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Opinions on this scenario?

-Husband loses main source of income, and conversely loses health insurance for family in the beginning May. He will receive health insurance again in October.

-Wife loses job in April. She is currently 28 weeks pregnant.

-Husband considers applying for Medicaid coverage for wife and (future) baby.

-Temporary job offers health insurance, but will not take place until August 1st, 3 weeks before the baby is due. Will cost over $1,000/mo.

-Temp job offers salary that will put the family slightly over the cut off for Medicaid.

-Husband requests for a slightly lower salary in order to remain eligible for Medicaid.

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What are your thoughts on this situation?


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Husband loses MAIN source of income. That implies there is some other sort of income. (unreported?)

Husband should report ALL his income. What does that do to the situation?


Ah, either way - either the taxpayers will be paying, or the hospitals and doctors will lose out.

It's the way she goes in these grand old states.

By the way - my daughter had surgery recently, and then physical therapy, and my wife has had some health issues. We're paying..........apparently not as fast as one hospital wants us to though, as I just got a letter from CHWC saying the billable amount is due NOW or will be sent to creditors.

In my phone call I explained to them that we were paying $200 a month to them (on a $646 bill). The other hospital? FCHC? They were fine with receiving $200 a month on an $850 bill.

Golly - we depleted our HSA..........we've paid well over ...........well, the family deductible is 5 grand........... you do the math.

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I took "main source of Income" as in the husband provided the bulk of he income and the wife possibly worked part time or made much less than the husband. Not that he had another source of income himself.


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Quote:

I took "main source of Income" as in the husband provided the bulk of he income and the wife possibly worked part time or made much less than the husband. Not that he had another source of income himself.




Ah, and that might very well be. Mea culpa.

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I went to my insurance and priced out a vasectomy. The wife and I are done having kids and between her getting her tubes tied or me getting the vasectomy it looked like mine was cheaper and easier (outpatient for me inpatient for her.)

So I asked them to give me a price and they said typically with my insurance out of pocket would be ~$750. I put $1000 in my Flexible Medical Spending Account, make the appointments, have the surgery, get a bill for $613. I was pretty happy. But then two weeks later I get another bill for an additional $1200 for a total bill of $1800. Call the insurance to see if there was a mistake because what they quoted me (and they picked the doctors office) and I was told the original $750 estimate was just for the Doctor and didn't include any hospital charges.

Charged $1200 to sit/lay in a room for 25min.

So I call the hospital and tell them I was taking out the $1000 and I could pay them that, but I would need to make payments on the $800 balance. I can afford $100/month I tell them and they told me if it wasn't paid off in 3 months it will go to collections.


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Quote:

Ah, either way - either the taxpayers will be paying, or the hospitals and doctors will lose out.

It's the way she goes in these grand old states.




Doctors and Hospitals love it when uninsured people have procedures/treatment. They charge them 6x-8x what they charge insurance companies.

Next time you get an explanation of benefits statement from your insurance company, check out the "adjustments and payments..." I bet you they give you a single number. If you request or receive a copy of the same bill from your health care provider, you'll see that 70%-80% of those "adjustments and payments" are just adjustments... they only pay a fraction of what is actually billed.

So, basically, the people who have health insurance get their treatment at a cost less than half (in some cases, a quarter) total cost to the individual + insurance company than an uninsured person. Oftentimes, those are people who can't afford health insurance, and if the procedure is expensive enough, they end up bankrupt and on public assistance.

It's a super-broken system.

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Oh, I know it's a screwed up system. I didn't even include the bill for the anesthesiologist in my previous post. He's paid, but yeah, the "adjustments" made me scratch my head. Still, took $415 out of my pocket.

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