A tad bit about Me

My photo

twitter - @DanWins2013

I have had a few "False Starts"....  The old blog Anything at Anytime - cant get in so....
bringing a New Fresher Version for all to see.  If you compare the New to the Old -- Very similar but different.  What will the future bring... who knows.... but I have found that is where the adventures begin.

Join me and Maybe we can find a Dragon or two (or three, or......)

Music Whilst You Read

Sunday, July 19, 2015

Understanding........ INSURANCE?!?

Now this one Again was written just a hair over 5 years ago...
It is more Confusing Now than it was then.... THANKS to our Government for jumping in to Fix it...
In My Opinion... and Billing/Cost wise it HAS Gotten WORSE....
If you only Read the Letter I sent My Congressman Just Yesterday ---
This is funny but NOT FUNNY
I No longer Use this Company but the Current Company and Insurance are exactly the same
the lady mentioned was Nice and this was NOT her fault

Writ by me today

Written on Old site
July 13th 2010

Today was call my oxygen provider company to make payment arrangements day.

Our bill was getting weird and my wife and I couldn't figure it out. So I told her I would call them and see what was going on with the bill and to make arrangements to pay and make Everyone (but our pockets) happy.

The Lady I talked to was a little bit older and was very helpful trying to explain it to me. She and I both got mildly frustrated with the situation - not with each other but the situation and trying to figure out the math.

Now, I am pretty good at math. Not a math wiz or anything like that but having a few hours under my belt for a physics with a minor in mathematics degree, I think I can follow most math.

Who the Hell thought up all these damn formulas for insurance and how much who owes what and what owes who and why that cost this and not that and you can only have one of those otherwise the cost will be 7 times the cost divided by the 31st figure in the 14th dynasty's 3rd reign.........

and if that one doesn't explain it -

Well, sir I truly don't know why the insurance says you owe that much more, remember I work for the oxygen company (which is true and I told her so).  She then goes on to say something like : You think that is bad,  this is the rules as the insurance sets them down before us and we are the ones they are supposed to pay:  You being the Recievee and We  the payer and your patient/our customer the object in question will all interact thusly,  The Recievee will provide services to the patient/our customer and bill them 10 times the going rate at which point we the insurance shall tell you the Recievee that you are over billing us the Payer by 7 times the amount that it should be then we will tell the patient/our customer to pay you 4 times the actual worth of the product for the next 6 months.  Then and only then will we the Payer pay the Recievee whatever the patient/our customer hasn't which will be the total of 80 % of the total after subtracting their 20 % minus the additional fees that were added minus the sum total of over payments by cents Plus the sub-total minus the fraction of the overcharge and by the time it is done We the Payer Will Pay you the Recievee $0.01 while your patient/our customer pays you $2800.00 and our customer will continue to pay us the family coverage total of roughly $500.00 per month with an individual deductible of $1500.00 and $3000.00 for the family. 


So rather than make matters totally Discombobulated with the Nice Old Lady, I said: "Ma'am, thank you for trying to explain it to me but I don't think we have figured it out yet.  I will talk to the wife and we will pay you $---.-- and that should put us all right for now until I can get this straightened out with Insurance."

Her response: "Mr. Wins2007, Thank You that will be fine for now.  And Sir?"  "Yes?" I said.

"Good Luck!"

No comments:

Post a Comment

First and Foremost
NO Personal attacks
A Difference of Opinion and Honest Open Debate are Respected and Encouraged
NO Personal Attacks
Check the Rules & Privacy Page
It's all right there

Stories Read (aka - Pages)