this post was submitted on 05 Sep 2023
550 points (96.6% liked)
Memes
45581 readers
2118 users here now
Rules:
- Be civil and nice.
- Try not to excessively repost, as a rule of thumb, wait at least 2 months to do it if you have to.
founded 5 years ago
MODERATORS
you are viewing a single comment's thread
view the rest of the comments
view the rest of the comments
That is correct. Let’s say me and my dad get cancer. We both have health insurance provided by our employers.
Dad: Initial deductible (cost before insurance kicks in): $10,000
Max out of pocket (in network): $20,000
They cover initial treatment but the anesthesiologist is “out of network.” That charge goes to the separate deductible for out of network costs, dad pays $30k total, of a $500k “sticker price.”
Me: Deductible: $4,200 Max out of pocket: $4,200
Initial treatment is covered by insurance, no provider listed as out of network. Total cost to me: $4,200 out of a $500k bill.
Every insurance is different, each hospital will do different things to get extra money, and you have no way of knowing what 1 piece of the treatment is out of network until after you’ve already had the treatment. Our system sucks