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Cancer Support

In reply to the discussion: F(*#ing insurance [View all]

wordpix

(18,652 posts)
9. these insurance cos. need to be investigated by IRS, FBI and DOJ
Wed Jul 8, 2015, 03:53 PM
Jul 2015

My "provider charge" for a round of IV drip I took home for 2 days (chemo, which was conventional and has been around for decades) was $40K/round. I was told to ignore that and look at the "allowed charge," which was about $23K. But an NIH site showed my chemo to cost $3500/round for both drugs + admin. And that was exactly my out-of-pocket charge.

I believe these insurance cos. are either getting tax deductions by contracting with providers and governments who pay much less than the "allowed charge" (thus the insurance cos. have big "losses" on every round of chemo), or they're getting kickbacks for accepting less than the allowed charge. I'm told by those who know about billing that insurance cos. don't go by their allowed charges; they have separate contracts with providers and drug cos. So actually the billing is a total fabrication.

Something illegal is going on, I just know it.

Recommendations

0 members have recommended this reply (displayed in chronological order):

F(*#ing insurance [View all] Tab Jun 2015 OP
Oh, I hear ya! Uben Jun 2015 #1
Louder! Tab Jun 2015 #2
Agree totally cate94 Jun 2015 #3
F ing insurance onethatcares Jun 2015 #4
I'm just recovering from the last few days Tab Jun 2015 #5
my friend that I've never met, onethatcares Jun 2015 #6
So sorry to hear this KaryninMiami Jul 2015 #8
FUCKING INSURANCE!!!!!!!!!!!!!!!! eom LiberalElite Jul 2015 #7
these insurance cos. need to be investigated by IRS, FBI and DOJ wordpix Jul 2015 #9
I'm not on it any more (bad reaction) Tab Jul 2015 #10
Wise up America / We Need NATIONAL HEALTH CARE Leon3D Jan 2016 #11
Latest Discussions»Support Forums»Cancer Support»F(*#ing insurance»Reply #9