Nosathro
Posts: 3319
Joined: 9/25/2005 From: Orange County, California Status: offline
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quote:
ORIGINAL: rulemylife quote:
ORIGINAL: Nosathro Some of what she says is true, but there are a few things I like to point out. First off she is talking about what is called Major Medical Insurance. This is what most people have, in medical insurance. What I have seen, is most people go for the low monthly payment. However they fail to understand that there is also a deductable, the rule is low monthly payment, high deductable and vise versa. They don't realize that yes they are covered but there is going to be a large bill because of the deductable. Major medical is mostly accident/health, meaning your covered for accidents and general health issuses. Most policies do not cover things like Cancer and long term care. Most think of long term care as the skilled nursing facility you go to when your old and bed ridden. That is not so, it can mean a visitiing home nurse, long tern phyiscal therapy etc. As an insurance agent, I review the major medical policies as well as supplemental policies and why they need them. As to the Adminstrative cost, by California law and most other states, 80 cents of each dollar of medical insurance goes to treatment, Obama wants 85 cents. Why so much on Adminstrative costs? Ask the government, they has so many forms that have to be filled out, a admission packet at any hospital is about 3 to 5 inches thick on forms that the government is requires. Well, you are addressing a few different issues here. But let's go with this one. A high deductible does not mean you will be denied coverage. I have personal insurance and have a $5000 deductible. The one time I used it was after an accident and the total bill was over 16K. The insurance company paid and I was able to negotiate with the hospital to reduce my portion of it to half . Well I am glad it worked out for you. But I never said a high deductible meant you were not covered, just that usually the monthly payment is small. Some people are not as lucky as you in negotiating a reduced bill. I have been told that there are now collection companies that specialize in collecting unpaid hosptial bills. A 16K bill is somewhat small, many hospital bills are in the 100K, but it does depend on many factores. I had a client who got a 200K bill, the insurance covered all of it but $250.00 which the client could easily afforred and paid.
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"The love of a slave girl is the deepest and most profound love that any woman can give a man. Love makes a woman a man's slave, and the wholeness of that love requires that she be, in truth, his slave." Magicians of Gor, page 31
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