Friday, February 06, 2015

Whoa--Horrible health plan tricks!

I have Medicare HMO and starting this year, have to pay $10 out of pocket for those ever-popular blood tests they want you to get every five minutes. First time.

But that is a pittance compared with a friend who had a test and her Medicare PPO was allowed to charge her a $25 "equipment" fee. All tests have equipment--gloves, needles, other stuff.

But now for the kicker--my sister, who has the AARP United Plan, went for blood tests and they asked for a credit card number to which they intended to charge everything the insurance did not pay! In her case--$109!!

What the heck?

We think Medicare disallows back billing--we are checking.

Anyone else been hit like this? These skeevos are going to gouge everything they can. But can they?

We are not sure.

4 comments:

Anna Maria said...

My Medicare HMO hasn't started charging me for blood tests but I'm not sure if they will start this year or not, I haven't been yet. They have been gradually upping the co-pays the last few years. Not sure if this is a result of "Obamacare" or not. I suppose they are skimming everything off Medicare they can to pay for other services but they should leave those who contributed for decades alone.

Star Lawrence said...

I always feel like they have a hidden agenda--even besides making patients pay more and more. My sister was prescribed methotrexate for a pesky itching foot--the possible side efx were awful--and when she asked the cost--the pharm said it was FREE, no copay at all. I had never heard of that--it made me suspicious.

Anna Maria said...

Star...I wonder if it isn't healthcare providers who are taking advantage of health insurers. I keep getting calls from "someone" who claims they are helping out my primary provider telling me I haven't had this or that test done yet and I should come to them to get it. I keep telling them I don't have symptoms that warrant those tests and will rely on my PP who I see every 3 months for a well check. I'm not sure that often is necessary either if I don't have symptoms. Then if you do, they tell you to go to an emergency clinic because he is too booked. I think there are scams on healthcare all the way around.

Star Lawrence said...

I ignore all those questionnaires from my Medicare HMO--mainly bec I don't want the govt to get all this info and mainly just because---shut up, why don't ya! I got a card just yesterday--we will pay you $15 to get a "wellness" visit. First, I hate that word--I will make up the words, thank you, don't even try. And second, because I do have to go to the PCP to get my BP meds extended--that is how they get ya. But I am not claiming $15--not getting any more tests esp if they cost out of pocket--and not going to specialists just bec they say to! I will probably die of irritation, not any of this other stuff! Oh--and the plan "newsletter" said pls cooperate with Medicare with THEIR questionnaire...Nope.