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This is why healthcare costs are so ridiculous
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<blockquote data-quote="slsh" data-source="post: 367074" data-attributes="member: 8"><p>Crazy - you'll appreciate this. When we first started out with- the tube feeds (20 years ago), I tried to get ins to pay for the formula. Their response was just priceless.... "No we won't pay for formula because <strong>you can put table food in a blender and liquify it</strong>." I just about fell over - we were talking at the time about a preemie who hadn't even begun to catch up on the growth charts and who's nutrition was (obviously, duh) a huge issue due to his CP. It's been fun and games ever since. Never have gotten anyone to reimburse for the formula.</p><p></p><p>Nancy, I also worry about that lifetime cap. Fortunately husband changed companies about 5 years ago, so we got to restart the clock, but I figure Boo probably runs about $55,000 a year when he's *healthy* (throw in a couple of seizures and you can double/triple that, easy). He may well be maxed out by the time husband's company stops covering him anyway... then we will be on to Medicaid, which I'm dreading. And I *so* hear you about those real costs versus reimbursed rates. It's all funny money and shady accounting in my humble opinion. What ends up happening is the uninsured, who can least afford it, get clobbered to make up for the "negotiated rates" our insurance companies get.</p><p></p><p>I did discover today that we actually have unlimited inpatient mental health days now (thank you, parity), LOL. Murphy's Law of course. thank you is no longer on our insurance. </p><p></p><p>It just all seems so completely backwards and runs counter to cost containment. I'm in the process of writing a letter to husband's company explaining that this is a pretty stupid way to run things, especially since they've implemented some real PITA policies (health coach for husband this year, and I have to get one next year) to cut healthcare costs.</p></blockquote><p></p>
[QUOTE="slsh, post: 367074, member: 8"] Crazy - you'll appreciate this. When we first started out with- the tube feeds (20 years ago), I tried to get ins to pay for the formula. Their response was just priceless.... "No we won't pay for formula because [B]you can put table food in a blender and liquify it[/B]." I just about fell over - we were talking at the time about a preemie who hadn't even begun to catch up on the growth charts and who's nutrition was (obviously, duh) a huge issue due to his CP. It's been fun and games ever since. Never have gotten anyone to reimburse for the formula. Nancy, I also worry about that lifetime cap. Fortunately husband changed companies about 5 years ago, so we got to restart the clock, but I figure Boo probably runs about $55,000 a year when he's *healthy* (throw in a couple of seizures and you can double/triple that, easy). He may well be maxed out by the time husband's company stops covering him anyway... then we will be on to Medicaid, which I'm dreading. And I *so* hear you about those real costs versus reimbursed rates. It's all funny money and shady accounting in my humble opinion. What ends up happening is the uninsured, who can least afford it, get clobbered to make up for the "negotiated rates" our insurance companies get. I did discover today that we actually have unlimited inpatient mental health days now (thank you, parity), LOL. Murphy's Law of course. thank you is no longer on our insurance. It just all seems so completely backwards and runs counter to cost containment. I'm in the process of writing a letter to husband's company explaining that this is a pretty stupid way to run things, especially since they've implemented some real PITA policies (health coach for husband this year, and I have to get one next year) to cut healthcare costs. [/QUOTE]
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