got a bill fur $1,959.35 for ....

[jeff of pa]

If I'm not Mistaken, when a Bill gets sent to Blue Cross/ Blue shield
for $1000.00 They say NO It's only worth $400
so that's what were Sending & You need to
accept it as Payment in full.

I Wonder if the Public can do this.

(Of course this is probably why
all Hospital bills are Inflated. )

 

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[mrs.oroblanco]

JeffofPa,

I believe you are right - that is part of the problem also.

Beth

 

[davest]

I'm just so glad we don't have a system like Canada. I mean, who needs single payer universal health care anyway.

It's not like we would go bancrupt from medical bills or anything.

 

[Mental Granny]

Ask for detail an go over all of it make sure its right. When my daughter was 2 I did that on hers an there were charges for all kids of meds (like asprin and such) that I know she didnt hav. Plus just before we xked out. they gave her a breathing treatment. But, broght 2 vials in an lefy one on counter, I picked it up an carried back to desk an glared at them said were leaving ... you know that! take it off the bill !

 

[aa battery]

workmans comp is paying for it but any type of settlement will be seized by them

 

[davest]

what did you actually do accidentally? Workers Compensation should pay for any medical bills, hospital charges or follow up doctor visits and prescriptions. If you get a settlement doesn't sound right at all. To me that would indicate someone was at fault in the accident.

 

[aa battery]

what did you actually do accidentally? Workers Compensation should pay for any medical bills, hospital charges or follow up doctor visits and prescriptions. If you get a settlement doesn't sound right at all. To me that would indicate someone was at fault in the accident.

its a new law here communist Kalifornia

 

[greydigger]

Son went on a bowling thing with his company and hurt his back.
That's going to look funny on workmans comp.

Grey

 

[mikeofaustin]

I'm just so glad we don't have a system like Canada. I mean, who needs single payer universal health care anyway.

It's not like we would go bancrupt from medical bills or anything.

I once was breaking down a float and got a cut in my eye that needed stiches. I went to the hospital, and being an american, they had a problem with treating me... but, the doctor took it upon himself to stitch me up. No forms or anything.. just right out the door. It didn't make an impact on his paycheck or anything... he just 'covered it up'. Becuase he was a doctor, he know I needed sticthes. If I were in the USA, I would have been billed a couple thousand.

 

[aa battery]

my boss is now worried cause now i gots a case

 

[mrs.oroblanco]

Ok, I just was reading the California statutes about WC.

Your employer doesn't get to take your settlement - if you get one - unless they pay you the settlement out of pocket first. Someone doesn't have to be at fault to collect either WC or a lump sum settlement - in any state. Workmen's comp is specifically for any injuries that happen at the workplace - regardless.

Beth


If you want a whole lot of boring reading, here it is:


https://www.dir.ca.gov/samples/search/querydwc.htm

 

[aa battery]

thanks for the info but 3 bloodsucker attorneys told me its a new law

 

[mrs.oroblanco]

Three may have told you - but, it is not true.

UNLESS - that's the rub:

First - they are guided by Federal law - California law cannot usurp Federal Law.

Second - the only way that your employer can get your settlement, is if they are going to pay you every single week the equivalent of that amount.

If a court finds in your favor, an employer (or a California law) cannot change that. Like I said, there are exceptions - so, I am assuming that you are planning on getting weekly checks for the rest of the time.

California also has the option of giving you State Disability while it is in court. THAT, has to be paid back when you get a settlement.

Employees who have been injured on the job in the State of California are frequently confused by the vast array of laws and procedures involved in:
(1.) Determining whether or not they have a "case" and
(2.) How to pursue a claim for workers' compensation benefits.
The information contained in this article is intended to be a general summary of the various benefits that MAY BE available to an injured worker pursuant to the workers' compensation laws in the State of California.

While each case is different, the following is an outline of how a case normally proceeds through the system. In general, there is a big difference between a "denied" case and an "admitted" case. The outline below deals primarily with cases where the insurance company has admitted that an injury has occurred. However, there may be disputes regarding other important issues such as the nature and extent of the injury, the need for medical treatment and the need for vocational rehabilitation. When the insurance company "denies" that an injury occurred, many of the issues will have to be litigated or the injured worker will have to agree to take something less then the maximum allowable benefits that the law provides.


Temporary disability is paid at a weekly rate during the time the doctor says the injured worker is unable to work due to the injury and there is still a chance of improving the condition with medical treatment. The compensation rate is two-thirds (66%) of the employees gross earnings, up to the maximum amounts set by law. The current maximum rate is $490.00 per week(if the injury occurred on or after 1/1/96). Depending on the date of injury, there is a short waiting period for your first check. It usually takes about 2 weeks before the first payment is made.
If for some reason the insurance company will not pay temporary disability, it is often possible to receive disability payments from the Employment Development Department. These are called SDI (State Disability Insurance) benefits. An injured worker cannot receive benefits from both the workers' compensation carrier and from the Employment Development Department.

1. COURTS AND LAWSUITS

The Workers' Compensation Appeals Board is the trial court for all industrial injuries involving your employer. This is an administrative law proceeding. There are no juries. A workers' compensation judge makes all of the decisions if the case goes to trial. If you are injured as a result of the fault of someone who is not employed by your employer, you may be able to sue that person in Civil Court, in addition to your action against your employer.
2. ATTORNEYS' FEES

Attorneys' fees are set by the Workers' Compensation Appeals Board and are usually 12% to 15% of your award or settlement. Attorneys are also entitled to a similar fee for assisting in arranging the rehabilitation program. When there is no recovery on a case, there is no attorneys' fee.


I've skipped a whole bunch, but, this is directly from the State. Let me tell you a little secret - many attorney's don't like to take cases unless its hundreds of thousands of dollars.

Being in the health industry - I've been to WAY more than my share with patients. Partially disabled, totally disabled, temporarily disabled - the whole bit.
If you were hurt, truly hurt - do what it takes to make a REAL claim - because, if nothing else, medical bills can KILL you, because insurance (private) will not pay for one single dime of WC injuries, and if you DO get a regular insurance company to pay - and they find out - you are going to jail for fraud.

Beth

 

[homefires]

About 6 years ago I rolled a Van.

Got a ride to the hospital, had a neck X-ray, prescribe Ibuprofen and Rest.

I received a bill for just over $6,000.

I was only in the hospital for a total of 1 1/2 hours.

I demanded a break down of the bill. All it said was YOU OWE.

They refused to break it down saying I needed to contact some outfit four states away and ask them. I said You did the work, You should know what you did.

I never did pay it.

 

[Smudge]

These days, if you can get out of the hospital for less than $5k, you did well.

The important thing is, you walked out of the hospital and weren't removed from it in a hearse.

That is a very good thing.

 

[aa battery]

Three may have told you - but, it is not true.

UNLESS - that's the rub:

First - they are guided by Federal law - California law cannot usurp Federal Law.

Second - the only way that your employer can get your settlement, is if they are going to pay you every single week the equivalent of that amount.

If a court finds in your favor, an employer (or a California law) cannot change that. Like I said, there are exceptions - so, I am assuming that you are planning on getting weekly checks for the rest of the time.

California also has the option of giving you State Disability while it is in court. THAT, has to be paid back when you get a settlement.

Employees who have been injured on the job in the State of California are frequently confused by the vast array of laws and procedures involved in:
(1.) Determining whether or not they have a "case" and
(2.) How to pursue a claim for workers' compensation benefits.
The information contained in this article is intended to be a general summary of the various benefits that MAY BE available to an injured worker pursuant to the workers' compensation laws in the State of California.

While each case is different, the following is an outline of how a case normally proceeds through the system. In general, there is a big difference between a "denied" case and an "admitted" case. The outline below deals primarily with cases where the insurance company has admitted that an injury has occurred. However, there may be disputes regarding other important issues such as the nature and extent of the injury, the need for medical treatment and the need for vocational rehabilitation. When the insurance company "denies" that an injury occurred, many of the issues will have to be litigated or the injured worker will have to agree to take something less then the maximum allowable benefits that the law provides.


Temporary disability is paid at a weekly rate during the time the doctor says the injured worker is unable to work due to the injury and there is still a chance of improving the condition with medical treatment. The compensation rate is two-thirds (66%) of the employees gross earnings, up to the maximum amounts set by law. The current maximum rate is $490.00 per week(if the injury occurred on or after 1/1/96). Depending on the date of injury, there is a short waiting period for your first check. It usually takes about 2 weeks before the first payment is made.
If for some reason the insurance company will not pay temporary disability, it is often possible to receive disability payments from the Employment Development Department. These are called SDI (State Disability Insurance) benefits. An injured worker cannot receive benefits from both the workers' compensation carrier and from the Employment Development Department.

1. COURTS AND LAWSUITS

The Workers' Compensation Appeals Board is the trial court for all industrial injuries involving your employer. This is an administrative law proceeding. There are no juries. A workers' compensation judge makes all of the decisions if the case goes to trial. If you are injured as a result of the fault of someone who is not employed by your employer, you may be able to sue that person in Civil Court, in addition to your action against your employer.
2. ATTORNEYS' FEES

Attorneys' fees are set by the Workers' Compensation Appeals Board and are usually 12% to 15% of your award or settlement. Attorneys are also entitled to a similar fee for assisting in arranging the rehabilitation program. When there is no recovery on a case, there is no attorneys' fee.


I've skipped a whole bunch, but, this is directly from the State. Let me tell you a little secret - many attorney's don't like to take cases unless its hundreds of thousands of dollars.

Being in the health industry - I've been to WAY more than my share with patients. Partially disabled, totally disabled, temporarily disabled - the whole bit.
If you were hurt, truly hurt - do what it takes to make a REAL claim - because, if nothing else, medical bills can KILL you, because insurance (private) will not pay for one single dime of WC injuries, and if you DO get a regular insurance company to pay - and they find out - you are going to jail for fraud.

Beth

thanksfor the info Frank

 

[K*E*L*L*Y]

tell me about it ...

i feel bad now knowing wat you went through. Forgive me please.FRANK

<3 ya

 

[Xiao en]

Are you insured or uninsured??

Any doctors office has 2 sets of prices. Tell them you are paying cash and your bill magically gets cut by half or more, that in itself is unethical. Why charge me one price and then turn to drill the medical insurance company for anything more than the same??

I was a foreign teacher and had to get a body inspection / health check every year. This battery of tests included a chest X-ray, blood work, urinalisis, general physical, eye exam, EKG , hearing test and an ultrasound on the stomach and kidneys. All of these tests in the foreign country cost less than 50 USD. If it can be done there and at a profit then it can be done here in America as well. Bought new eyeglasses made on the spot in less than 3 hours for 20 USD. (China)

Another example: A friend of mine his son called he is living in Mexico working in San Diego, he cuts his hand goes to an American doctor in Mexico gets 5 stitches and charged 2.50

Problem is doctors are in practice to milk as much money from the government insured and worker insured patients that they can.

Profit is not a dirty word however greed and gouging are. Dealing with most doctors and hospitals instead of feeling better and more healthy my butthole has a dull anticipating ache from the royal screwing I know is coming from the billing department.
Just because i dont have insurance is no reason i should not have the ability to go see a doctor and recieve treatment for a reasonable service fee vs bill collectors calling for outragous fees.

Doctors , pharmapsuedical campanies and hospitals with unethical billing practices are just one of the leaches sucking on the government tit that needs cut off.

 

[piegrande]

>>It's hard to believe but we still have some of the best medical care in the world (we're losing it fast).

Not to rain on anybody's parade, but over the years I have developed a totally different view.

How could the sickest, most unhealthy nation in the world be said to have the best medical care in the world? I don't get it. Sure, once they totally destroy your health with bad dietary advice, they can do all kinds of things to the body they ruined.

When I cross the border, I see FAT! FAT! FAT! I see electric wheel chairs occupied by behemoths. I see handicapped parking over loaded with disabled licensed cars.

Good medical care starts with correct diet. For decades, we have been inundated with orders to eat a low fat; high carb diet. Yet, 70% of the population needs low carb, moderate fat diets.

If you want to know the truth about diet, borrow GOOD CALORIES BAD CALORIES from your local library. It turns out there was never any evidence that low fat was correct. It was a wild guess by 8 or 10 influential doctors and anyone who objects must be destroyed.

Atkins cured 95% of his patients from infarctions, and diabetes and more. Yet, he is viewed as a quack by the folks who can only send you to IC for millions.

Here in Mexico, my best friend can do a majority of what you would pay thousands for an MRI, and he can do it for less than $30 with an ultrasound machine.

Several years ago, my little grandson got a fever and vomiting on Thursday. The family doctor offered to squeeze him on Monday. This is terrible medical care. My son told us it was roseola, and sure enough on Saturday he got the rash on his back. His mom then developed a terrible head-ache. My son said it was a viral meningitis, caused by the roseola. My daughter refused to tell her doctor her son had roseola, and as a result their co-pay for two days in the hospital was $2000, the doctor feared it was encephalitis.

My son injured his knee. He said an MRI would cost maybe $5000 and the surgery, maybe tens of thousands of dollars in the US. Here, it would be $300 for MRI, and maybe $2000 for surgery by a doctor who does that surgery for their million dollar soccer stars.

Here if you get sick at 2 am, you go to the doctor at 2 am, and he opens the door and treats you.

The difference is, no heart/lung machine, and no life support for brain dead people. And, when it is your time to die, they send you home to die with your family, free. No hundred thousand dollars for the last 3 days or your life.

By the way, my friend doctor, he really screamed when I started Atkins 5 years ago. He watched as my health got better and better. In late November, he told me he was worried about his health. When he told me his symptoms, I told him, "You are going to die unless you start my diet." He did not argue because he well knew I was right.

He did start the diet and is down 15 pounds, and the muscles in his legs no longer hurt when he walks. To be explicit, he is on the New Atkins, lots of vegetables, and low carbs.

If he hadn't watched me for 5 years, he would never have trusted the low carb diet, and he'd soon be dead.

Taubes and other low carb diets work, too. You need one that suits you emotionally as well as health wise. Diets are like dancing. A really good dancer improvises. The rest of us need to memorize the steps of a dance someone else invented.

 

[mrs.oroblanco]

Unfortunately - you are way too right - the US is losing its edge, very rapidly -

As of 2011, we are 34th in infant mortality (7 per 1000) Singapore has the best survival rates, (2.6), Afghanistan the worst (144), by United Nations numbers (194 countries). We are 46th in World standards. (Singapore is still first out of 224 countries, Angola being the worst) Its a sad thing.

Beth