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Insured, but Still Owing $109K for a Heart Attack

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Re: Insured, but Still Owing $109K for a Heart Attack

#2
FTA St. David’s is out-of-network on his school district health plan

So apparently the "max out of pocket" on the cover sheet of your plan is b.s. and only applies in-network. I guess good luck having in-network coverage if you're on a vacation and have an emergency.

Re: Insured, but Still Owing $109K for a Heart Attack

#3
All this is a bit surreal (Canadian here), but it prompts the question: why won't people sue in a class action to refund money they gave to the insurance in the first place?

I realize it's a complex subject, but at the end of the day, the insurance companies advertise and sell: insurance.

Re: Insured, but Still Owing $109K for a Heart Attack

#4
After a reporter made inquiries, St. David’s said collection efforts were put on hold, and a hospital representative called Calver, offering to help him apply for a discount based on his income.

I refuse to believe that the US medical system is run by humans, and not trolls we pulled from under a nearby bridge.

Re: Insured, but Still Owing $109K for a Heart Attack

#7
> UPDATE: Monday, shortly after publication and broadcast of this story by Kaiser Health News and NPR, St. David’s said it was now willing to accept $782.29 to resolve the $108,951 balance because Drew Calver qualifies for its “financial assistance discount.”

Sounds all fine and dandy until you realize that these charges will just be made up for by people that aren't able to get NPR to publish a story about them.

Re: Insured, but Still Owing $109K for a Heart Attack

#10
post #7

> UPDATE: Monday, shortly after publication and broadcast of this story by Kaiser Health News and NPR, St. David’s said it was now willing to accept $782.29 to resolve the $108,951 balance because Drew Calver qualifies for its “financial assistance discount.” Sounds all fine and dandy until you realize that these charges will just be made up for by people that aren't able to get NPR to publish a story about them.

The hospital already got 50k from the insurance company. The article also the treatment should have cost ~25k.
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