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Subject: A new way to gouge?

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Jack - Iowa    Posted 04-02-2019 at 08:15:08 [URL] [DELETE]        [Reply] [Email]  
  • A new way to gouge?
  • Few weeks ago my wife ended up in the emergency room. Naturally she was administered some pills.

    Yesterday she got a bill for $89.60! Medicare and Supplemental have always taken care of the full bill.

    Phoned the provider and the explanation I received was this. Medicare does not pay for any medicine which the patient could take home or on her/his own!

    In other words, any medicine which is taken orally they will not pay for!

    Has anyone else encountered this?

    Jack

    Bruce Dorsi    Posted 04-03-2019 at 08:21:14 [URL] [DELETE]        [Reply] [No Email]  
  • Re: A new way to gouge?
  • I may be wrong but I believe they are referring to non-prescription pills which may have been given at the hospital.

    Pills such as aspirin, anti-inflammatories, decongestants, supplements, etc, which could be purchased over-the-counter without a prescription are often not covered by insurance.

    My wife worked as a nurse in hospitals for many years. ...I often heard of $10 aspirin being charged to a patient.

    Jack - Iowa    Posted 04-03-2019 at 12:26:02 [URL] [DELETE]        [Reply] [Email]  
  • Re: A new way to gouge?
  • I only wish you were right! The following is from the medicare website:

    Sometimes people with Medicare need “self-administered drugs” while in
    hospital outpatient settings. “Self-administered drugs” are medications that you
    would normally take on your own, like medications that you take every day to
    control blood pressure or diabetes. In most cases, Part B generally doesn’t pay for
    self-administered drugs used in the hospital outpatient setting.
    If you get self-administered drugs that aren’t covered by Medicare Part B while
    in a hospital outpatient setting, the hospital may bill you for the drug. However,
    if you’re enrolled in a Medicare drug plan (Part D), the plan may cover these
    drugs.

    She was in as an outpatient. Perhaps that makes a difference also. It does say you can submit them to your Part D drug plan however who ever gets a bill from the hospital which lists each drug administered?

    Bruce Dorsi    Posted 04-05-2019 at 09:00:38 [URL] [DELETE]        [Reply] [No Email]  
  • Re: A new way to gouge?
  • I learned from my wife that in her hospital setting, the patient could not supply their own prescription meds. ....If they were brought into the hospital, the staff would confiscate them, and the hospital would supply (and bill) for replacement drugs.

    Upon discharge, the confiscated meds would be returned to the patient.

    She explained that most hospitals follow this protocol. ....Nursing homes or rehab facilities may, or may not.

    Jack - Iowa    Posted 04-05-2019 at 11:29:57 [URL] [DELETE]        [Reply] [Email]  
  • Re: A new way to gouge?
  • Remember a hospital is a FOR PROFIT organization! If they allowed you to use your own from home they could not charge the exorbitant prices!

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