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My last 12 months with the finest healthcare available.

trblmkr

DP Veteran
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S/E georgia. If you miss my house ain't another f
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Independent
Just over a year ago, my wife began having some type of seizure when she awoke to go to the bathroom at night. The first episode I am aware of I woke when she got out of bed and after she did not return I went to check. She was on the WC with her eyes closed, arms hanging at her side and body twitching. She did not respond to my voice or to touch. It lasted less than a minute and she came out of it sort of knowing something had happened but not what. She said she could hear me and in her head was talking to me.
Karen had another event a few weeks later sitting on the edge of the bed.
We contacted her GP who set her up with a neurologist at our local Mayo affiliate. She scheduled tests and an appointment with a cardiologist who after seeing her scheduled more tests.
These provided no insight into the seizures, which continued one to three weeks apart.
They decided we needed to go the Mayo Clinic in Jacksonville. So we did. Five times. Each time with appointments and tests spread over two days.
Neurologist, cardiologist, CT's, MRI's, Contrast MRI's, sleep lab, to the tune of $39,000 billed over the course of a year and we still do not not know for sure what is going on. So were some of these test not actually necessary? Likely. But how were we to know? And we do know that her brain, heart and lungs are really kick ass for someone her age. (I question the brain thing).
The sleep lab did diagnose Karen with some nasty apnea, which I believe, may be the cause. The last month with a B-Pap she hasn't had an event and she seems to sleep much better.

I want to say that regardless of our situation, if you have something really wrong, Mayo Clinic is where you want to go. It is the most professional, communicative, compassionate healthcare I have experienced. Every last interaction was positive. Our interviews/consults with the doctors lasted for an hour or so. They asked tons of questions, answered all of my questions and didn't just seem interested, they were interested and they cared.

A couple of points in regard to the current arguments over healthcare and insurance.
Karen was having seizures, she had fallen several times and we were lucky she never broke anything. In our situation, we did not have the luxury of determining what specialists to see or what tests to run based on a cost analysis. SHE WAS HAVING SEIZURES. We had no choice but to put others in charge.
Of that $39,000 in billings, BCBS contract amounts limited those to just over $18,000. After I payed my $6,250 max out of pocket, BCBS picked up the rest.

What would the negotiated prices have been if had been paying on my own from an HSA? I paid cash for Karen's bilateral knee replacements in 2008 and I could not negotiate near a 50% reduction. That billing was nearly $80,000 with pre-treatments, surgery and therapy. Negotiating with the various providers, I still paid over $60,000.
It took a long time to save that amount and no time at all to spend it. I would have just spent another $30,000 or so just 8 years later. Financially, that's a lot to recover from at 61 years old. (and not working on wall street)

I doubt our experience is unusual and I am interested in the experiences of others.
 
Just over a year ago, my wife began having some type of seizure when she awoke to go to the bathroom at night. The first episode I am aware of I woke when she got out of bed and after she did not return I went to check. She was on the WC with her eyes closed, arms hanging at her side and body twitching. She did not respond to my voice or to touch. It lasted less than a minute and she came out of it sort of knowing something had happened but not what. She said she could hear me and in her head was talking to me.
Karen had another event a few weeks later sitting on the edge of the bed.
We contacted her GP who set her up with a neurologist at our local Mayo affiliate. She scheduled tests and an appointment with a cardiologist who after seeing her scheduled more tests.
These provided no insight into the seizures, which continued one to three weeks apart.
They decided we needed to go the Mayo Clinic in Jacksonville. So we did. Five times. Each time with appointments and tests spread over two days.
Neurologist, cardiologist, CT's, MRI's, Contrast MRI's, sleep lab, to the tune of $39,000 billed over the course of a year and we still do not not know for sure what is going on. So were some of these test not actually necessary? Likely. But how were we to know? And we do know that her brain, heart and lungs are really kick ass for someone her age. (I question the brain thing).
The sleep lab did diagnose Karen with some nasty apnea, which I believe, may be the cause. The last month with a B-Pap she hasn't had an event and she seems to sleep much better.

I want to say that regardless of our situation, if you have something really wrong, Mayo Clinic is where you want to go. It is the most professional, communicative, compassionate healthcare I have experienced. Every last interaction was positive. Our interviews/consults with the doctors lasted for an hour or so. They asked tons of questions, answered all of my questions and didn't just seem interested, they were interested and they cared.

A couple of points in regard to the current arguments over healthcare and insurance.
Karen was having seizures, she had fallen several times and we were lucky she never broke anything. In our situation, we did not have the luxury of determining what specialists to see or what tests to run based on a cost analysis. SHE WAS HAVING SEIZURES. We had no choice but to put others in charge.
Of that $39,000 in billings, BCBS contract amounts limited those to just over $18,000. After I payed my $6,250 max out of pocket, BCBS picked up the rest.

What would the negotiated prices have been if had been paying on my own from an HSA? I paid cash for Karen's bilateral knee replacements in 2008 and I could not negotiate near a 50% reduction. That billing was nearly $80,000 with pre-treatments, surgery and therapy. Negotiating with the various providers, I still paid over $60,000.
It took a long time to save that amount and no time at all to spend it. I would have just spent another $30,000 or so just 8 years later. Financially, that's a lot to recover from at 61 years old. (and not working on wall street)

I doubt our experience is unusual and I am interested in the experiences of others.

I doubt your eperience is unusual, and you bring up an excellent point. BCBS has negitaited contracts with their PPOs. The hospital's are willing to do this, of course, because they know BCBS will pay. You? Notsomuch.

It's not fair. It should be changed.

I hope wifey is okay.
 
I doubt your eperience is unusual, and you bring up an excellent point. BCBS has negitaited contracts with their PPOs. The hospital's are willing to do this, of course, because they know BCBS will pay. You? Notsomuch.

It's not fair. It should be changed.

I hope wifey is okay.

Thank you. So far, so good. They wanted her to come back end of January, but we are going to apply some control and wait to see if the B-Pap doesn't solve it.

I'm going to go out on a limb and sound a bit Bernie. I don't believe this about anything else but I really do believe this in regards to healthcare. "The quantity of money in your wallet should not determine the quality of your healthcare".
My family home hospiced my father, my brother-in-law, my sister and my mother, in that order over 20 years. The differences in the levels of support between differing providers was astounding.
 
Just over a year ago, my wife began having some type of seizure when she awoke to go to the bathroom at night. The first episode I am aware of I woke when she got out of bed and after she did not return I went to check. She was on the WC with her eyes closed, arms hanging at her side and body twitching. She did not respond to my voice or to touch. It lasted less than a minute and she came out of it sort of knowing something had happened but not what. She said she could hear me and in her head was talking to me.
Karen had another event a few weeks later sitting on the edge of the bed.
We contacted her GP who set her up with a neurologist at our local Mayo affiliate. She scheduled tests and an appointment with a cardiologist who after seeing her scheduled more tests.
These provided no insight into the seizures, which continued one to three weeks apart.
They decided we needed to go the Mayo Clinic in Jacksonville. So we did. Five times. Each time with appointments and tests spread over two days.
Neurologist, cardiologist, CT's, MRI's, Contrast MRI's, sleep lab, to the tune of $39,000 billed over the course of a year and we still do not not know for sure what is going on. So were some of these test not actually necessary? Likely. But how were we to know? And we do know that her brain, heart and lungs are really kick ass for someone her age. (I question the brain thing).
The sleep lab did diagnose Karen with some nasty apnea, which I believe, may be the cause. The last month with a B-Pap she hasn't had an event and she seems to sleep much better.

I want to say that regardless of our situation, if you have something really wrong, Mayo Clinic is where you want to go. It is the most professional, communicative, compassionate healthcare I have experienced. Every last interaction was positive. Our interviews/consults with the doctors lasted for an hour or so. They asked tons of questions, answered all of my questions and didn't just seem interested, they were interested and they cared.

A couple of points in regard to the current arguments over healthcare and insurance.
Karen was having seizures, she had fallen several times and we were lucky she never broke anything. In our situation, we did not have the luxury of determining what specialists to see or what tests to run based on a cost analysis. SHE WAS HAVING SEIZURES. We had no choice but to put others in charge.
Of that $39,000 in billings, BCBS contract amounts limited those to just over $18,000. After I payed my $6,250 max out of pocket, BCBS picked up the rest.

What would the negotiated prices have been if had been paying on my own from an HSA? I paid cash for Karen's bilateral knee replacements in 2008 and I could not negotiate near a 50% reduction. That billing was nearly $80,000 with pre-treatments, surgery and therapy. Negotiating with the various providers, I still paid over $60,000.
It took a long time to save that amount and no time at all to spend it. I would have just spent another $30,000 or so just 8 years later. Financially, that's a lot to recover from at 61 years old. (and not working on wall street)

I doubt our experience is unusual and I am interested in the experiences of others.

The $39.000 sounds very high for the ct etc. Lucky you are insured.
I hope your wife is better and does well.
 
There is a reason I keep saying that we are getting closer and closer to having a single payer/socialized medicine. The bills just go up. And it is hard for most people to recover. And people WILL get sick of it. Free market healthcare is not the only option. And people know that. It can't exist in a vacuum. Even if the costs would be passed on in taxes and the care sucks. People WILL vote for it.


Sent from my iPhone using Tapatalk
 
Healthcare is where the free market concept falls over. The market isn't free for the patient. They are sick and NEED healthcare. They have no choice, and as the OP says, have no control over the necessity or cost of the investigations/treatment. I do hope your wife remains well, and your coverage too!
As for "socialised" care..

C2EyjkiXAAM9PbQ.jpg:large
 
Healthcare is where the free market concept falls over. The market isn't free for the patient. They are sick and NEED healthcare. They have no choice, and as the OP says, have no control over the necessity or cost of the investigations/treatment. I do hope your wife remains well, and your coverage too!
As for "socialised" care..

C2EyjkiXAAM9PbQ.jpg:large

Seven in ten Americans have less than $1,000 in savings....
 
Healthcare is where the free market concept falls over. The market isn't free for the patient. They are sick and NEED healthcare. They have no choice, and as the OP says, have no control over the necessity or cost of the investigations/treatment. I do hope your wife remains well, and your coverage too!
As for "socialised" care..

C2EyjkiXAAM9PbQ.jpg:large

Do you at least admit to the faults of the socialized option?


Sent from my iPhone using Tapatalk
 
Just over a year ago, my wife began having some type of seizure when she awoke to go to the bathroom at night. The first episode I am aware of I woke when she got out of bed and after she did not return I went to check. She was on the WC with her eyes closed, arms hanging at her side and body twitching. She did not respond to my voice or to touch. It lasted less than a minute and she came out of it sort of knowing something had happened but not what. She said she could hear me and in her head was talking to me.
Karen had another event a few weeks later sitting on the edge of the bed.
We contacted her GP who set her up with a neurologist at our local Mayo affiliate. She scheduled tests and an appointment with a cardiologist who after seeing her scheduled more tests.
These provided no insight into the seizures, which continued one to three weeks apart.
They decided we needed to go the Mayo Clinic in Jacksonville. So we did. Five times. Each time with appointments and tests spread over two days.
Neurologist, cardiologist, CT's, MRI's, Contrast MRI's, sleep lab, to the tune of $39,000 billed over the course of a year and we still do not not know for sure what is going on. So were some of these test not actually necessary? Likely. But how were we to know? And we do know that her brain, heart and lungs are really kick ass for someone her age. (I question the brain thing).
The sleep lab did diagnose Karen with some nasty apnea, which I believe, may be the cause. The last month with a B-Pap she hasn't had an event and she seems to sleep much better.

I want to say that regardless of our situation, if you have something really wrong, Mayo Clinic is where you want to go. It is the most professional, communicative, compassionate healthcare I have experienced. Every last interaction was positive. Our interviews/consults with the doctors lasted for an hour or so. They asked tons of questions, answered all of my questions and didn't just seem interested, they were interested and they cared.

A couple of points in regard to the current arguments over healthcare and insurance.
Karen was having seizures, she had fallen several times and we were lucky she never broke anything. In our situation, we did not have the luxury of determining what specialists to see or what tests to run based on a cost analysis. SHE WAS HAVING SEIZURES. We had no choice but to put others in charge.
Of that $39,000 in billings, BCBS contract amounts limited those to just over $18,000. After I payed my $6,250 max out of pocket, BCBS picked up the rest.

What would the negotiated prices have been if had been paying on my own from an HSA? I paid cash for Karen's bilateral knee replacements in 2008 and I could not negotiate near a 50% reduction. That billing was nearly $80,000 with pre-treatments, surgery and therapy. Negotiating with the various providers, I still paid over $60,000.
It took a long time to save that amount and no time at all to spend it. I would have just spent another $30,000 or so just 8 years later. Financially, that's a lot to recover from at 61 years old. (and not working on wall street)

I doubt our experience is unusual and I am interested in the experiences of others.

It sounds like a harrowing experience and hopefully your wife's seizures do not reoccur. Just curious-did anyone mention to you the amazing usefulness of marijuana for people with certain neurological disorders? I am just asking because physicians do not always bring this up -especially in some states- and it has miraculous benefits for children with seizures and some people with Parkinsons disease.

In my view, the limit on yearly out of pocket spending has been a huge benefit in the A.C.A.
 
No system is perfect if humans are involved. Some are fairer and more effective.

Correct. Now are you under the impression that it is also free? You do understand that taxes pay for the system. And taxes come out of your pocket right?


Sent from my iPhone using Tapatalk
 
Correct. Now are you under the impression that it is also free? You do understand that taxes pay for the system. And taxes come out of your pocket right?


Sent from my iPhone using Tapatalk

For the record..I pay as much probably slightly more in per year for income tax, property tax, sales tax, etc here in the US than I did in Canada and on top of my taxes here I also pay for health insurance, co-pays and deductibles.
 
Just over a year ago, my wife began having some type of seizure when she awoke to go to the bathroom at night. The first episode I am aware of I woke when she got out of bed and after she did not return I went to check. She was on the WC with her eyes closed, arms hanging at her side and body twitching. She did not respond to my voice or to touch. It lasted less than a minute and she came out of it sort of knowing something had happened but not what. She said she could hear me and in her head was talking to me.
Karen had another event a few weeks later sitting on the edge of the bed.
We contacted her GP who set her up with a neurologist at our local Mayo affiliate. She scheduled tests and an appointment with a cardiologist who after seeing her scheduled more tests.
These provided no insight into the seizures, which continued one to three weeks apart.
They decided we needed to go the Mayo Clinic in Jacksonville. So we did. Five times. Each time with appointments and tests spread over two days.
Neurologist, cardiologist, CT's, MRI's, Contrast MRI's, sleep lab, to the tune of $39,000 billed over the course of a year and we still do not not know for sure what is going on. So were some of these test not actually necessary? Likely. But how were we to know? And we do know that her brain, heart and lungs are really kick ass for someone her age. (I question the brain thing).
The sleep lab did diagnose Karen with some nasty apnea, which I believe, may be the cause. The last month with a B-Pap she hasn't had an event and she seems to sleep much better.

I want to say that regardless of our situation, if you have something really wrong, Mayo Clinic is where you want to go. It is the most professional, communicative, compassionate healthcare I have experienced. Every last interaction was positive. Our interviews/consults with the doctors lasted for an hour or so. They asked tons of questions, answered all of my questions and didn't just seem interested, they were interested and they cared.

A couple of points in regard to the current arguments over healthcare and insurance.
Karen was having seizures, she had fallen several times and we were lucky she never broke anything. In our situation, we did not have the luxury of determining what specialists to see or what tests to run based on a cost analysis. SHE WAS HAVING SEIZURES. We had no choice but to put others in charge.
Of that $39,000 in billings, BCBS contract amounts limited those to just over $18,000. After I payed my $6,250 max out of pocket, BCBS picked up the rest.

What would the negotiated prices have been if had been paying on my own from an HSA? I paid cash for Karen's bilateral knee replacements in 2008 and I could not negotiate near a 50% reduction. That billing was nearly $80,000 with pre-treatments, surgery and therapy. Negotiating with the various providers, I still paid over $60,000.
It took a long time to save that amount and no time at all to spend it. I would have just spent another $30,000 or so just 8 years later. Financially, that's a lot to recover from at 61 years old. (and not working on wall street)

I doubt our experience is unusual and I am interested in the experiences of others.

I hope your wife is okay.:peace

I also have experience with Mayo. They are great, but expensive. We would be bankrupt a couple of times over without insurance.
 
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