Medical Insruance

@Beaser (391)
United States
May 22, 2023 11:18am CST
I have a headache!! For a couple years now I've endured Glaucoma and cataracts but didn't want to have the surgery due to out of pocket costs. So I've finally kicked the can down the road about as far as it can go and it's pretty much essential if I want to continue my current quality of life. I've been to the doctor and have things kind of set and have received a Patient Cost Estimate for the procedure and I'm floored by how little the insurance company will actually pay. A rough estimate is that the entire procedure will cost $8,000 with the insurance company picking up about $2,500. Gee, thank you very much. That leave me with the rest (approximately $5,500) out of pocket. And this is "in network". My insurance is through my employer and cost me roughly $400 per month, multiply that by 12 months and you means roughly $4,800 per year. And I've been employed for 8 years which translates to roughly $38,400 in premiums. Am I wrong for thinking insurance companies have the biggest scam going?
5 people like this
4 responses
@RebeccasFarm (91096)
• Arvada, Colorado
22 May 23
This is a complete travesty and rip off..I am so sorry. Yes I also think insurance is a scam going too.
1 person likes this
@Beaser (391)
• United States
22 May 23
@RebecasFarm - I'm fortunate in that I have health insurance so I'm not as bad off as so many others. But you would think a customer would get a much better return on the premiums they pay.
1 person likes this
• Arvada, Colorado
22 May 23
@Beaser You would think so..I am very sorry to read this too. In the end, I pray that the results for your glaucoma are good.
1 person likes this
@Beaser (391)
• United States
23 May 23
@RebeccasFarm - My glaucoma story is a whole different subject, maybe another time. Anyway, thank you for your kind words.
1 person likes this
@sallypup (62462)
• Centralia, Washington
22 May 23
My husband was quite ill so he agreed to some scans to test issues. Each scan cost us 250.00- at least it wasn't thousands but even 250.00 adds up very quickly.
1 person likes this
@sallypup (62462)
• Centralia, Washington
22 May 23
@Beaser This reminds me. I'm supposed to be paying a 45 dollar co pay.
1 person likes this
@Beaser (391)
• United States
22 May 23
@sallypup - You're absolutely correct, the smaller amounts add up pretty quick and before you know it you've paid a couple thousand dollars.
1 person likes this
@Beaser (391)
• United States
23 May 23
@sallypup - Yep, don't forget that co-pay.
1 person likes this
@AmbiePam (95582)
• United States
22 May 23
You are absolutely right. Cataracts are so easy to fix, yet millions can't because even with insurance they can't come up with the money. You pay insurance even when you aren't using it, but when you do, they slap your hand when you hold it out for help.
1 person likes this
@AmbiePam (95582)
• United States
23 May 23
@Beaser So true. It feels practically criminal.
1 person likes this
@Beaser (391)
• United States
23 May 23
@AmbiePam - Exactly. What is really like is how they can deny a medication without viewing any of your medical history. I mean Doctors go to school for years and the person processing the claim at the insurance company may not have even finished high school.
1 person likes this
@Juliaacv (51976)
• Canada
22 May 23
I feel so badly that your health care system is set up as it is. Here you would pay a small amount out of pocket for that procedure, basically for the lens, but otherwise our healthcare is paid for.
1 person likes this
@Beaser (391)
• United States
22 May 23
@Juliaacv - I've only heard a little about the health care system in Canada but I'm sure there pros and cons to any system. I just really feel like the insurance companies in the United States are more interested in pleasing their share holders than providing a meaningful service to their customers.
1 person likes this