Negotiating self pay medical bill. I want to have an idea of how much the surgical practice/surgeon would have been paid if the patient had had insurance. How much will they get if they hire a collection agency? Do they get a percentage or just sell the debit for a fixed price? The patient is being billed 1850.00 self pay for the procedure. The procedure was at a major Boston hospital and the patient is being billed self pay due to a temporary lapse in subsidized insurance. The hospital has already written off the bill. The billing date was sometime around the end of March 2013. The patient has been told by the billing organization that represents the surgeon that they have to deal directly with the surgeon or their practice.
Are sites like this legit? Basically, they promise to negotiate your medical bills; if they save you money, they take a percentage of it (often 35% of your total savings). If they're unable to help you save, they don't charge anything. I have a super-high deductible insurance plan, and have long known that most bills can be lowered by me calling the billing department and asking. I've had bills lowered any where from 1-40%, with the knowledge that the remaining amount generally must be paid in full relatively quickly. Has anyone used a site to negotiate for them, and if so, did you feel like their negotiating was better than what you could have done on your own? Note: This is hypothetical, as I do not currently have any large medical bills looming. Assume that I do have the resources to pay a large bill in full if it saves a hefty percentage in the long run.
I'm about to finish The Spirit Catches You and You Fall Down. Before that, I read Nancy Scheper-Hughes' Death Without Weeping. What's next? [more inside]
If social media and crowdsourcing is good for anything, I figure it's to find some sort of answer to questions like these. Here goes nothing... I'm a 23 year old with cerebral palsy and while I'm very much a special snowflake in that I've been gifted with normal function as far as most of my life is concerned-most importantly in terms of intellect- there's one part of my CP that's made my life smaller and more miserable than any wheelchair could. It's affected my relationships with and opportunities for friends, dates and jobs, and for a richer life in general. Help me find a way out. Snowflake details inside. [more inside]
This phrase: "dilaceratio cruris sin Vulcera centusel. multipl." appears on a German birth certificate from the 1940s. Am I right to guess that it means something like "multiple wounds in the leg without ulcers"? If so, what are "ulcers" in this context? Infections?
What does it mean when the doctor hits your knee with the rubber mallet and you kick like a Rockette? [more inside]
So I'm a 23 year old recent college grad with a psychology degree and a long face. Why? No job, a shitty, inconsistent transcript to show for the last six years of my life ( barely eeking out a 3.0 because of significant and unrelenting problems with fatigue and depression, now somewhat under control), no work experience... oh, and I have cerebral palsy. All this helped build a brick wall almost impossible to see over, much less climb. This morning though, I managed to get bright-eyed and bushy tailed for all of five seconds after reading a Business Insider article that listed medical sonography as one of the best jobs available to those without a college degree. ( I've come to consider my degree a throwaway ( it's from a state school, it's in psychology, which makes me a decidedly un-special snowflake, and, like I said, the grades aren't frame worthy). Everything about medical sonography- the pay, the type of work, job growth and time-to-completion of the program is attractive. Trouble is, I leave much to be desired in terms of the physicality needed ( lifting, transporting patients, etc). What else can I do that offers all or many of these same benefits and is cripple friendly? [more inside]
I was at urgent care for a ear problem and the doctor only spent less than 2 minutes with me, didnt even look at the other ear, gave me a prescription and left. The nurse came in and wanted me to sign a form saying I was "satisfied with my treatment and had all my questions answered" I told the nurse I had more questions for the doctor before I would sign it. She said the doctor was not going to answer any more questions and I overheard him saying to call the police, I was amazed as I was being very polite. So I left, as I was leaving he said I was banned from the clinic. Can they do that?
I was at Panera and accidentally chewed and swallowed a plastic fork tine, approximately an inch in length. It may have broken off while I was using it to break and pick up a crouton, and I didn't notice what I'd chewed until I looked down at the fork. That was 8 hours ago. [more inside]
What are the pros/cons of using a 1.5 Tesla MRI machine vs. 3.0 Tesla MRI machine for imaging the brain, from both the patient's perspective and imaging perspective? [more inside]
I am entering causes of death into a database. On one of the death certificates from 1901 it lists "phithisis eutenca". Any ideas on what this could be? Google was no good to me. ???
I am fed up/freaked out about the cost of my health insurance... [more inside]
Let's say you have medical condition ABC that can be treated with XYZ and you live in the United States. How does one become a medical tourist, defined by going outside the country for XYZ? It seems unlikely your doctor will acquiesce to sending you out of the country to get treatment with another doctor. How does the process begin, where patients can connect with the right doctors and facilities to arrange treatment? How do people evaluate the quality of treatment and follow-up care? Are there medial tourism "groups" that specialize in particular health issues? If you did this, what was your experience like and what recommendations would you have for issues or "gotchas" to look out for? [more inside]
I have a slight curvature in my spine however, it seriously put my whole body out of alignment. I discovered my body was misaligned upon looking in a reverse mirrored image of myself when trying on a bathing suit as a 15 year old. I'm much older now, but since the problem was never treated, my skeletal structure is the same, if not worse. This presents a problem in my field of work as a performer. I'm a busty woman with slender hips and because of my bust, its more pronounced. A view of my left side from a third degree angle looks amazing. Looks feminine and tall. However, the view from the right on a third degree angle looks boyish and collapsed. I see pictures of myself performing and it makes me cringe when angles of my right side are taken. My structure look deformed and I feel is limiting my opportunities to go further in my industry. I'm having a hard time deciding which doctor to see since I don't have health insurance. I would really love to correct this problem but I don't know where to start. Please help!
My mom is in great health and decent shape for a 70-year-old and just completed 3 weeks of travel where she showed great endurance. Then she came back and "flunked" a stress-test :( [more inside]
I'm interested in exploring medical tourism for a few procedures (some significant dental work, breast reduction, hair removal), but I don't know where to start. Please help me learn more about this trend. [more inside]
Looking for The Magical Technology Adoption... [more inside]
In 6 weeks' time, my husband and I are quitting our jobs to go on a 2-3 month road trip around the USA before moving to Europe. I have some questions about travel/trip/health insurance for folks who may have done this or something similar. Is it sensible or possible to use travel insurance as our primary health insurance? [more inside]
Help me find my biological father: artificial insemination in the 1980s edition! [more inside]
I moved to Arizona a while back and get prescription for medical marijuana. I am unfamiliar with the process as I moved from a state without medical marijuana. I've read the FAQs on the AZDHS website and I know that any doctor is available to prescribe this to me. However- how do you go about finding a doctor when there are so many to choose from? [more inside]
OK, similar questions have been asked here but I'm looking for a very specific answer. My insurance covers two kinds of Medela breast pumps (which friends tell me are the best): The Pump In Style Advanced (at a cost to me of $89), and the Freestyle ($159). It also covers the Medela Advanced Personal Double Breast Pump, about which I know nothing including the cost to me. I've read mixed things about the two pumps: That the Freestyle is great, or that people have experienced reduced flow after using it; and that the Pump in Style is great, but that it's very inconvenient. If you're among the lucky ladies who've had personal experience with these pumps, can you tell me what you think? This is our first kid and I think I'd really benefit from your advice. Thanks!
How are job prospects in the medical radiation sciences (in North America in general, and Canada specifically?) [more inside]
Was my experience with a new medical office as egregiously wrong as I think it was? If so, how do I report what happened? [more inside]
My new job doesnt give me health insurance until September 1st. My Celexa runs out in...two weeks. The pills are easy...they are one of the 4$ generic prescriptions at WalMart. But how on earth do I get a prescription to tide me over?! [more inside]
My wife will be traveling in a couple of weeks to Houston, and will also be on a series of injections for IVF at the same time. Unfortunately she is unable to do the injection herself (physically and mentally) so will need someone to administer the shots. [more inside]
So, I suffer from occasional anxiety. I usually manage this by doing things like visualization, breathing exercises, and taking Lavela lavender supplements. However, I am staring down the barrel of a scary medical situation and freaking out. My question pertains to getting some extra help via a doctor. [more inside]
I'm going for a boat trip and might end up in some pretty remote areas. I'm putting a medical kit together. There's some more hospital style stuff I'd like to get (IV catheters/dressings/saline bags), but I only need a few of each. Is there anywhere I can buy these items by the piece? (I'm an RN, for the record) [more inside]
You are not my doctor, but you might know what kind of doctor I need to find or what kinds of questions to ask. Please help me piece together a plan so I can get some health issues sorted out. [more inside]
In a few months I'm going to be having an elective surgery to fix an ongoing medical issue that I'm a bit sensitive about. The HR person at my ~100 person sized company is pleasant but she seems to be careless when discussing private info on the phone. What does she know about any medical treatment I get? Details inside. [more inside]
How common is light bleeding a few days after your period ends? Should I be concerned? TMI below the fold. [more inside]
My kitty, Shoggoth, just had to have six teeth extracted due to FORLs, including one of these fangs. I'm curious about whether any Mefites who know about vet stuff can explain some of the mechanics of this to me. [more inside]
I'm 27 and would like to become a physician's assistant (PA), but don't have any background in medicine, a prerequisite for nearly every PA program. Should I go through a phlebotomy program? Are there phlebotomy jobs out there? Would this be a good way to get working hours as a medical professional? [more inside]
I like my specialist doctor. However, he has an assistant/nurse who makes me feel uncomfortable, although nothing she has done is explicitly unprofessional - I just find her creepy and unnerving. What should I do? [more inside]
I need to go to the doctor, but intense shame is keeping me from seeking help. [more inside]
My son's father suffered a ruptured aneurysm last week. He's not getting better and I want to be as supportive as possible to him and his family. How do I do that like a normal person? [more inside]
Suppose you've noticed a growing red skin blemish on your arm that's irregular, raised, and a little flaky towards the center. At what point do you start to worry it's skin cancer and go see a doctor? [more inside]
Recently I had some dental work done which included a CT scan of my teeths. I want to create little rotating 3D images from the output but I've come across some problems. [more inside]
I'm a career Firefighter/Paramedic. Recently, I've been thinking more about the long-term psychological trauma that results from a serious injury/illness, and how my actions during emergencies may help or hinder patients' healing. Help me help my patients. [more inside]
There is a soft lump toward the front of the roof of my mouth. It is not a blister. It is not a canker sore. It might be a result of an infection where I had a root canal 6 months ago. Naturally, I think it's awful and life-ending. [more inside]
My girlfriend is about to start a series of medical-related procedures as part of her gender transition (M2F). What can I, as a cis(ish) woman, do to be a good support to her? [more inside]
A new doctor has recommended Atlas Orthogonal treatment to realign my atlas (C1) bone. Anyone willing to share their experiences with this? [more inside]
How should my friend search for a job? African-born U.S. citizen, 10 years of nursing experience in the U.S. (fully certified), Public Health masters degree, experience with research, Experience with refugees, sex workers, AIDs, and basic research
Left side (arm and leg) numbness, weakness, pain and weird temperature changes. Clean MRI and no abnormalities in any other test. Primary care sent me to ER, ER did test, found nothing said it was "probably a migraine" (with no headache and no aura?!), and sent me home. What is going on? Hope me please. [more inside]
The majority of my friends are in medical school and are graduating this year. I'm a baker and wanted to give them all small gifts that are cute/tasty/medical or graduation-related. The only thing I could think of is decorated cookies (I do shortbread or brownie cookies) but any suggestions on shapes? Nothing too complicated, please! [more inside]
I'm a 27 year old male. I've noticed my hair has been thinning out and receding my hairline over the last year. Is there anything I can do to keep it sticking around for a while longer? I didn't expect to be witnessing this before I'm 30. Can a doctor help?
What is this syringe-like thing? [more inside]
How are things looking over the next few years as far as health insurance costs in the US? [more inside]
I'm looking for resources regarding certain types of medical devices, ones that produce some sort of measurement or data, eg a Visual Field Analyzer, Ultrasound or an OCT machine. The type of data I'm looking for is stuff like sales numbers, how many are still currently in use, or where they're in use (which field, small clinics versus large hospitals, US or international). My focus is on legacy devices and Ophthalmology, but any data is useful.
I have a worsening degenerative hand tremor and can no longer play conventional rock music on guitar. What musical instrument could I take up that could accommodate this condition? [more inside]
Following some intense pain I felt back in August, I began going to doctors to figure out the cause. I've been diagnosed with osteoarthritis. I am in my mid-twenties. I could use some help figuring out my next medical and legal steps. [more inside]