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These commenters who say a service “cost” $X or they paid $Y amount: I am concerned for your negotiation skills. I once incurred a $30,000 hospital bill while
by AStonesThrow 1y ago
These commenters who say a service “cost” $X or they paid $Y amount: I am concerned for your negotiation skills.
I once incurred a $30,000 hospital bill while putatively uninsured. As soon as I was discharged, I went on alert for a statement. As soon as I obtained the numbers, I began to negotiate.
I contacted my prior insurance carriers. I carefully read the CFPB documents on debt collection and I downloaded their letter templates. I tracked every account and claim and payment and provider in a custom Google Sheet.
I filed for retroactive Medicaid. They determined me eligible and granted retroactive coverage through my month of hospitalization. Medicaid attempted to disavow this.
I produced the documentation sent from the Medicaid office. They gave me the wrong claims office address. I worked with claimants to correct it. The statement still reflected $30,000. I held my ground, and insisted that coverage had been obtained.
Not long after these exchanges, one day, my balance was $0.
They wiped out my entire debt.
They wrote off the whole thing.
I was absolved of responsibility.
Because I played their game and kept my purse-strings closed.
Never believe a creditor’s bill at face value. You should never pay a medical bill on receipt from a provider without checking all portals, all statements, and asking questions. Payment plans often carry no penalty and no interest. If they offer you a 60-month plan, offer them 72 months. Uninsured? Ask for “self-pay plan”. Search their website for Financial Assistance Program forms, fill out the PDF, file it with all the documentation they requested. Get busy on FAPing.
Go back to the hospital, find their billing department, and burst into tears once you’re comfy in their office. Turn over bank statements, no matter how wet they got.
Your insurance carrier should always be responsible for
receiving every bill, negotiating prices, and estimating how much you ultimately need to pay.
Don’t be a sucker.
- JohnFen 1y agoThat's great if you're in a position to be able to do it. When I had a major medical issue resulting in a five figure bill I had to pay out of pocket, I was busy with a long recovery and simply wasn't capable, mentally, physically or emotionally, of figuring out what of hoops to jump through and then jumping through them. It was an impossibility.
- AStonesThrow 1y agoWe’re approaching a crisis of caregiving in the West. Every one of us needs a loved one who is trustworthy enough, available, and willing to step in as an emergency contact, POA or proxy, in case you are incapacitated in some way. There is a growing and aging population simply fending for themselves. Is that what A.I. is supposed to “solve”?
- JohnFen 1y agoIt would help to have a medical system that wasn't so baroque and insane that you need to engage in herculean efforts just to survive it.