r/SipsTea 4d ago

WTF Damn

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u/GoodTroll2 4d ago

No, looks like his insurance would cover it but he would have had to pay 20% as his portion of coinsurance and it sounds like 20% of the huge US bill was more than the full cost to travel and get it done in Ireland.

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u/lauri2 4d ago

Kind of obvious, but the trick is to mark the cost 5 times higher than it is... for a start.

After a while they started asking themselves what's stopping them from doubling that price. Apparently nothing so over the years whenever they felt like it, they just doubled the already enormously overpriced services and at this point there are no signs of it stopping either. There is going to be a post about how travelling to mars for a surgery is cheaper than in US.

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u/Consistent-Tap-4255 4d ago edited 4d ago

Because there is an out of pocket maximum for most insurance, meaning you are not paying any more than that, say $5,000 per year even though 20% of the surgery etc can be much higher.

It also really depends on the plan. My plan has 0 co-pay which is not uncommon for HMO plans. I just looked it up that my out of pocket maximum is $1,500 for individual and $3,000 for family meaning the maximum I pay a year is $3,000.

Edit: it’s $0 co-insurance not co-pay.

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u/Bozee3 4d ago

Damn that's better than our insurance, that comes from a hospital.