Tag Archives: Bills

Don’t Pay Those Medical Bills.

Yes, I said it. Countless times I have run into weary-worn caregivers who are frustrated by the overwhelming cost of care. According to AARP, out-of-pocket (OOP) costs for caregivers can be upwards of twenty percent of a caregiver’s income.

https://www.aarp.org/caregiving/financial-legal/info-2017/out-of-pocket-cost-report.html

And this is only getting worse.

I often find that clients of mine or even those I’m caring for are quick to pay any medical bill that comes to their mailbox. I encourage you to STOP that right now. We in caregiving and Elder healthcare know that there are many documents that come to our door that say: ‘This is Not a Bill.” And yet it looks like a bill, it sounds like a bill and it often has wording that indicates, “your share of expenses.” I’m sure you’ve found, as I have, that with my mother’s generation:”If it’s a bill, you pay it.” Even if it just ‘looks’ like a bill, many seniors will pay it, just to get it off their plate and to do the right thing.

Unquestionably, we should not pay something that says, “This is Not a Bill.” I’ve been able to either take those away, sneak them out of the house, or train my caregivees not to pay them. That has made a significant in-road into this problem. But it is the real bills that can cost you more than you know.

I tell the tale of a bill I received for my brother-in-law from the hospital for $4500.00, after his death. He had excellent health insurance and was ill for many months prior to his death, so this bill seemed far too exorbitant based on what I knew about his insurance. Every month for a year, I received this bill. Every two or three months, after I called to inquire if they had submitted it correctly to insurance, if they had processed the bill, or if they had calculated all the insurance discounts, they would tell me to wait as the bill was still in process. But they continued to send me the bill, even though they were waiting for payment.

I could have paid that bill ten times before it was properly processed. The actual final bill was $0.00. Yes, zero dollars and zero cents. Just try getting back $4500.00 you’ve overpaid because you were hasty to ‘pay’ a bill. And as I alluded to at the beginning of this article, often caregivers pay these bills out of their own pocket. Don’t do that either, if you can help it, ever. That discussion is for another day.

But for now, when you receive a bill, make sure it is correct. Make sure it has been processed both by Medicare and your Medigap policy, if you have one. Make sure you have received all your proper discounts. Don’t ever be afraid to call and question a bill. Never be afraid to wait, just wait and see if the bill has been processed properly. You can and will save yourself money, frustration and maybe even some heartburn.

Then perhaps you can have the last laugh!

“You Just have to Laugh……….”

©2018 Cathy Sikorski

Frost and a Sweat………..

Two roads diverged in a yellow wood and I took both of them…

I was sitting around in my workout clothes, pretending to think about going to the gym. But I thought a tougher work out would really build my stamina.

I decided to try and tackle Medicare and the VA on the same day.  See tackling is a form of exercise.

First stop, the VA. Truthfully, after examining my own guns, I knew it was time to call in the big guns and went right to my U.S. Representative in Congress to get help. I was done pussy-footing around. I called my Rep’s local office and was met with immediate efficiency and comprehension.

Like an innocent child, who has a learning curve the size of the Earth’s parabola (I don’t even know if that’s a ‘thing’ but it sounded really big to me) I believed that help was on the way quickly, and all my problems would be solved post-haste. And by using Ye Olde English terms like ‘post-haste,’ I would surely be drinking celebratory sherry in the drawing room at the end of the day!

But before these kind people could step in, they asked me to call the local VA office. See, the Rep had friends in high places. He is actually on the Congressional committee that deals with the VA. I was instructed to call the VA office in town, speak to the director there and immediately call back the Congressional Aide to let her know the result.  This was the result.

“Oh, dear, I’m so sorry your mother is having a problem with her medical insurance. That’s terrible,” said the kind woman who answered the VA phone. “I will have the director call you as soon as he is available.”

I must admit, not 10 minutes later, the kind woman who answered the phone called back.

“The ( cowardly, okay she didn’t say that but the tremor in her voice said it all)director says he wouldn’t know where to begin to help you. This problem is too complicated and he’s never seen it before. So you need to call your Congressman right back to help you.”

This from the director of the local Veteran’s Administration Office. My workout was quickly becoming the use of one finger……the dialing finger. Why, which finger were you thinking?

Meanwhile back at the ranch, thinking it would take a while for the VA to return my call, I hopped on another line (hopping is also exercise) and landed on infinite ‘hold’ for Medicare.

After following their instructions three weeks ago by filing Executor papers at the Social Security Office, and calling each week to see if they ‘received’ the papers that were scanned into the computer right before my eyes, I am now told that I must follow a completely different procedure before they will talk to me about unpaid medical claims for my deceased brother-in-law.

By the way, not one person I spoke to at Medicare or Social Security both on the phone and in person….and there were dozens of these people………..actually knows what an Executor is or does. So that was fun to explain. Explaining can cause sweating and does require mental exercise.

There were more phone calls and more paperwork created as you can see:

Medicare Papers

Two roads diverged in a yellow wood (yellow..for cowards?)

….and I took both the difficult ones….. ’cause, you know, that’s where all the fun and cardio begins!

“You Just Have to  Laugh………….”

©2016 Cathy Sikorski