Defective replacement

All posts from the inception of the board until Dec. 31, 2005

Moderators: Suzanne, ~guin, Moderators

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jana
Posts: 859
Joined: August 30th, 2005, 1:50 pm

Defective replacement

Post by jana » September 21st, 2005, 2:01 am

I just got the hospital bill today (no doc yet) -- only $39,000, and $32,000 was for the ICD. Since I'm not supposed to pay for it, do I call the hospital, or wait to see what the insurance picks up on and then just fight Guidant all at once?? Did anyone else have their hospital actually put the ICD on the bill?

I also thought it weird that the ICD was only $32,000 when my last one was $39,000 and many lately have said up to $80,000. What are some of these hospitals playing at?????

Jana

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don
Senior Member
Posts: 2150
Joined: August 29th, 2005, 5:59 am
Location: Lake Jackson Texas 77566

Post by don » September 21st, 2005, 9:56 am

Hi Jana

Because the manufacturer is paying for the ICD the hospital has to bill what they are normally charged wholesale for one. I understand the normal hospital profit margin is about 100%.

Namaste

don

Paul B

guident

Post by Paul B » September 21st, 2005, 11:33 am

it was my understanding that they were supplying the unit at no charge. insurance should not even be charged for unit.
Paul B.

Paul B

hosp bill

Post by Paul B » September 21st, 2005, 11:49 am

just called my hosp. and my total bill was only for about $11000. they didn't charge hosp. for icd. doctor bill was for around $1700. old implant was $75000 hosp. plus $8000 for doc. go after guident.
Paul B.

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~guin
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Posts: 2685
Joined: September 7th, 2005, 11:23 pm
Location: California Bay Area

Post by ~guin » September 21st, 2005, 3:42 pm

When my Medtronic unit was recalled in 2000, the hospital charged my insurance for everything.... I was upset and called my insurance and told them what was happening. They backed out the charge for the unit, as Medtronic replaced it FREE. But the insurance told me they had to pay for everything else because I was their patient and they would not deny me medical coverage. So the insurance paid for the hospital and the doctor fee. Medtronic replaced the unit free and paid for all of my out of pocket expences, including my hotel for the night before surgery and all of the co-pays for the followup visits. Medtronic really took care of me, as they said they would - but to protect themselves they would not put it in writing....

Paul B

icd charge

Post by Paul B » September 23rd, 2005, 10:32 am

hosp. charged insurance $45550 and then reversed it.

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