DZoolander
Persnickety Member
- Apr 24, 2007
- 7,279
- 2,128
- Country
- United States
- Faith
- Lutheran
- Marital Status
- Married
- Politics
- US-Libertarian
I've always wondered about those healthcare cost sharing ministries - to be honest. I know a few people that are on them - and they rave about them - but to be honest they've never had anything major happen to them during the time they've been on them either.
So, I've always wondered what would happen if something major WERE to occur...
For example, when my son was born he had a little bit of a respiratory issue. He had to spend three days or so in NICU. When all was said and done - even after the negotiated rates - the total tally was over $70,000. Traditional insurance is actually a contract. So long as it's conditions are met, they NEED to pay the claim else you have just cause to sue them and make them pay anyhow.
Even with that contract - it was still drama where the insurance company tried tooth and nail to find cause to deny the claim and leave us sacked with the bill.
But - let's say we had a healthcare cost sharing type thing... How exactly is that handled? Do they actually have a contract with you outlining what they will and will not pay for? Let's say you were faced with a $70,000 bill...would they likely pay for it? Or what would the odds be that they'd come back and say "Welp, that's more than we anticipated, we're only going to cover $20,000"...or some other amount that they felt would be in line with a traditional birth?
Do you know anything about those types of things? Is my concern warranted? Have you ever known someone on one of those types of things where something major occurred and it was covered?
So, I've always wondered what would happen if something major WERE to occur...
For example, when my son was born he had a little bit of a respiratory issue. He had to spend three days or so in NICU. When all was said and done - even after the negotiated rates - the total tally was over $70,000. Traditional insurance is actually a contract. So long as it's conditions are met, they NEED to pay the claim else you have just cause to sue them and make them pay anyhow.
Even with that contract - it was still drama where the insurance company tried tooth and nail to find cause to deny the claim and leave us sacked with the bill.
But - let's say we had a healthcare cost sharing type thing... How exactly is that handled? Do they actually have a contract with you outlining what they will and will not pay for? Let's say you were faced with a $70,000 bill...would they likely pay for it? Or what would the odds be that they'd come back and say "Welp, that's more than we anticipated, we're only going to cover $20,000"...or some other amount that they felt would be in line with a traditional birth?
Do you know anything about those types of things? Is my concern warranted? Have you ever known someone on one of those types of things where something major occurred and it was covered?
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