Just getting the hospital bills...

The final frontier. Deciding when, if and how.
MickCrowder
Posts: 58
Joined: Wed Jun 17, 2015 5:34 am

Just getting the hospital bills...

Postby MickCrowder » Fri Jul 24, 2015 6:42 pm

Had my implant surgery 3 weeks ago and today received the first explanation of benefits from my insurance. I have heard many of you tell how the surgery cost 20, 30 or 40 thousand. These guys billed my insurance 128,881.00. I was floored to say the least. Insurance 'allowed' them to charge just 4,180.00 of which i owe 418.00.
Other than being on Medicare which covers the whole thing i dont know how folks w/o insurance manage it. Im still working and apparently have better insurance than i thought.
Guess the moral of the story is be greatful when your company provides insurance. It may not be perfect but expenses like that would have bankrupted us.
The other part is i am greatful and thankful to have a second chance at an intimate life with my lovely wife.
57 yr old living in Lancaster County, PA. ED for the past 10 yrs. Bionic on July 2, 2015. 22cm Titan OTR. Dr Garber in Philadelphia did the surgery.

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Just getting the hospital bills...

Postby dg_moore » Fri Jul 24, 2015 6:46 pm

With hospitals the price is never the price. They pull their charges from thin air - even their costing people couldn't tell you what a stay or procedure actually costs. Their contract with the insurers, Medicare and Medicaid specify what the insurer will pay for procedure and related costs, as well as your copay. With all the reform going on in the healthcare/insurance industry we can only hope that something as simple as a hospital bill will eventually come to make sense, and in any case with ACA in effect there is no reason for people to be without insurance. If they are truly destitute Medicaid will take care of them.
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

KMeister
Posts: 446
Joined: Sun Aug 28, 2011 5:43 pm

Re: Just getting the hospital bills...

Postby KMeister » Fri Jul 24, 2015 6:58 pm

MickCrowder wrote:Had my implant surgery 3 weeks ago and today received the first explanation of benefits from my insurance. I have heard many of you tell how the surgery cost 20, 30 or 40 thousand. These guys billed my insurance 128,881.00. I was floored to say the least. Insurance 'allowed' them to charge just 4,180.00 of which i owe 418.00.
Other than being on Medicare which covers the whole thing i dont know how folks w/o insurance manage it. Im still working and apparently have better insurance than i thought.
Guess the moral of the story is be greatful when your company provides insurance. It may not be perfect but expenses like that would have bankrupted us.
The other part is i am greatful and thankful to have a second chance at an intimate life with my lovely wife.

They actually didn't bill your insurance over $128 thou. It's generally a fake charge designed to do what it did: make you feel grateful for having insurance. That aside, you are right when you say those of us who have [employment-related] health insurance--for which WE PAY PREMIUMS that we don't completely notice because they are taken from our paychecks, just like taxes--should consider ourselves fortunate.

KMeister

anotherguy
Posts: 87
Joined: Tue Jul 08, 2014 4:14 pm

Re: Just getting the hospital bills...

Postby anotherguy » Sat Jul 25, 2015 1:11 pm

There is a website, http://truecostofhealthcare.net/, by David Belk that covers this issue. There are other resources that cover this topic as well of course.

@dg__moore this is off topic but ACA isn't really effective in the real world sense and I won't comment any more on that since that is my opinion and I won't get into a discussion about that.

@MickCrowder congratulations, keep us updated.
Implanted by Dr. Andrew Kramer
AMS LGX 21cm + 1.5cm rte
great results | great surgeon
Here is a YouTube video of Dr. Andrew Kramer performing penile implant surgery

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Just getting the hospital bills...

Postby dg_moore » Sat Jul 25, 2015 1:25 pm

anotherguy wrote:There is a website, http://truecostofhealthcare.net/, by David Belk that covers this issue. There are other resources that cover this topic as well of course.

@dg__moore this is off topic but ACA isn't really effective in the real world sense and I won't comment any more on that since that is my opinion and I won't get into a discussion about that.

@MickCrowder congratulations, keep us updated.


Thanks for your opinion. I have one also, as do most.
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

jeremc
Posts: 278
Joined: Sat Sep 08, 2012 10:16 am
Location: Memphis, TN
Contact:

Re: Just getting the hospital bills...

Postby jeremc » Sun Jul 26, 2015 10:05 am

Here's what I posted about my billing ....

Insurance Information, Billing!

Just logged on to our insurance web site:

Surgeon charged: $4,209.00 (Insertion, Multi-component)
Hospital charged: $74,564.75 (AMS 700 LGX was $37,999.50, included in the hospital charge)
Total Bionic Boner: $78,773.75
-co-pay $25.00

Insurance Payed: $12,088.16

Surgeon got: $764.95
Hospital got: $11,323.21

Jere
Page 7, 1st LGX 18+3 on 12/27/2012. 2nd LGX 18+6 on 12/11/2014, 3ed CX 24+3 on 5/29/19. bionicjere on Skype


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