Balance Billing—Why Is This Allowed?

Balance billing is controversial, and there are two sides to the issue, but it has the net effect of causing certain victims, in certain states, to be faced with enormous bills.price-war-sticker-shock

This is again, an American issue, and again will leave the rest of the world wondering how we ever managed to get ourselves into such a dysfunctional situation.

Most Americans under 65 are enrolled in PPO’s or HMO’s. These are similar in they involve a predefined network of providers, which the person insured is required to use if he want to be covered. Now most would agree that if someone elected to use an out of network provider that it would be reasonable that they had to pay for it. But the key word here is “elected.”

Aging

2708-SvelteJudy

Getting old is not for sissies. The choice is stark: Follow the procedures on this blog, and in the forthcoming book, which will slow it down as much as possible, or do nothing and endure its inflictions. One choice means a lot of work, and the other a lot of pain and suffering. Not so easy to put a pretty spin on “The Golden Years.” 

Medicare, ABN, and Highway Robbery

If you are American and have, or someday plan to have, Medicare, this is required reading. If you live elsewhere, count your blessings, at least when it comes to medical services pricing.abn-bag_of_money

We believe in testing. We do not believe in enriching the test centers by encouraging people to get tests that may be absurdly priced. Hence, we are going to run a series of posts that cover some of the sleaze going on out there.

Doc In A Box!

When you hear the term ‘doc in a box’ you often think of what is now called ‘Urgent Care.’ Urgent care centers are for those medical problems not serious enough for the emergency room but more urgent than when your own doc can fit you into his schedule. Well actually that means that most medical issues are more efficiently dealt with in an urgent care center than either your local ER or within your own doc’s office schedule.

You, Your Doctor, Your Insurance: Who is making the calls?

It’s the Golden Rule: “Those With the Gold Make the Rules.” So it’s your insurance company, or possibly Uncle Sam, in the case of Medicare.

insurance-golden-ruluNow you may argue that they got all that gold from you, which is true, not that you had much of a choice, but they’ve got it now.

So what, we might ask, is in their best interest? Obviously, the less spent on us, the better. Medicare gets to keep more money. They are worried about running out. And the insurance companies likewise get to keep more money, which makes their shareholders and executive staffs wealthier. Laudable goals, no doubt, if not especially beneficial for us.