GMCnet] Welcome to Obama Care [message #284303 is a reply to message #284279] Sat, 08 August 2015 15:51 Go to previous messageGo to next message
Ken Henderson is currently offline  Ken Henderson   United States
Messages: 8726
Registered: March 2004
Location: Americus, GA
Karma: 9
Senior Member
Emery,

I'm sure it will eventually work out properly. On Thursday I got a bill
for $632, a small part of the approximately $10,000 billed for the 30
minute endoscopy I had on 4 June. Turns out, Medicare and TriCare for Life
(my military retiree coverage) will pay $125.54 of that. The rest will be
written off of the lab's taxes; I owe nothing. :-(

The other 3 (maybe more) bills will receive similar treatment so that my
$10K bill will be cleared for maybe $2K. It's an outrageous, asinine
system we have -- and let's not even get into the prescription drug
absurdity!

My GMC's Cruise Control is working again after a little control mod
yesterday! So is Stick's Onan after he spent all day here installing the
new starter bracket. He left so greasy that I wouldn't let him in my coach
to push the brake pedal to reset my always-on brake differential pressure
warning switch. He'll have to come back when he's cleaned up. :-)

Ken H.


On Sat, Aug 8, 2015 at 12:42 PM, Emery Stora wrote:

> The problem is that I technically am not covered by Medicare. The plan I
> have with Humana is a Medicare plan where I assign all Medicare payments to
> Humana and Medicare doesn't pay any claims directly to providers.
>
> I'll have to wait and see what happens with billings to me from the
> hospital.
>
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Ken Henderson
Americus, GA
www.gmcwipersetc.com
Large Wiring Diagrams
76 X-Birchaven
76 X-Palm Beach
Re: [GMCnet] Welcome to Obama Care [message #284306 is a reply to message #284303] Sat, 08 August 2015 16:06 Go to previous messageGo to next message
Gary Berry is currently offline  Gary Berry   United States
Messages: 1002
Registered: May 2005
Karma: -1
Senior Member
Hey Emory;

Did you ask the insurance company why they wouldn't pay for it???

Gary and Diana Berry
73 CL Stretch in Wa.
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Re: [GMCnet] Welcome to Obama Care [message #284307 is a reply to message #284303] Sat, 08 August 2015 16:25 Go to previous messageGo to next message
Jim Galbavy is currently offline  Jim Galbavy   
Messages: 1443
Registered: August 2007
Karma: 7
Senior Member
I have two experiences with this subject of health insurance.

1/ Turns out that my stepson does not make enough money in his job
to qualify for Obama Care. Zip

2/ I just put out (fronted) over $100K for 5 back surgeries. His injuries
were the result of being rear-ended in a traffic accident. State Farm (the
at fault party's insurance company) told us to pay the bills and then bill them.
Luckily, we have hired an ambulance chaser who used to be with State Farm.
Turns out that they (SF) was going to screw us on the bills.

Emery, I agree. Get a junk yard dog of a lawyer.

jim galbavy
'73 x-CL ANNIE
Lake Mary, FL

[Updated on: Sat, 08 August 2015 16:27]

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Re: [GMCnet] Welcome to Obama Care [message #284309 is a reply to message #284274] Sat, 08 August 2015 17:29 Go to previous messageGo to next message
kwharland is currently offline  kwharland   United States
Messages: 246
Registered: November 2005
Location: Central Florida
Karma: 0
Senior Member
What has been described has very little to do with the ACA and lots to do with the stranglehold the medical community has on our legislators. Nothing will change for better for us until we stop the flow of money to our lawmakers.

1978 Eleganza II
Re: [GMCnet] Welcome to Obama Care [message #284317 is a reply to message #284291] Sat, 08 August 2015 18:39 Go to previous messageGo to next message
Matt Colie is currently offline  Matt Colie   United States
Messages: 8547
Registered: March 2007
Location: S.E. Michigan
Karma: 7
Senior Member
You forgot that hospitals are - by law - not allowed to run at a bookkeeping deficit.
You also for got that any patient that presents at a hospital has to be cared for until he is stable and can be discharged to his own or his family's care.
So, when any of the 49% of the population that are on welfare, do not have state funded medicaid, or are in the country illegally, presents at a hospital, that hospital has to treat him/her and then attempt to bill them later.
It is my understanding that this huge underclass is something that does not exist in Europe.
This is what PP/ACA promised to fix, but if you read the legislation before it was voted in (I did) you would know that this pretense was a lie.

As soon as I am worried, I am going to sell our home and the GMC to my daughter, and rent it back from her. That way it is not even in our trust account.

Matt


A Hamilto wrote on Sat, 08 August 2015 14:07
Peer Oliver Schmidt wrote on Sat, 08 August 2015 12:28
...As a foreigner it is hard to understand, that on one side it is said, that everybody is insured, and on the other hand people receive huge bills. Anyone care to enlighten me on this (URLs are fine). ...
Everybody is not insured. Federal law REQUIRES that everyone get insurance, and subsidizes those that can't afford it. One problem with that is that is the subsidy is rarely 100%, and there are people that can't/won't pay anything. They are uninsured. When an uninsured person needs emergency care, they get it. The hospital attempts to bill them. They don't pay. Cost of health care is higher for everyone else, because that cost gets added to charges to everyone else, which becomes higher insurance premiums.

And insurance has deductibles and co-pays. I have to pay $350 per person before insurance kicks in on procedures, $700 for the family if more than one person needs care. Then insurance pays 80% until I am out of pocket $3000 before insurance even considers paying 100%. Plus $20 per doctor visit. $15 per prescription.

Medical care costs are wildly out of line with reality in this country anyway. But that's because there is no competition with a public health care system for the general population. Hospitals and doctors charge ridiculous amounts. Thousands of dollars per day for a room. Just an ordinary room that costs a hundred dollars a day at a hotel.

And when a doctor pops in to the hospital room and asks the patient how he is doing, that is either an exam or a consultation - $75 per minute.

And they are crooked. Primary care doctor asks doctor 2 what he thinks about your condition. Doctor 2 says "I dunno". Cha ching. You get a $100 bill for a consultation. Nobody asked your permission to incur the additional charge, it just arrives in your mailbox after the fact. Same with tests. Blood, x-rays, tissue, whatever. Separate bills, one after the other, for things you neither asked for nor approved. No other industry would even attempt that. There would be litigation that would put them out of business in no time.

Don't get me started on how they wring every dollar they can from Medicaid.

Medical care is important enough that the industry knows they can get away with the extortion.

Try not to need anything major while visiting, unless you have insurance.



Matt & Mary Colie - Chaumière -'73 Glacier 23 - Members GMCMI, GMCGL, GMCES
Electronically Controlled Quiet Engine Cooling Fan with OE Rear Drum Brakes with Applied Control Arms
SE Michigan - Near DTW - Twixt A2 and Detroit
Re: [GMCnet] Welcome to Obama Care [message #284321 is a reply to message #284274] Sat, 08 August 2015 18:57 Go to previous messageGo to next message
jhbridges is currently offline  jhbridges   United States
Messages: 8412
Registered: May 2011
Location: Braselton ga
Karma: -74
Senior Member
As the child of a lawyer and judge, and the nephew/cousin of a family of physicians of various bent, I can give some insight into this boondoggle, it is a three six - pack over several evenings conversation. The problem is multi-faceted and endemic, and Emory's experience is a symptom of it. Let's hash it over in Orlando in December.

--johnny


Foolish Carriage, 76 26' Eleganza(?) with beaucoup mods and add - ons. Braselton, Ga. I forgive them all, save those who hurt the dogs. They must answer to me in hell
Re: [GMCnet] Welcome to Obama Care [message #284387 is a reply to message #284321] Sun, 09 August 2015 10:44 Go to previous messageGo to next message
Andy Miller is currently offline  Andy Miller   United States
Messages: 9
Registered: May 2013
Karma: 0
Junior Member
Emery I hope you will live a pain free life again after healing. I am after
my back surgery. As for the bills, mine for back surgery were nothing like
yours which are not understandable. B*ut in addition to your Humana
insurance, I would think you also are covered by Medicare. Under their
rules, doctors and hospitals agree to accept for complete payment what
Medicare "approves" and then Medicare pays 80%*. of that amount and you
(or your Humana) are responsible for the remaining 20% and you for what
part of that 20% your Humana doesn't pay. My United Healthcare Ins thru
AARP pays it all. If you haven't already, you soon will receive a statement
from Medicare of what they "approve" and what they paid. If that doesn't
clear it up, get a good attorney !

On Sat, Aug 8, 2015 at 7:57 PM, Johnny Bridges wrote:

> As the child of a lawyer and judge, and the nephew/cousin of a family of
> physicians of various bent, I can give some insight into this boondoggle, it
> is a three six - pack over several evenings conversation. The problem is
> multi-faceted and endemic, and Emory's experience is a symptom of it. Let's
> hash it over in Orlando in December.
>
> --johnny
> --
> '76 23' transmode Norris upfit
> Braselton, Ga.
>
> "Sometimes I wonder what tomorrow's gonna bring when I think about my
> dirty life and times" --Warren Zevon
>
> _______________________________________________
> GMCnet mailing list
> Unsubscribe or Change List Options:
> http://list.gmcnet.org/mailman/listinfo/gmclist_list.gmcnet.org
>
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Re: [GMCnet] Welcome to Obama Care [message #284400 is a reply to message #284387] Sun, 09 August 2015 12:36 Go to previous messageGo to next message
emerystora is currently offline  emerystora   United States
Messages: 4442
Registered: January 2004
Karma: 13
Senior Member
Mine doesn’t work that way as I have a Medicare Advantage program with Humana where I assign all Medicare benefits to them. Only Humana pays anything to my medical providers and I get no statement from Medicare.

Emery Stora

> On Aug 9, 2015, at 9:44 AM, Andy Miller wrote:
>
> Emery I hope you will live a pain free life again after healing. I am after
> my back surgery. As for the bills, mine for back surgery were nothing like
> yours which are not understandable. B*ut in addition to your Humana
> insurance, I would think you also are covered by Medicare. Under their
> rules, doctors and hospitals agree to accept for complete payment what
> Medicare "approves" and then Medicare pays 80%*. of that amount and you
> (or your Humana) are responsible for the remaining 20% and you for what
> part of that 20% your Humana doesn't pay. My United Healthcare Ins thru
> AARP pays it all. If you haven't already, you soon will receive a statement
> from Medicare of what they "approve" and what they paid. If that doesn't
> clear it up, get a good attorney !
>
> On Sat, Aug 8, 2015 at 7:57 PM, Johnny Bridges wrote:
>
>> As the child of a lawyer and judge, and the nephew/cousin of a family of
>> physicians of various bent, I can give some insight into this boondoggle, it
>> is a three six - pack over several evenings conversation. The problem is
>> multi-faceted and endemic, and Emory's experience is a symptom of it. Let's
>> hash it over in Orlando in December.
>>
>> --johnny
>> --
>> '76 23' transmode Norris upfit
>> Braselton, Ga.
>>
>> "Sometimes I wonder what tomorrow's gonna bring when I think about my
>> dirty life and times" --Warren Zevon
>>
>> _______________________________________________
>> GMCnet mailing list
>> Unsubscribe or Change List Options:
>> http://list.gmcnet.org/mailman/listinfo/gmclist_list.gmcnet.org
>>
> _______________________________________________
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Re: [GMCnet] Welcome to Obama Care [message #284436 is a reply to message #284274] Sun, 09 August 2015 20:23 Go to previous messageGo to next message
Ernest Dankert is currently offline  Ernest Dankert   United States
Messages: 133
Registered: May 2007
Location: Ogden, New York
Karma: 1
Senior Member
My son is in the MD/PHD program hoping to graduate in 2018 to begin his specialty training and
residency stint. He works 6-7 days a week in researching basic DNA architecture. We traveled to
visit him and we met for dinner and breakfast. He has lost research due to power failures taking
out incubators and floods drowning tissue freezers and specially bred research mice. His greatest
fear is being scooped by someone publishing before he does. He graduated from High School in 2007;
undergrad in 2011 (perfect 4.0). I wonder what the future holds for newly minted graduates and
the red tape regulatory nightmare that awaits?



1977 Eleganza II
Ogden NY
Re: [GMCnet] Welcome to Obama Care [message #284444 is a reply to message #284400] Sun, 09 August 2015 22:07 Go to previous messageGo to next message
Bob de Kruyff   United States
Messages: 4260
Registered: January 2004
Location: Chandler, AZ
Karma: 1
Senior Member
emerystora wrote on Sun, 09 August 2015 11:36
Mine doesn't work that way as I have a Medicare Advantage program with Humana where I assign all Medicare benefits to them. Only Humana pays anything to my medical providers and I get no statement from Medicare.

Emery Stora

> On Aug 9, 2015, at 9:44 AM, Andy Miller wrote:
>
> Emery I hope you will live a pain free life again after healing. I am after
> my back surgery. As for the bills, mine for back surgery were nothing like
> yours which are not understandable. B*ut in addition to your Humana
> insurance, I would think you also are covered by Medicare. Under their
> rules, doctors and hospitals agree to accept for complete payment what
> Medicare "approves" and then Medicare pays 80%*. of that amount and you
> (or your Humana) are responsible for the remaining 20% and you for what
> part of that 20% your Humana doesn't pay. My United Healthcare Ins thru
> AARP pays it all. If you haven't already, you soon will receive a statement
> from Medicare of what they "approve" and what they paid. If that doesn't
> clear it up, get a good attorney !
>
> On Sat, Aug 8, 2015 at 7:57 PM, Johnny Bridges wrote:
>
>> As the child of a lawyer and judge, and the nephew/cousin of a family of
>> physicians of various bent, I can give some insight into this boondoggle, it
>> is a three six - pack over several evenings conversation. The problem is
>> multi-faceted and endemic, and Emory's experience is a symptom of it. Let's
>> hash it over in Orlando in December.
>>
>> --johnny
>> --
>> '76 23' transmode Norris upfit
>> Braselton, Ga.
>>
>> "Sometimes I wonder what tomorrow's gonna bring when I think about my
>> dirty life and times" --Warren Zevon
>>
>> _______________________________________________
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>>
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Why would you blame Obama care for that mistake?


Bob de Kruyff
78 Eleganza
Chandler, AZ
Re: [GMCnet] Welcome to Obama Care [message #284450 is a reply to message #284436] Sun, 09 August 2015 23:42 Go to previous messageGo to next message
USAussie is currently offline  USAussie   United States
Messages: 15912
Registered: July 2007
Location: Sydney, Australia
Karma: 6
Senior Member
Who is John Galt?

Regards,
Rob M.

-----Original Message-----
From: Ernest Dankert

My son is in the MD/PHD program hoping to graduate in 2018 to begin his specialty training and
residency stint. He works 6-7 days a week in researching basic DNA architecture. We traveled to
visit him and we met for dinner and breakfast. He has lost research due to power failures taking
out incubators and floods drowning tissue freezers and specially bred research mice. His greatest
fear is being scooped by someone publishing before he does. He graduated from High School in 2007;
undergrad in 2011 (perfect 4.0). I wonder what the future holds for newly minted graduates and
the red tape regulatory nightmare that awaits?


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Regards, Rob M. (USAussie) The Pedantic Mechanic Sydney, Australia '75 Avion - AUS - The Blue Streak TZE365V100428 '75 Avion - USA - Double Trouble TZE365V100426
Re: [GMCnet] Welcome to Obama Care [message #284463 is a reply to message #284274] Mon, 10 August 2015 09:15 Go to previous messageGo to next message
GeorgeRud is currently offline  GeorgeRud   United States
Messages: 1380
Registered: February 2007
Location: Chicago, IL
Karma: 0
Senior Member
I hope our brightest and best minds keep going into medicine as a career, but most of my friends that are MDs would tell their own children not to follow in their footsteps. The attraction of a carrer in medicine has been lost on too many people already when they see the regulatory mess that has become modern medicine. My younger brother retired after serving many years as an anesthesiologist when these changes started, though he still enjoyed the actual work he did. A very sad state of affairs.

Still searching for John Galt!


George Rudawsky
Chicago, IL
75 Palm Beach
Re: [GMCnet] Welcome to Obama Care [message #284471 is a reply to message #284400] Mon, 10 August 2015 09:57 Go to previous messageGo to previous message
nchapekis is currently offline  nchapekis   United States
Messages: 165
Registered: February 2004
Location: Ypsilanti, MI
Karma: 0
Senior Member
emerystora wrote on Sun, 09 August 2015 13:36
Mine doesn't work that way as I have a Medicare Advantage program with Humana where I assign all Medicare benefits to them. Only Humana pays anything to my medical providers and I get no statement from Medicare.

Emery -

The issue could be that the providers you chose are not in the Humana Medicare Advantage network. For your sake, I hope this is not the case. If the providers are in-network, Humana is contractually obligated to cover everything that Medicare would cover. Best of luck in getting this situation worked out, and feel free to PM me or give me a call if you need any help (I am a licensed Medicare Advantage agent).


Nick Chapekis
Ypsilanti, MI
former owner - 78 Kingsley
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