r/SipsTea • • Aug 22 '26

WTF Damn

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u/TheEndOfAllThings23 Aug 22 '26

Heart surgery. For privacy I don’t want to be more specific. It was necessary but not emergency.

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u/Imreallythatguy Aug 22 '26

So insurance wouldn’t cover it because it wasn’t necessary in their eyes?

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u/GoodTroll2 Aug 22 '26

No, looks like his insurance would cover it but he would have had to pay 20% as his portion of coinsurance and it sounds like 20% of the huge US bill was more than the full cost to travel and get it done in Ireland.

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u/downvote_meme_errors Aug 23 '26

It was a procedure that would have to be done, only as my condition got worse. Insurance denied it because "It was not necessary" despite my cardiologist saying it was. By the insurance formula I would have to wait until my condition worsened to make it medically necessary, but by then my chance of a poor outcome goes way up.