Occasionally I'm callous and strange.

Willow ,'The Killer In Me'


Natter 67: Overriding Vetoes  

Off-topic discussion. Wanna talk about corsets, nail polish, duct tape, or physics? This is the place. Detailed discussion of any current-season TV must be whitefonted.


msbelle - Mar 12, 2011 4:18:44 pm PST #27928 of 30001
I remember the crazy days. 500 posts an hour. Nubmer! Natgbsb

on my deductible, I get the reduced rate on meds before I meet the deductible and I get co-pay amounts for regular Dr. office visits, but procedures I pay their contracted rate out of pocket until the deductible is met. I am unclear if my reg Dr. visits and med payments count towards deductible. For labs done at the dr. office, they will pay part of them until I meet the deductible, but not all.


dcp - Mar 12, 2011 4:26:02 pm PST #27929 of 30001
The more I learn, the more I realize how little I know.

SuziQ, my understanding is that you should be getting the contract rate all along, it's just that you have to pay the bill yourself until you hit the $3k total deductible. The doctor's office sends the paperwork in to the insurance company just like a regular claim, so the record shows what's been done and how much has been paid.

At least, that is how it has worked for me, with Anthem Blue Cross & Blue Shield.

Even though I pay the doctor's office directly (using my HSA debit card), the insurance company still sends me a "claim recap." The first time that happened, I called them fearing I was being double-billed. Nope, just part of the paperwork process, showing how much the doctor bill was, and how much was approved by Anthem.

I've had two hitches so far:

One was, when I went to the CVS Minute Clinic with an ear infection, the bill I paid was $60, but the approved amount turned out to be only $40, and CVS mailed me a check for $20. Since I had paid using my HSA, I had to either a) somehow arrange to put the $20 back in the HSA as if it had never come out, or b) include the $20 as taxable income on my tax return. I took the lazy way out, and ended up paying an extra $2 in taxes.

Second was, for my latest doctor appointment (follow up blood draw to check cholesterol levels and liver function) I was charged $46 at the desk on the way out, but the "claim recap" shows the allowed amount was $50. I think this means I owe the doctor another $4, but I haven't heard from them yet.


erin_obscure - Mar 12, 2011 4:32:21 pm PST #27930 of 30001
Occasionally I’m callous and strange

for two glorious days of my weekend i had steel cut oats with a pinch of salt, crumbled veggie sausage, shredded super charp cheddar, and chopped fresh cilantro. So much noms. Thanks, hivemind, i never would have thought of savory oatmeal on my own.


smonster - Mar 12, 2011 4:35:06 pm PST #27931 of 30001
We won’t stop until everyone is gay.

Thanks, milady. How was the parade today? Were you at Pete's? It's my anniversary of meeting K and K, aw.


Dana - Mar 12, 2011 4:36:25 pm PST #27932 of 30001
I'm terrifically busy with my ennui.

for two glorious days of my weekend i had steel cut oats with a pinch of salt, crumbled veggie sausage, shredded super charp cheddar, and chopped fresh cilantro.

That sounds really good. Possibly it's time for dinner.


Typo Boy - Mar 12, 2011 4:36:29 pm PST #27933 of 30001
Calli: My people have a saying. A man who trusts can never be betrayed, only mistaken.Avon: Life expectancy among your people must be extremely short.

That version of oatmeal actual sounds healthier than adding sugar loaded ingredients like maple syrup and dried fruit to a whole grain that is already pretty high in carbs.


Consuela - Mar 12, 2011 4:39:30 pm PST #27934 of 30001
We are Buffistas. This isn't our first apocalypse. -- Pix

Well, crap. I was feeling better this morning after the Advil kicked in, so I went to the con.

And there I lost my voice and now I feel lousy and I am at home with 200 lbs of hungry dog and a business trip this week and no sick leave accrued. This bites.

Why am I so sick this winter! Argh! I eat my vegetables and get my exercise and take my vitamins, and I even got a flu shot!

My diamond shoes are too tight!


Sophia Brooks - Mar 12, 2011 4:40:02 pm PST #27935 of 30001
Cats to become a rabbit should gather immediately now here

I just put in some overnight oatmeal, and added maple syrup. :(


beth b - Mar 12, 2011 4:40:28 pm PST #27936 of 30001
oh joy! Oh Rapture ! I have a brain!

I haven't tried it, but I think I want to do a savory added protein oatmeal - it might be the perfect food


SuziQ - Mar 12, 2011 4:41:31 pm PST #27937 of 30001
Back tattoos of the mother is that you are absolutely right - Ame

dcp and msbelle - that is how it seems to work for me too. I'm just confused by their web site saying I've met my deductible when I haven't paid $3k myself.

I get EOB's that show the Doctor billed, say, $200, the contract rate is $75 and I need to pay that. But what counts against my deductible total? The $200 or the $75?