Hospital payment - Christy

[Guest guest]

Christy

I understand how this works - except one thing...

I know you also have Aetna. Do they negotiate the

charge like they do everything else? I have to pay

10% - is that 10% of the total cost or the negotiated

cost? I was in the hospital a year ago. The total

charge was $14,000. They (Aetna) negotiated it down

to $5500 and I owed 10% of that amount.

I sure hope they negotiate......

Margaret in St. Louis

BMI 38

--- PLegal4U@... wrote:

> The $11,000 payment to the hospital is for self-pay

> patients only. This is

> their estimate of their bill, and if your bill comes

> out less than $11,000

> they will send you a refund check.

>

> Now, the patients who are covered by insurance have

> to pay a deposit to Dr. R

> in the amount of $1255 ($1,000 for him and $255 for

> clinic). Once your

> insurance pays Dr. R, and they have not " jipped " him

> of his money, he will

> refund you your money. However, if they short him

> lets say $500, your refund

> will be $500 less.

>

> Hopefully everyone understands that..........LOL

>

> Christy

> California Pre-Op

> MGB 11/8/00

>

>

[Guest guest]

Margaret: I too have Aetna and if the Hospital and Dr.,are on their

provider list They pay the negotiated price and that is all they can

charge you. 10 of the negotiated price. Dr. Rutledge is in network.

Phyllis

Margaret Bell wrote:

> Christy

> I understand how this works - except one thing...

> I know you also have Aetna. Do they negotiate the

> charge like they do everything else? I have to pay

> 10% - is that 10% of the total cost or the negotiated

> cost? I was in the hospital a year ago. The total

> charge was $14,000. They (Aetna) negotiated it down

> to $5500 and I owed 10% of that amount.

> I sure hope they negotiate......

>

> Margaret in St. Louis

> BMI 38

>

> --- PLegal4U@... wrote:

> > The $11,000 payment to the hospital is for self-pay

> > patients only. This is

> > their estimate of their bill, and if your bill comes

> > out less than $11,000

> > they will send you a refund check.

> >

> > Now, the patients who are covered by insurance have

> > to pay a deposit to Dr. R

> > in the amount of $1255 ($1,000 for him and $255 for

> > clinic). Once your

> > insurance pays Dr. R, and they have not " jipped " him

> > of his money, he will

> > refund you your money. However, if they short him

> > lets say $500, your refund

> > will be $500 less.

> >

> > Hopefully everyone understands that..........LOL

> >

> > Christy

> > California Pre-Op

> > MGB 11/8/00

> >

> >