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Silly accounting tricks

Prostate Cancer | Last Active: 17 hours ago | Replies (11)

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@heavyphil

That is exactly correct. I’ve attended a few insurance seminars and the providers are told to enter the “Usual Customary Fee” ($21000 here), then the “Accepted Fee”(what the insurance actually allows the dr for being part of their network). Then what they actually PAY the provider, snd lastly, what you owe as a copay.
It’s all done to make the insurance company look like some hero who forced the greedy MD to cut his fees. Kinda like professional wrestling but without the folding chair across the forehead…

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Replies to "That is exactly correct. I’ve attended a few insurance seminars and the providers are told to..."

Like a shell game with your health costs.

My kidney cancer cost around $130K just for the 5 days in the hospital and the surgery, the same surgery that took my prostate (same robot), and I've teased my doctor that after two surgeries he owes me a ride in his Lambo - he told me "I wish, I drive a VW Jetta but you can ride in it if you want". After the prostate surgery bills came in I can see that his post-insurance fee was $10K and since all surgeons are usually in a network of doctors, you have to figure he might get half that. A little humbling to me. I know he makes a very good living as a top notch surgeon but I think he's also a very humble man - my wife and I figure that he spends his money on something like his incredible toy train collection or glass figurines or something 😂.