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Navigating Healthcare Expenses Costly
Seniors need to examine insurance plans carefully to avoid devastating financial surprises. It's not easy, though, as insurance becomes increasingly complex with sometimes widely disparate rules for various scenarios.
When 87-year-old Lee Koff received a new defibrillator implant in January at Lourdes Medical Center in Camden, he paid estimated out-of-pocket costs of $125.
That was not much more than the $81 he paid in 2010 for his previous defibrillator, a device that regulates his heartbeat.
But about two months after the January procedure, Koff, who has Medicare Advantage health insurance from Horizon Blue Cross Blue Shield of New Jersey, received a statement saying he owed Lourdes $6,071.
"If they had said the estimate was $6,100, I would have said, 'Whoa, I have to think about that,' " Koff said.
When 87-year-old Lee Koff received a new defibrillator implant in January at Lourdes Medical Center in Camden, he paid estimated out-of-pocket costs of $125.
That was not much more than the $81 he paid in 2010 for his previous defibrillator, a device that regulates his heartbeat.
But about two months after the January procedure, Koff, who has Medicare Advantage health insurance from Horizon Blue Cross Blue Shield of New Jersey, received a statement saying he owed Lourdes $6,071.
Koff was dumbfounded. He and his daughter, Wendy Krevitz, said they had asked Lourdes office personnel if there were any other costs Koff would have to pay and were not told of any.
Read the full story here: http://bit.ly/19WhnD1
Source: Philly.com
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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