Out of Network Means Out of Pocket
Out of Network Means Out of Pocket
Out of Network Means Out of Pocket
Out of network could mean out of pocket – unless you know some healthcare secrets.
Hi, everyone. John Daly here along with Jud Anglin.
Welcome to the Healthcare Secrets Podcast.
Jud, you found this great story in the Boston Globe on March 25 2019. And frankly, we have heard others.
It’s about a woman who was almost forced to pay 12-thousand dollars out of pocket for her son’s tonsillectomy – even though she had insurance.
That’s because they were trying to tell her she was out of network.
Before we get into the secrets, explain what out of network in health insurance means.
Get it in writing. Leave insurance and get medical cost sharing, namely Liberty HealthShare.
From The Podcast
Healthcare Secrets: An American Sickness
We assume you don’t rush out to get the latest book about our broken healthcare industry. So we do it for you. From time to time we’ll break them down and fill you in on the secrets you should know.This is one of the best -- about the worst of the healthcare industry. It’s calledAn American Sickness, by Elizabeth Rosenthal.We have both read this. And we have both seen exactly what she’s talking about. The American people are being hoodwinked and scammed by the healthcare industry. That doesn’t mean all people in the healthcare industry are evil, but it certainly means they are stuck in a system that is working purely for profits and not for your healthcare outcomes.It was released in 2017 is a real shocker about what goes on behind the healthcare industry’s closed doors.She lays out the “Economic Rules of the Dysfunctional Medical Market.” Although there are 10 rules, we’ll discuss only the first 3 here... Let’s go through them.1. More treatment is always better. Default to the most expensive one. Some people will say this is because of malpractice suits.The second economic rule of a dysfunctional medical market is -- A lifetime of treatment is preferable to a cure. She documents a researcher at Harvard medical school who believed she was only steps away from curing diabetes. And yet -- no pharmaceutical company or nonprofit would step forward – to fund her research -- including the juvenile diabetes Association.Join Podchaser to...
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