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Re: Medical bill !
[Re: hunterbuck]
#1163167
11/25/14 12:55 PM
11/25/14 12:55 PM
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Joined: Sep 2013
Posts: 1,636
Florida Panhandle
JTapia
8 point
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8 point
Joined: Sep 2013
Posts: 1,636
Florida Panhandle
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The reason for the discrepancy between what the hospital charges and what insurance pays is due to contracts. BCBS and other insurers work out deals with providers (hospitals, doctors, pharmacies, etc) that they will pay "x" amount for each procedure, and the provider agrees to accept "x" amount for that procedure. Works out good for the insurer because it's a lesser amount they'll have to pay. Works out good for the provider because they're assured of of getting paid the agreed upon amount on time. THIS^^^^^^^ I have PET Scans every 6 months and the Bill is between $14,000.00 and $16,000,00 but BCBS pays just over $3000.00. My cost is $50.00 unless I have already met my yearly out of pocket of $3000.00, then it is zero. What puzzles me is why there are differing amounts charged to BCBS when, to my knowledge, they are all exactly the same PET Scan.
Hunt'em hard when they are hard to hunt but never, ever hardly hunt!
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