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I'm part of a medical bill sharing plan. Its not insurance, but if I have a valid medical bill, I can submit it and in most cases I will be reimbursed from othe
by esaym 7y ago
I'm part of a medical bill sharing plan. Its not insurance, but if I have a valid medical bill, I can submit it and in most cases I will be reimbursed from other members sending me checks directly.
It works pretty well, though I've never had to use it. There is a private forum for members to discuss tactics on getting the biggest discounts. A member will typically ask for a self pay discount as we don't have "insurance". In many cases that knocks 25%-50% of the bill off right there. But you are still dealing with the normal hospital or clinic billing department at that rate.
If you continue to decline this "discounted" rate and push to be transferred (in person or over phone) to the billing department's higher ups, you might even be able to get the bill lowered even more... but you must reject these as well. Eventually you will be turned over to a collections company, and right before they file against your credit score you will actually have the most bargaining power. Typically you will be able to knock another 50% off of the bill.
There are many testimonies on the forum of people getting heart surgery or chemo and having bills in the $100k-$150k range and yet in the end, and after lots of phone calls and added stress... they walk away with paying only $20-30k.
So basically, "insurance" does this bargaining for you.
- taurath 7y agoKind of curious what the incentive is for the individual members to keep their costs low other than group identification?
- esaym 7y agoObviously the sharing ministry only has so much income per month. If the current total member needs are not met, then monthly member rates go up. So keeping your personal medical expenses down helps keep the monthly membership fees down.
- ggm 7y agoI'm unsure how I feel about this ethically. I don't disrespect anyone doing it, but the situation feels wrong. The discounted end price should have been the first price, or you've transferred costs into a real world loss for the system overall against your payment, and some imputed cost gap. Overall I think a NHS is better.
- esaym 7y agoWe judge "fair" prices by what is listed on www.healthcarebluebook.com In most cases 90% of the cost is not the procedure or doctor, but a "facility" charge. This coincides with the extreme administrative costs of healthcare: https://i.imgur.com/NZFoE5K.jpg https://i.imgur.com/NZFoE5K.jpg