Another way the insurance companies MAKE YOU SICK!!!
By jessigirl116
@jessigirl116 (848)
United States
August 28, 2008 5:53pm CST
My mom just stopped in, and you will never guess what I found out about the insurance plan through her work. A friend went in for a colonoscopy, exam is covered 100% by the insurance... UNLESS... If your tests come back positive, you have to pay for the exam. Plus- whatever the next procedures are, the percentage of the copay goes up. Lame. I understand, sort of. I guess I can see it from the company's point of view. They need to clean their lenses, their view is askew.
It's not just a colonoscopy either, same goes for the girly doctors, as well.
Is it supposed to be incentive to take care of ourselves?? I only ask because I thought taking care of myself meant going to the doc in the first place!! Preventative medicine.
1 response
@jonesy123 (3948)
• United States
29 Aug 08
Interesting. Those exams didn't used to be covered at all, at least here. The doctors are pushing for it, because it's so important to have that done regularly, especially if you are older. My husband recently had to have one done and it cost us $600, and that was our part of the costs. They didn't find what they were looking for. Thank God! But what if something was wrong and we would have shied away from the colonoscopy because of the cost.
I'm not sure though that what this particular insurance company is doing is quite legal. The benefits manager at your mom's work needs to look into this and have the plan changed the next round they negotiate health insurance premiums with this particular insurance company. They can't just up the charges because something was found.
But I can see how it is an incentive to take preventative steps. Colon cancer is serious and costly to treat if caught late. If they fully pay for the colonoscopy unless something is found, well then there is no harm to go and have the procedure done regularly even if it is uncomfortable. If you have it done annually, your chances of catching any potential cancer early is greatly increased. They usually remove polyps during that procedure. Those may or may not turn into something worse later. Yes, I can fully see how this would be a good prevention incentive.
But I don't like the idea of the double whammy. I think a patient has enough to deal with when they find out they have cancer. They shouldn't have to worry about financing the treatment and costs rising from what they are used to paying.