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Say you go in for a routine surgery and the operating doctor screws up big time...

her209

her209

No Lifer
requiring a much longer and costlier procedure to be performed as well as hospital stay and care. Who picks up the tab?
 
The cost of the procedure is contracted with the insurance company prior to the surgery. The hospital would pick up the tab.
 
That's a good question, and I've actually been in that situation. I had two knee surgeries because the surgeon didn't think it was necessary to do an MRI before the first surgery... he thought an x-ray was good enough, but apparently not. He was supposed to just remove some torn cartilage that was floating in my knee and clean up the tendons if needed. When he got in there he found bone chips and a ruptured ACL so a second surgery had to be scheduled to repair that. I have to think that could have been seen on an MRI.

Regardless, the surgeon/hospital billed the insurance company for $25k and the insurance company paid under $10k. I paid nothing but my $100 deductible at the ER.

*EDIT* So... yeah... let your insurance company and the hospital duke it out or get a lawyer to be on your side if you have no insurance.
 
Originally posted by: Jeff7181
That's a good question, and I've actually been in that situation. I had two knee surgeries because the surgeon didn't think it was necessary to do an MRI before the first surgery... he thought an x-ray was good enough, but apparently not. He was supposed to just remove some torn cartilage that was floating in my knee and clean up the tendons if needed. When he got in there he found bone chips and a ruptured ACL so a second surgery had to be scheduled to repair that. I have to think that could have been seen on an MRI.

Regardless, the surgeon/hospital billed the insurance company for $25k and the insurance company paid under $10k. I paid nothing but my $100 deductible at the ER.

*EDIT* So... yeah... let your insurance company and the hospital duke it out or get a lawyer to be on your side if you have no insurance.
Click to expand...
What happened to the remaining 15k?
 
Originally posted by: amdhunter
Originally posted by: scorpious
Under Obama, the working population, and since illegals aren't taxed, they don't have to pay. So yeah, it's just you, who follows the system, that is getting punished.
Click to expand...

Fixed.
Click to expand...

Let me clarify.
 
Originally posted by: MotF Bane
Now that the OP is satisfied, send this whole mess to P&N?
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Oh come on, we were just getting started. ATOT just wants to have fun!

P&N will turn this into WWIII.
 
Originally posted by: her209
Originally posted by: Jeff7181
That's a good question, and I've actually been in that situation. I had two knee surgeries because the surgeon didn't think it was necessary to do an MRI before the first surgery... he thought an x-ray was good enough, but apparently not. He was supposed to just remove some torn cartilage that was floating in my knee and clean up the tendons if needed. When he got in there he found bone chips and a ruptured ACL so a second surgery had to be scheduled to repair that. I have to think that could have been seen on an MRI.

Regardless, the surgeon/hospital billed the insurance company for $25k and the insurance company paid under $10k. I paid nothing but my $100 deductible at the ER.

*EDIT* So... yeah... let your insurance company and the hospital duke it out or get a lawyer to be on your side if you have no insurance.
Click to expand...
What happened to the remaining 15k?
Click to expand...

The insurance company negotiated it from 25k to 10k... I'm assuming because it was obvious that the surgeon could have avoided the second surgery had he done an MRI.
 
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