Now, I can hold a note for a long time...actually I can hold a note forever. But eventually that's just noise. It's the change we're listening for. The note coming after, and the one after that. That's what makes it music.

Host ,'Why We Fight'


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.


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 haven't trusted science since I saw the film "Flubber."

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?


SuziQ - Mar 12, 2011 4:42:10 pm PST #27938 of 30001
Back tattoos of the mother is that you are absolutely right - Ame

I have overnight oatmeal to ready to go when I go to sleep. Bahhh, I'm following y'all.