I may be a newly converted computer geek, but I still love to get mail. Real, physical, take-it-out-of-the-mailbox, mail. Sadly, 95 percent of such correspondence is a bill, a solicitation for a donation, or addressed to "resident" or "occupant."
But Saturday was different. I actually got three pieces of bonafide mail, two of which were NOT in one of the above categories. Because I was zealously beginning the porch project, I barely looked at my mail until Saturday night and I didn't even read most of it until last night. But it was thrilling.
First, there was a birthday card from a family friend. Mom saw it first, noted the return address, and quizzically asked: "Did Chris send you a birthday card?" Ummm, haven't opened it, so I don't know. But yes, it was indeed a birthday card, with a Lowe's gift card to boot. (Does she know me or what?) There's just one problem: It's not my birthday. Well, not yet.
Apparently, Chris got June and July confused this year. But hey, five weeks early is better than five weeks late, right? I'll try not to kid her too much. Maybe this means I get a birthday season. Hmmm. Interesting concept.
Second, I got my copy of YorkieTalk Cooks, the official YT cookbook. I was so surprised by the quality. Much more than I anticipated. A really darling compilation of stuff I may have to try. (And Betty Crocker, I ain't.) Good food, cute Yorkie pictures, and something I had a small hand in helping to produce. (I did some recipe editing.) It will get favored status on ye old bookshelf.
Last, but certainly not least, I got the EOB from the insurance company. So, here it is in black and white, the final analysis of just how much the injured midigit will cost me. I opened the envelope slowly, pulled out the thick stack of paperwork, winced, and then jumped in to see the damage.
As I suspected, there were some pretty hefty "in-network discounts" applied, cutting the $1,800+ total by more than half. A little quick math going on before I continued to assess the page: 20 percent of $900 is $180. OK. Lots better than $475.
But wait. As I pan across the grid for each charge it says I have no charges that weren't covered. Good. I have no deductible. Right. That was the thing I liked best about this plan and why I pay a few bucks more each payday for it. Coinsurance, 0, copayment, $50. OK. The $50 I knew because I paid that at the ER before I left. Then, the bottom line kicker is the summary line.
YOUR TOTAL RESPONSIBILITY TO YOUR PROVIDER: $50. Translation: All I owe is the copay -- which is paid!
My insurance plan is even better than I thought. While I'm happy that I now owe nothing, it still doesn't change my initial thought that our healthcare system needs a lot of fixing.
Just don't send it to the ER.
Showing posts with label injury. Show all posts
Showing posts with label injury. Show all posts
Monday, June 16, 2008
Friday, June 13, 2008
The High Cost of Yard Work
The bill for the ER visit from the injured midigit arrived a few days ago. Since I did not list this blog as having adult content when I registered it, I'll spare you the ensuing profanity that was uttered once I opened it.
Essentially, it was almost $800 just to walk in the door. Add to that, almost $600 for X-rays, and another $400+ for I couldn’t tell you. (Maybe the $4 splint and $1 worth of self-sticking wrap they put over it?) And then it says, "This total may not reflect physician charges."
WHAT?! On top of the $1,800 + I have to pay more for the doctor who spent all of 3 minutes with me? What a racket! I feel ultra-stupid for even going. I've set fingers many times over the years but this one was different from the breaks I've had and it scared me.
I still don't know what my portion will be as this was just a "courtesy copy." (Courtesy. Uh-huh. I think maybe they were trying to drum up some more business by causing me to have a heart attack or a stroke after seeing the total.) I do think that there are supposed to be some deductions because of this being an "in-network" facility.
Does this not explain what's wrong with our health care system?
I have insurance but I can't afford to use it at this rate. (I already paid a $50 co-pay and I think I have to pay 20 percent of the total. Without any discounts or extra doctor fees, that's already about $475 more. For nothing. Money meant to do stuff in and on the house.)
I can tell you that unless a bone is hanging askew or there's bleeding that I can't control, or God forbid, something causes me to lose consciousness, I won't be going back. Ever.
The craziest thing is that with all the work I've done with power saws (jig, circular and miter), drills, hammers -- stuff that can really mess you up -- nothing. I get hurt on the lawnmower -- while it's off! I'm grateful, though, because as much as I use all that stuff I sure don't want to be getting hurt. But seriously, what are the odds?
Essentially, it was almost $800 just to walk in the door. Add to that, almost $600 for X-rays, and another $400+ for I couldn’t tell you. (Maybe the $4 splint and $1 worth of self-sticking wrap they put over it?) And then it says, "This total may not reflect physician charges."
WHAT?! On top of the $1,800 + I have to pay more for the doctor who spent all of 3 minutes with me? What a racket! I feel ultra-stupid for even going. I've set fingers many times over the years but this one was different from the breaks I've had and it scared me.
I still don't know what my portion will be as this was just a "courtesy copy." (Courtesy. Uh-huh. I think maybe they were trying to drum up some more business by causing me to have a heart attack or a stroke after seeing the total.) I do think that there are supposed to be some deductions because of this being an "in-network" facility.
Does this not explain what's wrong with our health care system?
I have insurance but I can't afford to use it at this rate. (I already paid a $50 co-pay and I think I have to pay 20 percent of the total. Without any discounts or extra doctor fees, that's already about $475 more. For nothing. Money meant to do stuff in and on the house.)
I can tell you that unless a bone is hanging askew or there's bleeding that I can't control, or God forbid, something causes me to lose consciousness, I won't be going back. Ever.
The craziest thing is that with all the work I've done with power saws (jig, circular and miter), drills, hammers -- stuff that can really mess you up -- nothing. I get hurt on the lawnmower -- while it's off! I'm grateful, though, because as much as I use all that stuff I sure don't want to be getting hurt. But seriously, what are the odds?
Monday, May 19, 2008
Talk to the Hand

It was a good weekend. Brick-a-bracking on Friday night yielded 150 new bricks at a premium sale price. Saturday was scrapbooking -- which included an impromptu trip to Michael's, courtesy of most excellent friend Chele -- and housekeeping.
And then there was yesterday. It was a gorgeous day, so attention turned to outside and mowing.
It was a good temp but a bit windy. That made both bagging and sweeping difficult. It also resulted in an injury -- yep, that's my hand in the photo -- that had me starting the week in the local ER.
It happened as I was wrapping things up. I have to fold in the handle on the mower to get it into the shed. I had it in the shed and one side loosened while I worked on the other to fold it down. I had just loosened the second side but before I could reach over to the first and fold it in, a strong gust of wind hit the shed door which in turn hit the lawnmower, dropping the bar down -- catching my middle finger right between the two pieces of bar.
The first 20 minutes or so were excruciating. Surely, the top of my finger was going to just pop straight off. I ran cold water on it and wrapped it in a towel with ice. It eased slightly, so I drove the yard waste to the dump.
I thought that keeping ice on it and taping it down would help but it didn't. The swelling and discoloration were both worse. I decided around 6:30 to just go on to the ER.
The good news: It's not broken, so it won't take as long to heal. The bad news: It can't be drained to alleviate the swelling and pressure. So, it probably would hurt less if it was broken, according to the doc. It's splinted and I have to keep regularly icing it through tomorrow. It could be up to a week before I notice a "marked difference" in the swelling.
The better news: It's my left hand, so it's not as limiting as it could be. And they gave me drugs. So, I was able to get a little rest earlier today. Something I didn't get much of last night. So, here's to a good night's sleep.
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