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by lotsofpulp 2665 days ago
No, my family in Canada and UK don't deal with any of this. In the US, it's not even worth your time figuring out how much your treatment will cost, other than whether or not the provider is in network or not. Assume it's the out of pocket maximum for your insurance, because when you go to a provider, you sign a blank check that says you will be responsible for whatever chargers they make up during the course of your treatment. So your only ally is the insurance company, who has the power to deny payment for things like $15 worth of linens (which was actually a few pieces of paper towel).
2 comments

" whatever charges they make up during the course of your treatment"

That's the worst. Pricing is totally arbitrary. You may spend 5000 or 100000 for the same thing and there is no way to know upfront.

You can't figure out whether your provider is in or out. Just yesterday I got a bill from someone I've never heard of who turns out to be a "Medication Safety Specialist" who allegedly rendered services to me worth $392. You'd think such a person would just be a functionary of the hospital who in any case bill me $27k every day, but actually they are some kind of mercenary who bill patients directly.
Yes, it's crazy how difficult these little things are.

During birth, should one stand outside their wife's delivery room and ask each provider to wait outside while you look up if they are in network or not on your insurance company's app? At least we have apps to do that nowadays.

Yes, you should. When my wife gave birth the first time there was an endless parade of idiots who uselessly entered the room for a moment and then left and later sent a huge bill. We also got a bill from the anesthesiologist who was not present because my wife didn't want it and for the supposed attending obstetrician who, although they were paged, never showed up. We had to go through disputes of all those things and even though we prevailed on all of them, my attorney had to get paid.
I would definitely recommend actually doing that, but I kind of meant "should we do that" in a sense of "should we be behaving like this in a civilized society"?