FDX - Shift to High Deductible Health Plans
#31
Gets Weekends Off
Joined APC: Nov 2006
Position: 767 FO
Posts: 8,047
Just curious. Did the insurance company pay $5100 for the test. Check you EOBs. Usually if the bill is $5100 the contract rate is probably $1300 any you are not responsible for anything else. Now if you happen to be uninsured you would be responsible for the the full $5100. Great system for the uninsured. Those that are insured pay only a fraction of the cost of the uninsured. Sort of like having the well off employed person paying only $4.00 for a gallon of milk and the unemployed or uninsured being charged $24.00 for that same gallon of milk. Sounds like we have a system all can be proud of.
#32
If someone opened up a consulting firm targeting Doctors, as in "look, their is a disconnect between the patient aka customer, and your practice" I think they could stay employed and pay the light bill for a long time.
(assuming this is received by the medical community)
(assuming this is received by the medical community)
#33
Gets Weekends Off
Joined APC: Sep 2006
Position: Retired
Posts: 3,717
Yeah - Except it is the other way around. If you have insurance the rate is higher unless your insurance company has worked out a limit for certain tests/procedures. If you are paying cash, the bill will usually be lower! You just have to let them know everything is coming out of your pocket instead of from some "rich" insurance company.
#34
Gets Weekends Off
Joined APC: Nov 2006
Position: 767 FO
Posts: 8,047
You are exactly wrong. Insurance companies and hospitals establish agreements wherein the hospital (or doctor) agrees to accept a reduce amount for the provided service. If you have no insurance, unless you're on state aid or Medicaid, you will be responsible for the entire cost of the procedure. Whether you can negotiate a lower price for service or not is something that your individual doctor or hospital may entertain, but you cannot count on that happening.
#35
Gets Weekends Off
Joined APC: Sep 2006
Position: Retired
Posts: 3,717
FDXLAG,
What you say is probably true, however, if a doctor doesn't take insurances like those you've mentioned as well as private insurances like Blue Cross, United Healthcare, etc, then he will have a much smaller patient base to draw from. Yes, his fees will probably be higher for a specific procedure, but unless he can remain busy, he'll lose income in the long run, due to fewer patients. As well, I'm not sure if his quality of care will be better, although I do agree that from a patient point of view, he should be spending more time with each patient, but again, I'm not sure that transcribes into better health care. That said, I would love to have my physicians come by my house to treat me, as in the "old days", but because there are not enough doctors to go around in the first place, I do understand the need to suffer through the long waits at doctors' offices.
My question to you is: do you know if the doctors that you mention, those that don't take insurances, are associated with hospitals, and if not, how do they handle situations where their patients need testing or procedures that they can't perform? Just wondering, as all my doctors are associated with hospitals, labs, etc, which I'm happy about because I do want a "full service" medical team, instead of a single individual, responsible for my healthcare.
What you say is probably true, however, if a doctor doesn't take insurances like those you've mentioned as well as private insurances like Blue Cross, United Healthcare, etc, then he will have a much smaller patient base to draw from. Yes, his fees will probably be higher for a specific procedure, but unless he can remain busy, he'll lose income in the long run, due to fewer patients. As well, I'm not sure if his quality of care will be better, although I do agree that from a patient point of view, he should be spending more time with each patient, but again, I'm not sure that transcribes into better health care. That said, I would love to have my physicians come by my house to treat me, as in the "old days", but because there are not enough doctors to go around in the first place, I do understand the need to suffer through the long waits at doctors' offices.
My question to you is: do you know if the doctors that you mention, those that don't take insurances, are associated with hospitals, and if not, how do they handle situations where their patients need testing or procedures that they can't perform? Just wondering, as all my doctors are associated with hospitals, labs, etc, which I'm happy about because I do want a "full service" medical team, instead of a single individual, responsible for my healthcare.
#36
Gets Weekends Off
Joined APC: Nov 2006
Position: 767 FO
Posts: 8,047
FDXLAG,
What you say is probably true, however, if a doctor doesn't take insurances like those you've mentioned as well as private insurances like Blue Cross, United Healthcare, etc, then he will have a much smaller patient base to draw from. Yes, his fees will probably be higher for a specific procedure, but unless he can remain busy, he'll lose income in the long run, due to fewer patients. As well, I'm not sure if his quality of care will be better, although I do agree that from a patient point of view, he should be spending more time with each patient, but again, I'm not sure that transcribes into better health care. That said, I would love to have my physicians come by my house to treat me, as in the "old days", but because there are not enough doctors to go around in the first place, I do understand the need to suffer through the long waits at doctors' offices.
My question to you is: do you know if the doctors that you mention, those that don't take insurances, are associated with hospitals, and if not, how do they handle situations where their patients need testing or procedures that they can't perform? Just wondering, as all my doctors are associated with hospitals, labs, etc, which I'm happy about because I do want a "full service" medical team, instead of a single individual, responsible for my healthcare.
What you say is probably true, however, if a doctor doesn't take insurances like those you've mentioned as well as private insurances like Blue Cross, United Healthcare, etc, then he will have a much smaller patient base to draw from. Yes, his fees will probably be higher for a specific procedure, but unless he can remain busy, he'll lose income in the long run, due to fewer patients. As well, I'm not sure if his quality of care will be better, although I do agree that from a patient point of view, he should be spending more time with each patient, but again, I'm not sure that transcribes into better health care. That said, I would love to have my physicians come by my house to treat me, as in the "old days", but because there are not enough doctors to go around in the first place, I do understand the need to suffer through the long waits at doctors' offices.
My question to you is: do you know if the doctors that you mention, those that don't take insurances, are associated with hospitals, and if not, how do they handle situations where their patients need testing or procedures that they can't perform? Just wondering, as all my doctors are associated with hospitals, labs, etc, which I'm happy about because I do want a "full service" medical team, instead of a single individual, responsible for my healthcare.
#37
Part Time Employee
Joined APC: Jul 2006
Position: Dispersing Green House Gasses on a Global Basis
Posts: 1,918
You are exactly wrong. Insurance companies and hospitals establish agreements wherein the hospital (or doctor) agrees to accept a reduce amount for the provided service. If you have no insurance, unless you're on state aid or Medicaid, you will be responsible for the entire cost of the procedure. Whether you can negotiate a lower price for service or not is something that your individual doctor or hospital may entertain, but you cannot count on that happening.
#38
Kronan. Let me begin by saying that I love you, man. I don't know you, but I love you nonetheless. And that I can't imagine flying for another airline. If not for FedEx, I'd be doing something else with my time. So I do appreciate the job. My point is that we have a contract, and there are major gaps within it. We have a contract, and we can improve upon this contact if we have the smarts and guts to do so. When we compare what we have to other companies, we lose perspective on OUR contract. Yeah, perspective is great and all, but let's not lose our expectations or potential by comparing ourselves to some low-cost regional airline, or one that has gone through bankruptcy. Let's focus on our "sucky" contract and try not to make it suck so much. It's still gonna suck, but perhaps less sucky-sucky for short time.
And you're right, we can't assume that the company intends to put us in the same pot with all other non-union employees, although they would love to do so.
And you're right again, health costs are going to go up.
With regards to an inflationary pay increase, three percent of our pay is far better than three percent of the average income for a family of four. So in a way you are right there as well, which is why I love you, man. I do.
Still, you're an idiot.
And you're right, we can't assume that the company intends to put us in the same pot with all other non-union employees, although they would love to do so.
And you're right again, health costs are going to go up.
With regards to an inflationary pay increase, three percent of our pay is far better than three percent of the average income for a family of four. So in a way you are right there as well, which is why I love you, man. I do.
Still, you're an idiot.
#39
Medical costs have inflated at a high rate because vast sums of Federal money have been injected into the system. Lots of money means higher prices.
30 million additional patients with the same infrastructure means short supply, short supply will increase prices further.
Demand is increased, and you will see insurance companies and Doctors opt out, just as many Doctors have opted out of medicare.
What you thought were your benefits are going to be diminished in the process.
30 million additional patients with the same infrastructure means short supply, short supply will increase prices further.
Demand is increased, and you will see insurance companies and Doctors opt out, just as many Doctors have opted out of medicare.
What you thought were your benefits are going to be diminished in the process.
#40
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