Re: OT: capitation (was Re: Occupancy and Security PIR - Suggestions?)

["Roland Moore" <roland@xxxxxxxxxxxx>]

>It's waiting to hear the results that I hate.

No matter what it the news is, attitude is everything, you just can't let it
whip you. I hope it turns out to be nothing.

"Robert L Bass" <no-sales-spam@bassburglaralarms> wrote in message
news:Y5-dnUs7YfTgt7XbnZ2dnUVZ_vCknZ2d@xxxxxxxxxxxxxx
>>> I always thought my insurance paid for line-item stuff.
>>
>> Read the fine print in your policy. Insurance Companies
>> collect premiums, they DO NOT pay claims.  That is
>> straight from a confidential Shifting Sands Mutual
>> financial report...
>
> Hmm.  I wonder how my insurance company works.  They
> are one of the largest and so far we've never had a problem
> with them denying anything.  Then again, I haven't needed
> anything "experimental."
>
> When I first got the invoices from the Moffitt Cancer Center
> I was shocked.  The whole procedure -- four months of
> chemo -- came with a price tab over $250,000.  The
> insurance company would pay a bit more than half of that.
> This was in addition to nearly $100,000 for surgery, tests
> and other care before the chemo even began, plus five
> years of CT Scans, RMI's and other assorted alphabet soup.
>
> Then I read the fine print.  The doctors and the hospitals
> agree to accept the insurance company's negotiated
> fees as payment in full.  We were responsible for the
> deductible which was only a few thousand dollars -- no
> big deal.  Presumably not every doctor nor every hospital
> has such an agreement.  I wonder what others do.
>
> Whatever the insurer's deal is with the hospitals I went to,
> it worked out ok financially for me.  I'm waiting for results
> of another biopsy now.  I don't mind the treatment or the
> "procedures."  It's waiting to hear the results that I hate.
>
>