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tenderfoot

(8,437 posts)
Mon Sep 23, 2019, 11:59 AM Sep 2019

Back surgery saved him from paralysis. Then the bills arrived: over $650,000 [View all]

Frank Esposito says it started last March with unrelenting back pain. He could barely move, and an MRI soon showed a bulge in his spine. A specialist told him to go to the closest hospital — immediately.

Doctors at the emergency room said he needed surgery. The herniation was so severe it could cut his nerve, Esposito said, and render him paralyzed.

The surgery was a success, but then the bills started coming: over $650,000 in all.

His insurance company said his back surgery didn't qualify as an emergency and wasn't medically necessary.

<snip>

Carroll added: "I think people have an assumption, right or wrong, that insurance is going to protect them. That's why if we pay that much, we think we're going to be covered, and we're not going to see that surprise bill. So, when you do, people are shocked."

Esposito has already taken $49,000 from his retirement savings. He hired a company to negotiate down some of his bills. After appeals, Esposito's insurer, Oxford United Healthcare, did pay some of his doctors' bills. But he still owes $220,000 — CBS News is still waiting for a response to questions about that balance.

"You work all your life. You work to buy a house. You work to have a house," he said. "You have to save up for everything. We would like to be able to know that we can go to the doctor, that we can get healthy, that we can get taken care of without losing everything we have."

https://www.cbsnews.com/news/back-surgery-saved-him-from-paralysis-then-the-bills-arrived-over-650000/

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Yeah, those health insurance companies Bettie Sep 2019 #1
If docs and hospital were paid enough to get down to $220K, Hoyt Sep 2019 #2
Do you ever notice the ads on TV and on billboards? athena Sep 2019 #5
But but but .... Americans love their insurance companies! athena Sep 2019 #3
I recently had an emergency but routine surgery and was grateful that at every step, the providers WhiskeyGrinder Sep 2019 #4
You happened to be lucky. athena Sep 2019 #6
Totally lucky. I hope I didn't imply otherwise. It was highly unusual and should be totally WhiskeyGrinder Sep 2019 #9
My Dentist RobinA Sep 2019 #17
I wonder who he voted for. ooky Sep 2019 #7
? Falcata Sep 2019 #11
This is DU. You have a picture of a white guy in the story... Fix The Stupid Sep 2019 #20
Who put $650,000 in their pockets for the procedure? Thunderbeast Sep 2019 #8
The insurance company should have sorted that out with the hospital before the surgery. athena Sep 2019 #10
This is why we need area51 Sep 2019 #12
Not an emergency? The doctors said it was. The doctors need to go to bat for him. Karadeniz Sep 2019 #13
Why should a doctor have to waste precious time arguing with insurance companies? athena Sep 2019 #19
My husband's oncologist went to bat for him, up against social security disability...and you've Karadeniz Sep 2019 #21
Betcha he really wants to keep HIS insurance and the heck with single payer! n/t TygrBright Sep 2019 #14
But for 'expanded' Medicaid, his story could have been my story. ColesCountyDem Sep 2019 #15
And just who did Mr. Esposito vote for? Just asking for a friend. Fla Dem Sep 2019 #16
I have friends with insurance where they approve leftyladyfrommo Sep 2019 #18
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