r/SipsTea • • Aug 22 '26

WTF Damn

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u/TheEndOfAllThings23 Aug 22 '26 edited Aug 22 '26

It was cheaper to buy tickets, fly to Dublin, get the procedure I needed done. Spend TWO WEEKS recovering, and fly home then to pay the 20% coinsurance I would have needed to here in the good ol USA... so yea...

EDIT :

Well this kind of blew up. The reason it was cheaper : it was considered elective. This is why OOP max did not kick in. 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.

I finally argued them into covering some of it, but with a 20% coinsurance and a planned week hospital stay in recovery, my bill would have been close to 100k at least, and if I encountered any complications (which I would likely have due to other issues including an autoimmune disease) I started looking elsewhere. I am not an Irish citizen despite having family there, they helped me navigate the program and the cost. It was privately paid, and my surgeon spoke to their team with all my records transferred etc.

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u/oshinbruce Aug 23 '26

Im from Ireland and somebody travelling to use our health system is wild to me. The people are fantastic but it really struggles and people can left waiting a long time for procedures. It is however not expensive for these types of surgeries

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u/TheEndOfAllThings23 Aug 24 '26

I had my appendix out, caught the flu. Went into septic shock. My hospital bill to the insurance company was over a million dollars. After a 12 week stay and rehab. I paid 20k of it. Who knows what the insurance actually paid. But I saw the raw bill. It may be slow, and struggle but people are not being bankrupted and being forced to sell their homes if they get cancer either.