this post was submitted on 30 Sep 2023
107 points (95.7% liked)

Asklemmy

43989 readers
1567 users here now

A loosely moderated place to ask open-ended questions

Search asklemmy ๐Ÿ”

If your post meets the following criteria, it's welcome here!

  1. Open-ended question
  2. Not offensive: at this point, we do not have the bandwidth to moderate overtly political discussions. Assume best intent and be excellent to each other.
  3. Not regarding using or support for Lemmy: context, see the list of support communities and tools for finding communities below
  4. Not ad nauseam inducing: please make sure it is a question that would be new to most members
  5. An actual topic of discussion

Looking for support?

Looking for a community?

~Icon~ ~by~ ~@Double_[email protected]~

founded 5 years ago
MODERATORS
 

Not on a theoretical level, but how would you practically have to pay costs, access specialist doctors?

you are viewing a single comment's thread
view the rest of the comments
[โ€“] [email protected] 5 points 1 year ago

America. Ideally you have insurance through work. Going to your PCP may be ~$50, same for specialists. Urgent care and ER will be higher, then there will be additional bills depending on what needs to be done and your insurance. Then there's "in-network" and "out-of-network". In-network will be covered more by insurance than out-of-network. It's tricky for hospital stays. In my area there are doctors who are out-of-network working at in-network hospitals. So you will get 2 separate bills - one from the hospital and one from the doctor.

Honestly it's terrifying having an emergency because you really don't know how much it could cost. Most insurance plans have a max out of pocket. One number for the individual, one for the family. The lowest I've seen is $2k/$6k while the highest was ~$16k/30k. I'm in a LCOL city though. Max or of pocket is the maximum you should ever have to pay for a single year. You will almost definitely hit this if you have a baby or need more than a couple days in a hospital.

For people with low income there are sometimes assistance programs at hospitals. One common outcome is you go into a payment plan and maybe years later your remaining debt is forgiven. The payment plans can be very cheap. I've heard of $25/mo. Still it's probably for a bill that's in the thousands if not 5 or 6 digits.

If you don't have insurance through work you can buy your own insurance but many people just wing it. Most hospitals will charge less when there is no insurance to bill. Maybe 1/3 what they would charge insurance. This will still be in the 4-6 digit range. So you go into a payment plan, or maybe there's additional financial assistance from the hospital, or you just ignore the bill and take the credit hit when it goes to collections.

There are programs through the government, Medicare and Medicaid. They cover quite a lot but if you're under 65 then I believe you have to be disabled to qualify.

The quality of care is generally high though, so that's cool.