A couple were told they faced a $200,000 (£146,500) medical bill when their baby was born prematurely in the US, despite them having travel insurance which covered her pregnancy.

  • JoshuaFalken@lemmy.world
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    17 hours ago

    Sylvester said the couple “made 100% sure Issy was insured to be pregnant, and any complications involving pregnancy whilst we were abroad were covered”.

    Sylvester explained: “Essentially what they said is that we would have been covered had the baby not survived. But the fact was that the baby survived.”

    “We weren’t going to be covered for that, because we didn’t put his name on the insurance policy.”

    As someone that wouldn’t choose to travel into or through the United States, I can’t say I would be surprised if I got back home after this ordeal and the medical bills started showing up. US healthcare will charge for anything under the sun. I half expect visitors will be sent invoices for travelling in the vicinity of a hospital in the near future.

    • Tar_Alcaran@sh.itjust.works
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      6 hours ago

      I have both a heathcare insurance and because my hobby is reenacting (ie, travel with really expensive things and doing dumb things like sleep under a hedge for 2 days) a very good travel insurance which includes healthcare abroad.

      Both go out of their way to point out I have coverage in the entire world except the USA and active warzones.

      • JoshuaFalken@lemmy.world
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        3 hours ago

        You sound like stealth camping extraordinaire Steve Wallis.

        It’s quite funny to think ‘expensive thing’ could be just anything, like an orchestral harp or some of them jewels from the Louvre, and you’re just hanging out under a hedge with a copy of your insurance policy as a pillow haha.

        • Tar_Alcaran@sh.itjust.works
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          25 minutes ago

          Oh, no, nothing that ornate. Just like, a historically accurate coat is expeeeeensive if you have to buy one. Mostly because it’s handspun wool, handdyed and handwoven into a handsewn fabric.

          Like, a meter of historically accurate linen can run over a hundred euros easily. In fact, I’d buy it right now if it’s that cheap.

          It doesn’t get much better for other items. Of course, most of those are handmade by people who aren’t charging for it, or trade for it. But if I lost my whole suitcase, it’s probably going to cost 10k to replace at least. And that’s not counting the armor.

          • JoshuaFalken@lemmy.world
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            17 minutes ago

            And that’s not counting the armor.

            Are you a time travelling hedge knight?

            What is it you’re getting up to that you could have a suitcase full of historically accurate clothing in any place outside a museum? Only thing that comes to my mind is renaissance festivals or similar, but I wouldn’t have thought accuracy was taken that seriously.

    • justme@lemmy.dbzer0.com
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      16 hours ago

      The insurance on question is not American, but from their home country. The ridiculous price is American though

      • JoshuaFalken@lemmy.world
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        16 hours ago

        I realise that, my connecting thought was that the hospital looking at their insurance policy should have been able to understand the pregnancy was covered. Even with it being unclear due to the contract’s wording, it should have triggered the billing department contacting the insurer for clarification.

        That’s not how America works though, they operate on a ‘invoice first, ask questions later’ approach. If one in a thousand bills get paid without question, the superfluousness is considered justified. Oh well, I would add this to my list of reasons to avoid the country if it weren’t so long already.

        • AlexanderTheDead@lemmy.world
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          8 hours ago

          You seem confused.

          As someone who has worked directly with medical (dental) insurance, the billing hospital/doctor almost definitely sent the bill to the insurance company first, were denied the claim, and then sent it to the couple afterwards.

          You seem to think the hospital told them they weren’t covered, but that isn’t what happened. At least not in this article. They thought it was covered and dealt with until returning to the UK, where the insurer told them they weren’t covered.

          • JoshuaFalken@lemmy.world
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            3 hours ago

            You aren’t the only one whose work has involved medical insurance.

            From my experience, it was quite uncommon for the practitioner themselves to be preparing and sending an invoice to the insurance company. Typically they would pass this off to the billing department, though in smaller places like a dental office I’ve seen the ‘billing department’ just be the front desk. It’s a touch misleading to equate the billing hospital with the doctor as if penning invoices is a shared responsibility between the two with each taking roughly equal part.

            In any case, it’s irrelevant. I’m not here arguing minutia about on which continent the responsibility specifically failed, nor whatever individual made an error. The system failed these people, even if the end result was only a momentary heart rate increase from seeing a medical bill until a phone call resolved the issue.

            If my underlying point remains unclear, I doubt I can clarify further.

            • AlexanderTheDead@lemmy.world
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              2 hours ago

              …right, you still seem confused about what is being said, since the first half of your reply is just… stating that the practitioner themselves usually don’t directly send the bill, the billing department does.

              I guess I could see how you could misconstrue that from what I said, but it doesn’t really address the crux of who was at fault here: the insurance company.

              The system failed these people? Uh… sure… the American health care system is hot dog ass and insurance is bullshit. I agree, the system sucks.

              My only point here is that your comment directly makes it out to be the US/hospitals fault.

              But! That being said! I see where the confusion is, now.

              I realise that, my connecting thought was that the hospital looking at their insurance policy should have been able to understand the pregnancy was covered.

              You presumably meant to say “the pregnancy wasn’t covered”. Because of this typo, it made me think you were saying that it WAS covered and that the hospital made a mistake when reading.

              Also:

              You aren’t the only one whose work has involved medical insurance

              To be fair, when you say “I wouldn’t choose to live or travel through the US”, it makes it pretty fair to assume you aren’t already there. If you are out of the states, I have no idea how your experiences with a different healthcare system could be relevant? But hey, maybe you should lead with relevant information about why your input has more weight behind it than the average commenter.

              That being said… it still doesn’t. You spent half your comment acting like I was being misleading because I said “the billing doctor/hospital sent it to the insurance company”, when any reasonable person would extrapolate that obviously the staff is responsible for that? I said billing doctor because the hospital sends the bill in the doctor’s name. They might not be literally penning the bill, but they are the biller, they are doing the billing.

              Edit: also, insurance companies are mostly all closed on weekends and you can’t just “call to confirm the policy” in every situation.

              • JoshuaFalken@lemmy.world
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                55 minutes ago

                I don’t make it a habit to preface a general comment by preemptively stating why I may be qualified to weigh in on a topic. This is the internet after all, not really a formal setting. My qualifications are just as irrelevant as yours here. While we may have insight that others lack, we aren’t doing anything but commenting on an article.

                Without going point for point as you have done, it should suffice to say that even now after I have reread this thread and what I wrote previously, the underpinning of my initial comment stands - these people were failed, and it shouldn’t have happened.