starting the weekend off right (spending two hours arguing with health insurance over their denial of a $12,000 delivery bill because the hospital submitted my daughter’s birth date wrong and now I have to convince them my baby didn’t come out forty years old)
going right from the delivery room to schedule a mammogram
Yoooo
Crazy….healthcare should be free - provided by the state.
Did they check her ID when she was born? Could have cleared this right up.
Wow....just wow....😔
You're taking this the wrong way. The surgeon delivered your wife! Sue for malpractice. (actually, it's common for insurance to create a what's called a mom/baby claim by duplicating the mother's claim to a new baby ID, and THEN denying the mother's original. )
Go to healthcare.gov and file a complaint. They get fined for those errors.
🤦♀️ Ridiculous!
How absurd , that we wven have to deal with this BS
They are so stupid . No is their standard answer
And they wonder why Luigi was popular... i don't approve of his actions, but their self awareness seems lacking somewhat...
WTF
Cries all the time, can't process alcohol, can't do spicy foods... sounds 40ish to me.
Oh jeez
So this is how they deny, delay, defend I see
Does she not have a really rare condition where she aged 40 yrs in the womb though? It can happen I think. You should get the genetic counseling that also isn’t covered to prove she doesn’t have that condition first.
Well, you can HOPE shes not forty anyway. 🤞
Insanity
Me: Approximately 15 hrs this week arguing with Blue Cross regarding incorrect billing. I Won.
Please check out theinsurancewarrior.com. After getting her own denials of cancer treatment reversed, she wrote a book to help others get their own denials of treatment reversed. There is a short video on the lead page where she tells her own story
The really sad part about books like this, they help for a while but then the insurance companies read them and find work arounds. Just like hackers….Just ask any criminal, they learn by the details that teach others how to do it right.
You should take a look at her technique. She has an over 90% success rate in the last 20 years. It's all about the contract and nothing else.
I will.
Meanwhile, I just got my hospital bill for when I had to spend the night in ICU after an unfortunate drainage cleaner incident and it cost me €40. I'm so so sorry your country is such a mess
That would have cost $23k here, at LEAST.
That's absolutely insane. I'm so sorry that that's your reality. I checked and even without healthcare that would 'only' have cost me €1600. What could possibly explain that difference? You're just getting ripped off so much
Yep. And we haven't even talked about the inflated price of medicines.
It's crazy, a medication I'm on, was taken off the market temporarily because the pharmaceutical company wanted to make more money from it and the government didn't want to allow it
Jesus. They are so criminally negligent and it's just accepted. I just don't get it.
Me neither, those meds are back on the market (for?)now and for me the price (€2, I know, I'm lucky) hasn't changed but the time I had to go without was absolute hell. There wasn't a replacement, I just couldn't function for months because they wanted even more money
That's crazy. My son's meds, same story. Couldn't get them for months.
How is that not illegal! I was lucky in a way because I barely even have to pay to go to my doctor. She was able to keep an eye on me and even fully refused payment at times because 'I shouldn't pay because the pharmaceutical companies are so greedy!'
How can they justify that cost? Aside from what seems to be incredible unfairness and insane decisions, how do they arrive at the inflated costs of various things? It appears such a tangle of corruption
It is. Since Nixon destroyed our medical care in 1973 by allowing medical care to be "for profit", things have gone steadily downhill and here we are.
who makes most of the money? The insurance company, the medical staff, hospitals? Are medics corrupt too? It's honestly mind boggling
The CEO's of course. The 1%.
It is! I also find it weird how in the US, they air advertisements for prescription drugs. That just seems insane to me. That's so illegal where I live.
this is my real life alex
I'm sorry to hear that. I hope you won the argument.
enjoy this precious time with your newborn💕…er fighting with insurance
Cue people from sane countries asking why Americans put up with this. My mother was on Medicare and I asked her if she liked it. She said she loved it. Then she proceeded to tell me how you don't want gov't involved in healthcare.
And this is exactly the problem. A meaningful percentage of the country fights to maintain the belief that rote recitation is highest form of thinking.
We don’t want to put up with it. In our oligarchy, there is not enough willingness to treat the public good as anything but a profit driven initiative. The Obama admin crafted the ACA incorporating some of the things the GOP wanted and they opposed it because they wanted to obstruct him.
The states who adopted the Medicaid expansion are experiencing dramatic improvements in health outcomes, which is leading to improved financial security and some shrinking of racial health care disparities (which is still a significant problem, even in states with the expansion).
www.cbpp.org/research/hea....
My MIL told me how much less her prescriptions cost for the past few months.... I was like yeah, the Biden administration and the Democrats did that for seniors to cap prescription prices 🤦♀️🤦♀️🤦♀️🤦♀️
Normalise middle aged babies
If the hospital is participating they should be doing that for you. They need to bill your insurance correctly. It’s in their participation contract.
Benjamin Button ass baby
Sorry, please see our pre-existing conditions addendum under section: Benjamin Button
Just remind them when an election ballot is misdated ....the ballot is tossed , so ..the the birth certificate was misdated .....toss it . No doc , no cost .
Is your daughter’s name Athena?
Underrated post.
Americans think they have it so bad, but here I received a $20 bill for an ambulance ride. Sure it was cheaper than a cab, and sure I didn't actually pay it, but... the nerve.
Spend $20 on a nice little treat for yourself and send the local NHS trust or whomever in your country a pic of you enjoying it, just to troll them for the bill
Ambulance rides start at $900 in America.
That’s just to be loaded in. THEN the clock starts.
That's more than my rent
With about 5% of that going to the driver and paramedics, on average.
They get paid hourly. Badly.
Yeah, I did some very rough back of the napkin math after looking up what they make. Assuming the average round trip is around a half hour, with one driver and two paramedics.
It's criminal, really.
Was talking about something similar with a co-worker yesterday, there should be a "dislike with love button" for this
I'm sorry but you don't stand a chance.
How to tell people you are American with out saying you are American.
FFS idiots
Skipping over puberty and school would be nice.
that baby has a mortgage and student loans to pay off, the last thing she needs is a medical bill
There are few circles of insurance hell like a wrong birth date.
I once spent days battling denials for my family policy because they had *my* birth date wrong. Every time I tried to fix it, they demanded I call. When I called, they demanded I give my birth date for authentication. And refused to help me because *I* had "the wrong date".
🤑🤑🤑🤑
What those idiots don't realize is they are killing the people who send them money every month in the form of premiums. So the more that die, the less money they get.
How often do hospitals submit errored data I wonder. Are they working with the insurance companies?
It never matters whether the discrepancy is correct or not, it's about any pretext to deny the claim.
That baby came out like..
And yet so many people think single-payer government-administered health insurance would be a nightmare of bureaucracy. I’ve used healthcare in 🇨🇦 and in 🇺🇸 and it’s so smooth and simple in Canada and such a Kafkaesque nightmare in the US.
Its not as easy in canada as Americans think. Its better, but its not great.
I've lived all but 5 years of my life in Canada, so I'm pretty familiar with it here. It has its issues, but most of them seem to be the result of politicians giving in to pressure to keep some things private and to cut public funding. As far as the paperwork, though, it's like butter vs. sandpaper.
I lived in Canada and found the care to be excellent.
Have you ever watched Michael Moore's 2007 film Sicko?
Not yet!
And in the uk ( though not perfect by any means) you turn up and don’t even have to think about paying…
For the most part true in Canada too. There are just a few things… but most people have private coverage for them.
I dunno, I was absolutely a 40 year old baby
hey boss, check it out. forty year old baby. this poor fucking kid
yeah but have u seen benjamin button
Those fuckers don't cover Benjamin Button disease?
dont sign your posts
For sale. New Balances. Never worn
Wonder how it’s emo phase went, indicative of future coverage needs
“sounds like a pre-existing condition”
getting some boss baby vibes from this
We had our first kid shortly after the yearly insurance renewal. HR fucked it up somehow and we had to deal with phone calls, bills, yelling at stupid HR for documentation for like the next fucking year. That's exactly what you want to do when you're getting 3 hours of sleep a night.
Actual torture imo
It's amazing how much of this falls onto the policy holder rather than HR, biking office, insurance company etc. I always think "why do I have to force everyone to talk to each other?"
That sounds frustrating
“Life begins at 40”
And they wonder why we hate them.
It’s just them trying to not pay for unnecessary care. Did you really need to go to the hospital to deliver?
I am sorry You should be enjoying your new daughter congratulations 🎉
Benjamin Button baby!
We had to do a similar thing with our boy. He was born right at the end of the year last year and the hospital screwed up the delivery date 🤦🏼♂️
This happened to me when the little fire was born. Six months later I got a bill for the entire cost of her birth because some glitch recalculated the moment of her birth to Dec 31 at 11:59 pm, so the insurance co said they now wouldn't pay the bill because she "hadn't been born yet." Ok guys 😡🔥
We had an insane one like that where they denied our kids delivery because they thought we were double billing but we just had twins.
That’s absurd. There are no thinking humans left in these corporations. “Computer says no”✌️
clearly not as essential as your issue, but i put my wife's birthdate wrong on my employee policy, and when she went to get her COVID shot was told since she was 7 (and listed as a spouse no less) she could not get the shot, according to insurance. fixed a few days later, but seriously...
Ugh. Good luck, they'll get it right eventually.
Now we know how Benjamin felt
at least they set you up for a good rant about 1984
Aw shiii here we go again
I spent 2 weeks being tested and then having heart surgery which was obviously successful Cost me a whopping $16 for parking Of course I live in a country with socialized healthcare and it is so good
Oh, I forgot, I also spent a hour reaching out to OHIP and my pharmacist and doctor for the proper code to make my spouse's Repatha Free ($561.94us)
It’s not funny but it’s pretty funny
Even if they just delay payment for a month or two they come out ahead.
"40-Year-Old Baby" sounds like a really bad Rob Schneider movie
The stupidest fucking people work for insurance companies.
You should thank your god damn lucky stars for the CEO who’s been working night and day to protect you from the demon costs of unnecessary care. They will turn down HUNDREDS of newborns, THOUSANDS if that’s what it takes!
Sounds absolutely maddening.
you just wrote a new Judd Apatow movie
i had a similarly ridiculous conversation because my son and husband have the same name - when my husband needed emergency gallbladder removal, they registered him at the hospital as our son who was born there. insurance company told me they can’t approve gallbladder surgery on a 4 y.o.😑
and if a 4 year old needed gallbladder surgery they should just die, i guess
Exactly.
right?! sorry kiddo. also they wouldn’t believe me when i tried to explain they had the wrong person
How do you people live this way?
a lot of us don’t
It sounds like Luigi might need to "unclog their toilets"
Insurance should get fined for wasting our time. Deeply tired of this BS
We had a similar situation. Our 1st was born after we moved to a new state and we were young so we didn’t understand how it all worked. Applied for Medicaid after his birth. 2nd came 17 months later. We were denied because the state only saw the app date and fraud alerts denied the 2nd baby
Hmmmmmmm.
Try telling them it's a Benjamin buttons thing.
One of my major issues: how much time we are all wasting. Insurers should be required to have the conversations by email so people have a record of what they were told.
Yes!!!!!! And you don’t have to sit for hours on hold or while they ‘check your account’
And also while let you know that you can log onto their website. Like, if their website could solve my problem I wouldn't need to call them
Exactly! We don’t call them for the fun of it - last resort
Yessss, and hospitals and insurers should talk to each other to resolve these issues. They both cause issues that average people don't even understand but are charged for. I spent so many hours calling back and forth to figure out what happened and how to fix it and who could fix it. Maddening.
It is a waste of time for hospitals and doctors, too. Major BS that they can't email because they are trying to protect our privacy.
Why use money on healthcare when you can use it on administration? assets.kingsfund.org.uk/f/256914/x/7...
The health insurance industry needs a total reorganization.
Funny way to spell "dissolution"
That sound a true bureaucratic mess
Denied, on account of being Athena
They do this on purpose
They have to. I mean, it wouldn't be a typo from a nurse. You wouldn't write 1984 instead of 2024. They probably know that if insurance denies claims over this, they'll get more pay directly from the patient. I wonder how many other people have gone through this
It might be easier to resolve thru hospital starting with medical records and having them change the birthdate and then asking the hospital collections to re-file the claim.
🇺🇸
Too bad – you could have saved a fortune in diapers.
Benjamin Button status: DENIED
🤦
🙄🤬
Nightmare
They're just defending against the unnecessary care of babies born as adults.
Will you still have to pay for college for 40 year old? Joke
Oh geez!! I hope you get it settled.
Math is hard.
DENIED!!!
