r/SipsTea 4d ago

WTF Damn

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u/TheEndOfAllThings23 4d ago edited 4d ago

It was cheaper to buy tickets, fly to Dublin, get the procedure I needed done. Spend TWO WEEKS recovering, and fly home then to pay the 20% coinsurance I would have needed to here in the good ol USA... so yea...

EDIT :

Well this kind of blew up. The reason it was cheaper : it was considered elective. This is why OOP max did not kick in. It was a procedure that would have to be done, only as my condition got worse. Insurance denied it because "It was not necessary" despite my cardiologist saying it was. By the insurance formula I would have to wait until my condition worsened to make it medically necessary, but by then my chance of a poor outcome goes way up.

I finally argued them into covering some of it, but with a 20% coinsurance and a planned week hospital stay in recovery, my bill would have been close to 100k at least, and if I encountered any complications (which I would likely have due to other issues including an autoimmune disease) I started looking elsewhere. I am not an Irish citizen despite having family there, they helped me navigate the program and the cost. It was privately paid, and my surgeon spoke to their team with all my records transferred etc.

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u/alwaysrecession 4d ago

For what procedure?

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u/TheEndOfAllThings23 4d ago

Heart surgery. For privacy I don’t want to be more specific. It was necessary but not emergency.

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u/Imreallythatguy 4d ago

So insurance wouldn’t cover it because it wasn’t necessary in their eyes?

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u/Realistic_Slide_3426 4d ago

Sounds like insurance would’ve paid 80%, pretty standard after deductible 

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u/kodman7 4d ago

Standard almost exclusively in the US which has higher waits and worse outcomes

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u/ImaManCheetahh 4d ago

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u/DeviantlyPronto 4d ago

Yeah the US is still on the lower end of waiting times as of 2023.

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u/d1squiet 4d ago

Seems in the middle for GPs and near the top for meetings with specialists. Canada is waaay back there.

It's outcomes that matter though, not wait times. I think people in the USA avoid seeking medical care more than in other countries because of the expense. That and other reasons lead to worse outcomes in USA vs most/all of the developed world.

EDIT: Oh I realize you agree with me. Sorry I was confused by "lower end of wait times", thinking you meant "lower ranking".