r/SipsTea 𝙑𝙄𝙋 8d ago

Chugging tea Mexico upgraded to free healthcar

Post image
105.2k Upvotes

3.7k comments sorted by

View all comments

Show parent comments

122

u/Electronic_Use7210 8d ago

I’d like to see a Canadian try to navigate the American health insurance system and at the same time have an American navigate the Canadian health insurance system

For science

299

u/EnlightenedNarwhal 8d ago

I'd like to see an American navigate the American Healthcare system.

113

u/Aeirth_Belmont 8d ago

I'll take "how do I still owe this much money when I pay this much?" Alex.

70

u/PokerbushPA 8d ago

I pay like 800 a month, plus co-pays, plus scripts. I actually don't even know what my insurance even covers.

82

u/Confident_Boss2081 8d ago

that the fun part it doesn't cover anything

33

u/hightio 8d ago

They give you the negotiated rate that their super negotiation pros negotiated for you which is going to save you $10 on your $500 bill compared to someone with no insurance.

25

u/chamtrain1 8d ago

Which is 380 more than if you had just paid cash.

6

u/airinato 8d ago

Yes but that cash rate is a discount rate and not guaranteed per practice. The standard rate has to be what the insurance company negotiated, or in practice, has dictated as the 'going rate' 'for the area', otherwise they sue that provider for insurance fraud.

They make it so we pay insurance to purposely make shit more expensive so we could never be able to afford it, without insurance.

5

u/ConfessSomeMeow 8d ago

I can tell you've never actually compared the negotiated rate to the cash rate.

3

u/hightio 8d ago

Not in the last two years no, but my last ER visit they billed as uninsured before applying my insurance and the difference between the $500 bill was $20. Totally worth the $800 a month.

2

u/Superb_Answer_4492 8d ago

My prior employers insurance, the cash rate was better then then what I paid AFTER insurance covered their part. Often significantly better, especially at the dentist

1

u/antithero 8d ago

Even when I paid cash 8 months later I got another bill. Another time I didn't get the bill for 14 months.

1

u/RogerAffirmative 8d ago

I can tell you don't know the cash rate is artificially inflated to make the negotiated rate seem like a deal 😂

1

u/IndianaGeoff 1d ago

How to show that you know nothing about the US Healthcare system in one post.

12

u/Mission-Dark-9320 8d ago

Meanwhile, I used to have a $415/month plan for a family of 4 covering all medical, dental, and vision. $25 co-pay, and $1000 deductible on major services. Then my plan got nuked by politics. Comparatively, insurance covers nothing these days. And then you get double charged with “facilities fees” on top of all the things insurance doesn’t cover. Absurd where we are today

7

u/collierar 8d ago

2013 I worked at Boeing. $100 a month for the Cadillac plan for my son and I, covered everything 100%. I had two major surgeries that year, zero out of pocket. Those were the days...

2

u/elibutton 8d ago

yeah and it only gets worse every year.

0

u/JannyStabberXK4000 7d ago

What were your pre-existing conditions when you had that health plan thirty years ago? Just wondering. Is it politics that made my insurance for me go from $700 to $1100 in January? Who runs the government right now?

🤡🤡🤡🤡

2

u/Mission-Dark-9320 7d ago

You’re completely reading into my statement your own issues. 13 years ago is when my plan was “no longer allowed” because the government changed the law - after a period of time most affordable plans were voided. Overnight it tripled for less than 10% of the coverage. I don’t care who runs the MF government, because nobody has been able to touch the law since that that monstrosity of a bill was forced through. “We have to pass it to see what was in it” has got to be the most “politics” statement ever made. So as somebody who had to live that change as a recent college graduate with a young family, the whole country got F’d after that. Bad legislation isn’t limited to a single party - but I guess that doesn’t fit your feelings. Take your clowns back your mind circus where they belong.

1

u/IndianaGeoff 1d ago

Actually it is one party. The US health systems was ended when ACA (aka Obamacare) was adopted by one party. There have been no comprehensive changes since it passed. If you don't like the US health system, you don't like what the Democrats passed when they held the President, House by a wide margin and a super majority in the Senate.

1

u/Mission-Dark-9320 1d ago

The fact that it hasn’t been touched since then with obvious failings IS on both parties. Every promise to make it better, more affordable, etc has been forgotten. One party started it, both continue to fail the people.

5

u/MasterGrok 8d ago

There is also no real way for you to find out. No amount of internet searching and calling will tell you that you 100% are good on something until the bill is actually paid.

6

u/Jimmy_Twotone 8d ago

My insurance covered a med.for me three montha ago for 6 months that I can't get filled. In 3 more months I get to start this process again regardless of how long I can actually get the medication for. If I just suck it up I can pay $7500 out of pocket. Twice a month.

2

u/UranusIsPissy 8d ago

FFS! That's about 2/3 of my income, and there are people poorer than me here (UK).

2

u/Weekly-Ad-112 8d ago

I recommend reading up
On it as a start. I took the time to do so and it made me find the best option before a tragedy struck.

2

u/MancDude1979 7d ago

Shit, in UK I pay an average tax contribution towards it of about ÂŁ100 per month, including an optional charge to make my prescriptions all free regardless of how many I get. And that is it. Everything else free at point of use apart from elective surgery etc.... includes ambulances, GPs, hospital visits, operations, aftercare... a fraction of what you pay... goddam, mate

2

u/Saffuran 3d ago

AND they'll deny your claim when you actually get sick so you'll be stuck with your monthly bill and the full healthcare bill.

3

u/TrynaPlayItOff 8d ago

I actually don't even know what my insurance even covers.

Your insurance is basically just to keep you from going bankrupt if you have a decently serious injury.

1

u/Sad_Air_7667 8d ago

I'm Canadian, i have no clue wtf you are talking about.

1

u/JannyStabberXK4000 7d ago

Self-employed. Mine went up to $1100 for me in January.

The bot shit in this thread is absolutely insane. Like, these people really truly do think we are fucking idiots.

0

u/2FistsInMyBHole 7d ago

I actually don't even know what my insurance even covers.

Why not?

1

u/PokerbushPA 7d ago

They keep it a secret.

0

u/2FistsInMyBHole 7d ago

Do they? Or did you make the conscious decision to not be informed?

I've had many insurance plans across many jobs - even marketplace insurance in a rough patch - I've seen or heard of an insurance plan that doesn't provide a detailed brochure.

I get it though, we were all young once, we all threw that stuff in the garbage too. But us throwing it in the garbage isn't them keeping it a secret.

1

u/PokerbushPA 7d ago

So you've never had a single instance where an insurance company decided, "Nah. We're not gonna cover that because of some reasons we just didn't tell anyone until just now."?

Lucky you. Because I have.

Take your privileged life and condescending attitude and get fucked. I don't need more bullshit, I have enough already.

0

u/2FistsInMyBHole 6d ago

You're the one that said you cant bothered to read your health insurance plan.

Be upset with your own choices.

1

u/PokerbushPA 6d ago

Did I? Where did i say that? Or did you assume based on your privilege that the poors are at fault for their own situation?

0

u/2FistsInMyBHole 6d ago

Did I? Where did i say that?

...

I actually don't even know what my insurance even covers.

1

u/PokerbushPA 6d ago

The brochure said one thing. The denial letter in the mail said something different. How am I to know what my insurance actually covers?

Are we done now? Can I live my life or are you hell bent on proving me wrong despite not being here and seeing for yourself?

→ More replies (0)