Tag Archives: Humana

Doctor Bills $1,004, Medicare Pays $143 — This Travesty Has To Stop!

by Anura Guruge


Whichever way you look at this, it is a TRAVESTY.

Why is the Doctor billing $1,004 if he is willing to settle for $143?

Wouldn’t it be better for all IF he billed say $200 & got paid $200?

Yes, having been there myself, I UNDERSTAND that this does NOT apply to the POOR UNINSURED soul. They will be hounded for the FULL $1,004. Is that FAIR? Of course NOT.

This is what is WRONG with the ENTIRE medical system in the U.S. of A.

This has to be fixed.

This was from 2019 when I busted my knee. They asked for $17,000, they got paid $5,596! CRAZY.

Click to ENLARGE.


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by Anura Guruge

Medicare Supposedly Pays $17,000 For A Knee Replacement, Only Paid $5,596 For My Knee Surgery.

by Anura Guruge


Click to ENLARGE and read here. From ‘The New York Times”.


My Bill for Knee Surgery.

Click to ENLARGE and STUDY.



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.



Knee replacement, of course, is a much more involved procedure with expensive hardware involved. In my case they only had to insert 3 small ‘fiber’ plugs. So, there was no hardware costs. But, it just goes to show.

Yes, I know of doctors that will NOT accept Medicare patients just for this reason. The lower reimbursement. Not sure whether this applies to surgeons, especially orthopedic surgeons. They must get most of their business from old codgers like I who need knee and hip replacement — though I was, of course, different.

That huge 100% price differential is NOT RIGHT. It is worse if you don’t have insurance. Hospitals really rape you. I know. Dartmouth-Hitchcock raped me — anally at that.

There has to be a middle-path. Between the Medicare amount and what other insurances pay.

This is why the U.S. healthcare system is so screwed up.

I am sure glad I have Medicare — with the Humana Advantage overlay on top of it (which costs me NOTHING).


 

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Search ‘knee’ & ‘quadriceps‘.


by Anura Guruge

The Bill For My Quadricep Tendon Tear Knee Surgery.

by Anura Guruge


Click to ENLARGE and STUDY.



I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.



Pretty amazing. All of it. The surgery, the recovery and the bill. Overall I could NOT have been happier.

The surgery itself was near miraculous in that I essentially had no pain afterwards. Was able to stop taking Tylenol and Aleve by Day #8. Never had to take even one narcotic pill. So, that was great.

Wasn’t sure what to expect in terms of the bill.

I am amazed. Gobsmacked. I shouldn’t complain — but, I will, because I am like that. Smile.

So, who do I have for insurance. An Humana Advantage Plan (on top of my Medicare). The Plan is HumanaChoice PPO. I don’t pay a premium. They get my Medicare premium from what I gather.

That they can just write-off $12,166.56 of the bill is MIND BLOWING. If I didn’t have insurance I would be on the hook for this.

This bill is worth studying.



Related Posts:
Search ‘knee’ & ‘quadriceps‘.


by Anura Guruge