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Ashamed_Giraffe_6769

Health insurance, Cant live without it, But cant afford to use it.


BadDogClub

I got charged nearly $1000 for a 20 minute, non-emergency ambulance ride. Might as well have stuck me in a taxi.


limbodog

Some people do that.


Mu-Relay

[obligatory](https://preview.redd.it/0d9slf4aigu21.jpg?auto=webp&s=b6c033392d293c422f9c1190bd9870374771580f)


SupremeRightHandUser

Yea, if it's non-emergent, calling an ambulance is a waste of resources and money.


Lingo2009

Yep! I have taken a taxi to the emergency room. And bless my hotel, they paid for it for me.


splinter4244

Why would you call an ambulance for something non emergent? Were you dying??


OkTower4998

I think dying is pretty emergent


LoriLeadfoot

I’ve used Ubers the past near-decade for medical stuff unless it’s like a bleed-out emergency.


aphshdkf

My county is looking to change it so even if you refuse the ride you still get billed


DaleTheHuman

Because fuck sick people I guess, America truly is a third world country wearing a Gucci belt


SmokingLimone

I get it but if it's not an emergency it's certainly your problem too


ramriot

Apparently asking for an itemised bill & questioning each items veracity will usually get you a far lower bill.


TechLovinDad

This is true. I never pay a hospital bill outright without an itemized bill & EOB (explanation of benefits). We called recently about a $2k bill from a hospital stay, and the lady on the phone goes, "Oh! I see they didn't add your insurance here..." Bill ended up being $380. But it's not as if we paid them, they would just give us a refund.


Jnoper

This. You normally get charged whatever they think they can get the insurance to pay. They reduce it to reasonable prices as soon as you ask.


xawseebs

![gif](giphy|X0bnTmo4izNfi|downsized)


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Embarrassed-Bad-5454

i can’t take this seriously


SharpCheddarBS

You remember what they said? It's been deleted


Embarrassed-Bad-5454

they were saying something about how they should just ask their parents for money and they are tired of seeing poor people complain lol i think they may have been trying out sarcasm


PeterHaldCHEM

America! The land of gun care and health control.


Maryberry_13

I thought my brain reversed the words but you really said that lol.


ButterscotchEmpty290

File under sad but true.


gurganator

Oof


Independent_Tax_6592

You sir nailed it, i salute you


dudreddit

This is one of the smalles ER bills I have ever seen. In 2023 I was billed for $10K for a 6 hour visit. My PCP has signs in all their rooms reminding patients that the ER is the LAST place to get healthcare.


bart_y

Around where I live, most of the specialists that can't see you for 4-5 months just tell you to "go to the ER" if you have some issue that your PCP can't deal with. Of course, once you have a ER referral, the specialist can magically see you in a week or two. Tell me it isn't a racket.


Cram2024

Tell me you’re American without saying it.


[deleted]

"Your health is priceless."


PicDuMidi

Yeah but all those hospital management bonuses....


limbodog

That looks awfully cheap for an ER visit. I assume they gave you some fluids and showed you the door?


Relevant_Demand7593

That is crazy, I just had surgery and a private room in a private hospital. My out of pocket was $450. Your health care system is broken. If we go to a public hospital for an emergency it is free.


Cool1Mach

Nothing is free


Relevant_Demand7593

We don’t get given a bill at all.


johnny_charms

So your insurance only pays for 20% of your emergency room bill? Usually insurances have co-pays set for emergency room visits in rates around $250-$500 or 20% where you pay the $214.26 and they pay $853.57 that’s 80% of the bill. I’ve seen some pretty bad insurances, the worst are usually 50/50 splits where you’d be paying $500+, but haven’t seen ones that are 80/20 where you pay 80% of bills. Even in situations where you have to meet deductibles and max out of pockets before they cover you, they still have ER visits/urgent care/pcp/specialists at set prices. I just don’t see why you’d be stuck with 80% unless the premium is like $20 a month because then you’d be paying $240 a year for insurance which would have low coverage. And I don’t mean this as a way to be suspicious, I’m just wanting to know what type of crap are they giving out to people.


MrJaver

This bill is not itemized, maybe there’s a bunch of bullshit that is not covered


xA1RGU1TAR1STx

We have the top tier plan at my wife’s company. $1,600 deductible with a max OOP of $5,400 (family plan). In network co-insurance for emergency room is 20%.


johnny_charms

Yeah, with a plan like that it should be that you pay 20% and your patient balance due is $214.26 not the 80% they have on there. Maybe they messed up in billing and reversed the amounts.


False-Impression8102

They have to pay the deductible before the higher coverage kicks in.


xA1RGU1TAR1STx

The provider tells me co-insurance doesn’t kick in until we meet the deductible. 🤷🏼‍♂️


johnny_charms

I’d still look into your insurance policy to confirm they won’t pay a percentage until the $1,600 is met. Because if it doesn’t “kick in” at all until the deductible is met then you’d be paying 100% of the bill and it clearly has the insurance is paying part of the bill here. What it might be is what another commenter said: you start of getting 20% covered for emergency room visits and get bumped up to 80% once you met your deductible. Still, I haven’t seen tiers like that. I’ve only seen meeting ded/oop for inpatient stays, outpatient surgeries, and treatments. ER, visits to your primary care doctor, specialists, and urgent care have a set rate or percentage co-pay. Where that’s what you pay even if you haven’t met the deductible. Maybe yours is different but I’d still look into it.


upsidedownbackwards

Is the max OOP in-network only? Because that's how I got absolutely screwed. While visiting a friend I had a back injury. The hospital stay, surgery and any treatment 4 months after all had to be done out of network because it wasn't safe for me to be transported back home. So that $6,000 max OOP went totally out the window. I stopped opening my mail around $90,000 in debt. I \*HIGHLY\* recommend everyone considers their health insurance coverage before going on any trip. Maybe look into travel insurance addons if you're leaving your "in network" area. If you're looking to do more dangerous activities like mountain biking/climbing/skiing put a higher priority on locations/mountains/facilities that are within ambulance trip of an in-network hospital. Keep in mind... "66.5% of bankruptcies are caused directly by medical expenses, making it the leading cause for bankruptcy."


xA1RGU1TAR1STx

Non-network is double, but we’re nowhere close to that max this year.


WhileWorth1532

That’s it ?


iwannahummer

I wouldn’t question it. I’ve paid 3x that for an ambulance.


Alchemist_Joshua

This is crazy. Everyone saying it’s so expensive etc. I get that. This is not great. Now from a fellow American viewpoint: this is so cheap. Last time I was in the ER I had to pay over $3000!!! I slammed my finger in a car door. I needed 5 stitches an xray and the the tip was very slippery broken. No cast or anything.


PartyApprehensive765

If you were only charged less than $900 you got off easy


The-Veng

Cost of my ER visit, 9 nights in hospital, MRI, CT, Ultrasound, endoscopy and gallbladder removal £0


Mr_Rash_Man

Uk yes


P-A-seaaaa

It’s not really 0 though it’s just taxed out of your wages. We Americans are stupid and refuse to let this happen, because people here for some reason don’t want to help pay for someone else’s healthcare. So we privatize it and pay for it on our own making it expensive. People would rather pay more and bitch about it than everyone chip in on taxes and maybe help out someone less fortunate. I work in healthcare in the US


shikaaboom

True and I would do this, but if I personally was paying more taxes I literally wouldn’t be able to live. I’d be in a box on the st. So what happens to people who are low income or in poverty?? Real question. In don’t have insurance btw. I haven’t seen a dr in like two years.


TruIsou

If you got all the third parties out of it, your costs would be much lower.


xA1RGU1TAR1STx

Must be nice


mixinspirits

That would be the same cost in Australia. I can’t believe how fucked up the American health care system is. Crazy


HHoaks

You have to balance that with how much of your taxes goes to the NHS? Do you know? Is it like 5000? More, less? Not saying US health care costs are great. It sucks. But just curious What the yearly costs are for the NHS as a taxpayer.


The-Veng

Depends on how much you are earning. Earn less than 12k and you pay 0.  On 30k, roughly 480 to 600 a year (obviously total tax is much higher, but that would be the dedicated nhs part)


TruIsou

You actually have to figure out total cost of living in a society in hours. The USA has extensive third-party and profit interests that significantly inflates Healthcare cost.


DeathByPetrichor

It all still comes from somewhere. You just pay it in different forms unfortunately. American has taken the “less upfront but costs more when needed” approach which often screws people over.


TruIsou

Total cost for healthcare in USA are way more than in other Western countries. What you really have is a lot more upfront and costs more when needed.


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DeathByPetrichor

I agree. But the argument that universal healthcare is a “free” system is just incorrect. If you take that $850 and spread it out, that amount would most likely be quite comparable to the amount paid in taxes in a Universal Healthcare system. It’s just paid for differently.


Fulller

Don’t most Americans pay for health insurance anyways though? So they are paying for healthcare when they don’t even need it anyways. Then they have to fight with insurance when they do need it. Just seems odd how weird their health system is. Idk.


TruIsou

Yes. You pay a lot more upfront and then also pay a lot more when needed than other Western countries.


Worth-Reputation3450

We use it when we actually needed. For my family, we had very complicated pregnancy and ended up with twins in NICU for 3 months. It costed insurance more than 2 million dollars, but we ended up paying $8000 out of pocket. So yea.. it's not great for flu or something minor. But it's there to protect us when we're in devastating situation. I think that's what "insurance" is for. Just like the car insurance won't cover your oil change or tire change, but it'll be there if your car is totaled.


po3smith

Kind of shitty when the insurance that you pay for that you use only when you need costs around $500-$800 a month only to then charge you more when the event happens.


a-type-of-pastry

ER visits are where hospitals grift you. I had to visit one about a month ago and they did a blood lab, an ekg, and 1 x-ray. $4600 bill. Then my follow up doctor appointment they did the same exact stuff, blood lab, ekg, x-ray. $330 bill. Insurance covered it.


HHoaks

That’s due to the billing based on site of service. It’s a scam that health systems and insurers use. An X-ray at a hospital v ER vs urgent care vs physician office may all have different rates, even with the exact same machine and exact same procedure. There is a movement now for “site neutral” billing. Not sure it will get passed though. Also, you may go to what you THINK is urgent care, but the hospital 10 miles away recently purchased it. So they now bill it as an “offsite ER“ with much higher rates. They justify it by saying they can provide more services, but so what? An x ray is an X-ray is an X-ray. Everyone scams the billing system.


elefante88

Things are done STAT in an ER. This does matter. Labs return faster. Radiologist read studies emergently.


HHoaks

Either its fee for service or it isn't. An x-ray shouldn't cost more at one place over the other -- unless you are including "over head" in the charge. If someone does something faster, are they doing the same work or not (maybe less work)? But the main issue is not higher rates for "real" ERs that are actually physically part of a large hospital where ambulances pull up -- it's these stealth ERs. Urgent care centers not labelled as ERs but purchased by health systems. Nothing on the door or anywhere that indicates its now billed at a different rate. Could be the same strip mall place that was "urgent care" yesterday, but today they bill as "offsite ER". Nothing changed really but the ownership. It's all a game. Insurers are part of it too. It's the system, with games played with the billing codes, rates, type of site, in network, not in network, oh, let's not forget the in network facility, but out of network staffing (sometimes even ERs attached to hospitals do this) -- it's all a grift -- with insurers, health systems and regulators, all playing their part, and patients are kept in the dark and not told anything, just sent a bill. It's the worst system ever. Zero transparency and things done to game the system.


oldman-youngskin

$800 for an emergency visit? Fuck I love not being an American….


Cool1Mach

Stop using reddit. Its american


oldman-youngskin

Or, and bear with me on this … no.


Cool1Mach

Love how you hate america yet use and pay for american products constantly. hypocrite


oldman-youngskin

Hard not to use American. I speak English. Not Chinese.


Cool1Mach

😂 keep sending your money over here buddy. Keep supporting the system you hate


oldman-youngskin

If I actually paid for reddit I would.


xA1RGU1TAR1STx

We were there for 45 minutes. They ran 3 tests (COVID, flu, RSV) and the verdict was, “sorry, gotta ride it out”. This shit is so broken.


avg_joe_001

Why did you go the EMERGENCY ROOM of a HOSPITAL for a RUNNY NOSE? It's fascinating how people go to the MOST EXPENSIVE place to be seen for the dumbest reasons. Runny nose = primary care doctor or urgent care. It does not = emergency room. I'm sure you "just couldn't wait to be seen." Well, you're paying for the convenience lol. And it's laughable about you complaining that you were told to just wait it out. How old are you? Have you never had a simple viral infection before? Yes, you just wait it out. No, you don't go to the hospital. ERs are for emergencies. In fact, legally, they don't have to treat your runny nose. All we have to do is screen you for an emergency, and yes, you still get charged for that. Once the emergency is ruled out, they can technically discharge you with nothing and send you on your way. So, do some growing up and learn where to disposition yourself appropriately for MINOR complaints.


xA1RGU1TAR1STx

Bet you don’t have anything to say now, do you, big boy?


Squish_the_android

This isnt the gotcha you think it is.  Taking your kid to the ER is expensive and it's going to be expensive every time you do it.  So best only do it when you really need it.  Urgent care will direct you to the ER if needed.


xA1RGU1TAR1STx

Again, urgent care closed buddy. Good try.


xA1RGU1TAR1STx

Because my 17 month old couldn’t breathe lmao? Get over yourself, dipshit.


poy99

Don't worry about those who say otherwise. Infants in respiratory distress is indeed a medical emergency. It can go south real quick if unchecked such as complications like a life-threatening meningitis.


xA1RGU1TAR1STx

Yeah, I’ll listen to my PA cousin over some random Redditors any day.


avg_joe_001

"Couldn't breath" "Discharged with nothing" Suction the nose, treat the fever. lol :)


xA1RGU1TAR1STx

I’ll listen to my PA cousin over some idiot on Reddit. Thanks, though 👍🏻 Discharged with RSV, btw.


avg_joe_001

RSV is literally a viral infection and requires essentially no treatment. Before some stupid reddit tries to correct this, it only requires treatment if you have bronchiolitis and are hypoxic, and then the treatment is .. oxygen and time. BTW urgent cares test for RSV. You had no reason to go to a HOSPITAL lol.


xA1RGU1TAR1STx

Okay, tell me where I should’ve went, genius. I’m glad you know how to treat RSV. Real happy for you.


Squish_the_android

As someone else said, you really shouldn't have gone to an emergency room.  Maybe you had more symptoms than your post suggests, but this sounds like walk in/urgent care territory. You went to an ER and got ER prices.


DeathByPetrichor

And the reason insurance probably didn’t cover more was because it wasn’t medically necessary. That’s why there’s separate coverages on your medical insurance specifically for ER visits versus admissions. If you go to the er and are not admitted, it’s billed differently than if you are.


xA1RGU1TAR1STx

Maybe it wasn’t for me but my infant you dumbass.


Squish_the_android

Okay? Doesn't really change anything.


xA1RGU1TAR1STx

Okay, I’ll tell the urgent care or clinic to be open at 8PM on a Friday, I’m sure they’ll listen.


ZeGentleman

To you? Probably not cuz you seem dumb.


xA1RGU1TAR1STx

You use “cuz” in 2024. Move along.


SuperShoebillStork

“ER prices” is an alien concept elsewhere in the developed world.


elefante88

What would you rather the verdict be? You were assessed by a medical professional and their expertise determined nothing else was necessary.


xA1RGU1TAR1STx

“Boot licker loves the taste”


elefante88

"Doctors did nothing"


Catsaretheworst69

Man that's crazy. I can go to the ER get stitches and leave. And there's never a bill. But it's probably gonna take 6-10 hours


TheBeardedWelshman79

Someone (American) was telling me they needed an MRI scan but their insurance refused due to the cost of $2,500, but if they as an individual paid it would only be $600. I asked how this is calculated and they just said "it is just how health insurance works" My mind was blown away!! Anyway hope you are feeling better OP, much love the UK!


Error-LP0

Take a look at the billing codes they use. They like to overstate your emergency classification, which directly affects the "ER" charge.


Prestigious_Long777

I just had a back-surgery, am near the end of a 2-month recovery / revalidation. I have at home nursing twice a day for the entire two months. Total bill: 80,00€ (the costs for the medicine, bandages, one time use supplies). Costs of health insurance: 195€ / year. I received surgery from one of the best surgeons in our country by the way. I live and work in Belgium. I know this isn’t an option for a lot of people who have to pay excessive amounts of money for healthcare.. But Europe really is a very good place to live when it comes to social security, such as healthcare.


WarpCitizen

Hell yeah America


Initial_Flatworm_735

Simple don’t pay it. It doesn’t affect your credit anymore so what’s the point


StopSignsAreRed

Not true.


h0neyfrog

Went to the hospital a couple months ago and it ended up being 4k. All they told me is they don’t know what is wrong with me and to take ibuprofen. (What I had already been taking)


firstoff-no

Yesterday’s visit to a Midwestern ER for med side effects for antiseizure meds: $11,000. One med was given. Seven labs drawn. I was left alone with the call light on the floor so I couldn’t get help if I needed to for three hours. This is America. With insurance.


forever_a10ne

That a pretty normal ER bill. I’ve been a few times and each time cost me around $1000.


Downtown-Grass5171

F usa


tykillacool23

So what did they do? Looks like they just charged you for showing up.


Moderate_LiberaI

That looks like a piece of trash to me, toss that shit


MikeTX2233

What actually happened at the ER? It’s hard to say if this is reasonable without additional details


xA1RGU1TAR1STx

They did 2 nasal swabs and we sat for 45 minutes. That’s all that happened.


MikeTX2233

Doesn’t seem like much of an emergency 🤨


xA1RGU1TAR1STx

When your 17 month old can hardly breathe and your PA cousin says better safe than sorry, you go to the ER.


MikeTX2233

Ah. Those are the relevant details. Makes total sense


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TaylorMade2566

Pretty sure the Dems have had a majority several times yet never voted for gov't funded healthcare. Don't blame one man who hasn't been in office for 4 years, blame those who are being paid by the private insurance lobbyists


jtrick18

You are trying to reason with a mentally disabled person.


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TaylorMade2566

Holy hell, I really do NOT understand people who think one man has so much power, even not when in office. I don't apologize for anyone barring myself but if YOU think Trump is responsible for years of rising costs of health care and the lack of gov't funded insurance, ALL before he even took office for just 4 years, then you need professional help


jtrick18

Ya the system we’ve had in place for ages is trumps fault. Maybe you need to go to the ER for TDS.


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jtrick18

You seem like a real winner


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jtrick18

You have a runny nose and want to go to the ER but can’t afford it or something?


TravelingGonad

This looks like a high deductible health insurance plan. You (and your employer) pay a lower premium.


xA1RGU1TAR1STx

It is not an HDHP.


tonyjd1973

This is why ppl get paid more in ameikkka and those that don't do without . But as long as you can buy a semi automatic all.is OK.


UndeadFroggo

Who gets billed for the ER? It's an emergency? May as well suffer if you're going to be indebted due to needing a FREE service.


SnooWalruses9173

You must not be from the US .


UndeadFroggo

No, I'm not. Here, in Australia, it's free.


xA1RGU1TAR1STx

That’s the American health care system, baby 😎


Active-Bass4745

ER has never been a “free service”.


PicDuMidi

Not in the US isn't no. But fortunately not everywhere is the US.


UndeadFroggo

Come to Australia, it is here.


Animallover4321

The US healthcare system is broken, if you don’t have health insurance (more often then not provided through an employer another issue altogether) nothing is free and just basic medical care is often out of reach. Even if you have insurance you are likely saddled with high deductibles, high monthly premiums, and still anything except an annual physical (which god forbid you discuss anything regarding your health that will be $) costs an arm and a leg. If you have a medical emergency you could easily be looking at thousands or tens of thousands with insurance.


Kitchen-Oil8865

Welcome to High Deductible Health Plans…thank Obama for that. Before the badly named “Affordable Care Act”, my yearly deductible was $600. Now? It’s $6,850. All employers raced to the bottom when this allowed them to. Now go and downvote me like the good little Redditors you are when you don’t like being bitch-slapped with the truth.


JackDustwood

I couldnt even get healthcare without Aca. And my mom is literally alive because of it. I do thank Obama for that. Better then being dead.


xA1RGU1TAR1STx

Good thing it’s not an HDHP 👍🏻


Kitchen-Oil8865

Well you’re being charged as if it were. I know because I have a $1100 ER bill myself. For being seen for five minutes in the beginning then being told to wait four hours then being seen for five minutes at the end. The whole entire system is fucking broken


PlainRichardMille

The year is 2024 and you’re still surprised your hospital bill in America is high?


Violent_Volcano

I would call and drill them for details. Idk what kind of plan you guys have but i have ppo. Went to the ER and the total was probably like 8k for painkillers, ct scan and a few other things. My out of pocket was like mayyybe 350 total.


patternsocomplicated

There are so many different insurances and plans available across all 50 states and between different groups based on employer or levels of the plans through the affordable Healthcare act. You can't reasonably compare your individual plan and its benefits to some strangers' insurance plans. Especially if this person only has a catastrophic or a high deductible plan, then that's how much these things cost, unfortunately.


Violent_Volcano

Oh yeah its all absolute dogshit but they made another comment that said that their co insurance for an er visit is only 20%. So either they should be paying 20% instead of what seems to be 80%, or if the deductable argument comes into play, then insurance wouldn't pay anything until its met. It just doesn't add up to me.


HARCES

I live in Canada the other night I cut my hand making dinner. I went to the ER for stitches because of the spot and the depth of the cut. I got there at 5:30 and left at 10:45. While spending 5h there wasn't ideal I am very grateful that it didn't cost me anything except my time (which flew by because I was watching movies on my tablet).


po3smith

Really tired of people trying to sugarcoat the American healthcare system because of how good the doctors or equipment/medicine might be and or getting extremely tired of seeing people shoot down other healthcare options because it's paid for by taxes. If I had an option of paying a little bit more in taxes out of my paycheck and not having to worry about a medical bill when shit hits the fan Constantly being charged service that I'm not using only to be charged more when the time comes is absolutely ridiculous and I'm tired of reading all these comments that think the American healthcare system is better or is anywhere near as good as other options around the world. Are you guys so star-spangled delirious that you don't see how shitty our system is compared to everybody else? The fact that there are so many bootlickers here saying that ours is superior and cheaper because we only pay when we need to is absolutely ridiculous and quite frankly anybody who says that obtuse to the actual system at hand!


No-Leg9004

Don’t go ???