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  • Asthma specialist
    Finn3goof_small

    I'm king of the asthmatics. That I am alive at all is amazing. I'm allergic to nearly everything (except dust mites), have been intubated and my parents flown in from Jersey because I was pretty much dead from my asthma. Deep coma, anyway. Some days I have to stay in bed with an air cleaner and prednisone at the ready though flovent has been a god send. I use advair 250/50 and spike it up to 500/50 or even 750/50 or more when things are bad.

    Monday morning call Dr. Kirtland of Virginal Mason hospital at (206) 223-6622 and make an appointment. This doc is awesome. Virginia Mason is awesome. Best doc and big hospital experience I've ever had.

    Really. And all testing necessary can be done at V M which is a big deal.

    Good luck.

  • Did Virginia Mason screw me? And if so, can I do anything about it?
    Qlandav2ex_small

    File a complaint with the Washington State Office of the Attorney General.

    http://www.atg.wa.gov/
    http://www.atg.wa.gov/FileAComplaint.aspx

    Your beef is with VM (this is not an issue concerning your health insurance policy) and that should be made clear in your narrative. Your previous records of the charges involved in the same procedure that they have performed may be important and relevant to your case.

    I suggest that you write to VM and let them know you have filed a consumer complaint concerning the charges on your bill. It would probably be best to pay the fees listed on your billing that you think are appropriate and in keeping with the way the procedure has been billed in the past. Make note on your payment what exactly you are paying from the billing they sent you.

    Getting the AG involved is your most powerful tool in getting an appropriate resolution to this issue you have with Virginia Mason.

  • Where can I get dental work with a sliding scale payment program?
    Gogogophers_small

    Here's a pretty comprehensive list of sliding scale & non-profit clinics, listed by county, with specifics on what ages they cover.

    http://www.oralhealthwatch.org/wp-content/uploads/pdfs/Community_Clinics_2010_08.pdf

    I'd call around, as many of them have different policies and not all will save you the same amount.

    I've used Neighborcare in the past and saved astronomically when I was in a lower income bracket. http://www.neighborcare.org/clinics/dental

    Here's how it usually works:
    1. You call to set an evaluation appointment - (Drawback # 1, the waiting list is sometimes a month).
    2. Bring past three paystubs (or proof of unemployment) to evaluation appointment so they can determine your eligibility. They'll then give an exam to determine what work you need and set another appointment for two weeks to a month later.
    3. At next appointment, they'll do as much work as they can within 30-45 minutes. (Drawback #2. They need to see a certain amount of patients a day to keep their government funding). They work fast though, and can do a full teeth-cleaning with X-Rays or give you up to two fillings within this time.
    4. Payment - You're paying a flat rate at each appointment, regardless of how much or what work is being done. My flat rate, for a time, ended up being $25.00. At that rate, you can potentially get X-rays, a cleaning and four fillings for $100, which is pretty incredible.

    Emergency walk-ins: If you're in pain and need urgent care, they do emergency walk-ins where they put you on a waiting list and get you in to see them if there's a no-show (which happens often enough, though you could potentially be waiting all day: bring a book). I'm not sure their policy on non-established patients though, so be sure to call ahead.

  • Are dentists sadists?
    Medium_2868373187_b2c11c89cf_o_small

    As a sometimes-sadist, I am deeply hurt by your comparison.

Questions
Recent Comments
  • Comment on Christina L's answer…
    Horse_ass2_small

    Or ginger pills you can get anywhere (supermarket, pharmacy, whatever). Watch out for itchiness if you take too many in one day though (minor allergic response). See if you can identify any foods, etc. associated with it and avoid them.

  • Comment on SM's answer…
    Bierce1_small

    Aren't they also REQUIRED to take classes in bogus disciplines like homeopathy as a requirement?

  • Comment on SM's answer…
    Picture_115_small

    Unfortunately, Bastyr also offers classes in disciplines which are complete quackery. Homeopathy, for example. It's difficult to take a place of learning seriously when they don't discriminate between fact and fiction.

  • Comment on Tom's answer…
    174378_649790871_3783743_n_small

    A couple more thumb up, that is. Clarification...

  • Comment on Tom's answer…
    174378_649790871_3783743_n_small

    Mmmm, that's what I was assuming. I'll give you a couple more to even things out. :)

  • Comment on Tom's answer…
    Finn3goof_small

    ...and who gave me a "thumbs down"??!! Virginia Mason hater I guess?

  • Comment on Tom's answer…
    0prr6_small

    Advair changed my life! It is nothing less than a miracle of modern science.

  • Comment on Tom's answer…
    174378_649790871_3783743_n_small

    Wow, that's some intense asthma!! Glad you know your regimen for keeping the worst at bay when it's flared up. And that you have the insurance to take care of it!!

    I really appreciate the doc lead. I'll give him a call as soon as I have my voice back. Got a nice cold settled into my throat as a last-day-of-class gift from a classmate. :)

    Thanks again!

  • Comment on Tom's answer…
    Finn3goof_small

    Thanks! It was touch a go for a while there...

  • Comment on Tom's answer…
    Subcultureoftwo_small

    Jeez, Tom. Glad you're still with us!

  • Comment on Russ Campbell, NWEBS's answer…
    Qlandav2ex_small

    Surprised to see your post after six months. You are now singing the praises of the very clinic that before you said would not meet your needs. I am glad things have worked out for you, have no guilt - take care.

  • Comment on ballardgirl's answer…
    174378_649790871_3783743_n_small

    Thanks! Someone else had mentioned Walgreens. I ended up going to Country Doctor. The shots were all discounted according to my miserly income, and the staff were some of the most empathetic and compassionate people I've come across.

  • Comment on Russ Campbell, NWEBS's answer…
    174378_649790871_3783743_n_small

    Thank you! I've discovered Country Doctor and have finally found a clinic that I love. They did all of my shots, were prompt with providing full records for school, and extremely helpful with scheduling future appointments for follow-up shots. And now I even have insurance!! (which I have survivor's guilt about, considering how many people don't have coverage.)

  • Comment on asteria's answer…
    Subcultureoftwo_small

    Thanks for all the help and advice here, both of you. I saw a VM billing person in person when I was in Seattle and she basically told me to go to hell, so I think Patient Relations is the next best option. I will do the AG office too, and others as I find them.

    Whether it's Patient Relations or the AG, I don't think I have any hope of getting my money back. Hospitals have lawyers coming out their ears. I simply feel that this is an abusive way to treat their patients and I want them to know it. If I can't get the money back, at least I can publicly complain and maybe impact future policy for other people.

    I had to get this procedure again last week (thankfully, in Lynnwood this time). I was holding back tears through throughout the whole appointment, and cried through the whole MRI I couldn't really afford (I'd just heard about this), and my doctor told me he was doing the procedure "off the books." So, as betrayed as I feel when people or organizations don't do the right thing, it's wonderful when others try to make up for it. Good people are out there.

    I also found out that the facilities charge gets levied when the doctor uses anything from the facility (as soon as they open a drawer, for example), so I was ultra-paranoid when I had a consultation at VM downtown. The doctor assured me he wasn't claiming facility charges for the visit, but I was even scared to sit on the table, in case I got charged for 6 feet of wax paper. Jeez.

  • Comment on asteria's answer…
    Min-wage_small

    Russ, we're on the same page. In my opinion it is still worth arguing that the hospital fee is not fair - I see that the wording of my comment wasn't very clear.

    I live in the universe where "caveat emptor" is the rule, even when it comes to health care, and have had my own struggles with hospital bureaucracies that have left me cynical. I think it's important to know the legal realities anytime you are appealing a charge like this, which is why I included the info about implied contracts.

    It seems that when you have insurance the hospitals/clinics just assume you can pay for anything, and I've racked up some big medical bills in the past because I didn't ask how much I was going to be charged. The only places where I feel I have been informed about medical charges were at sliding scale clinics like Country Doctor, and I usually had to ask.

    The cost of healthcare is disgusting - everyone knows it but it seems like the costs just keep going up. I think as consumers we need to be more proactive but there aren't a lot of alternatives out there.

  • Comment on asteria's answer…
    Qlandav2ex_small

    I never said she signed away her right to the VM grievance process. I was indicating there was no reason not to contact the WA Attorney General's Office and have them apprised of the situation and possibly involved as she pursues whatever internal process VM makes available to patients. I think the internal grievance process is certainly the process to follow as it is set up to handle the patient's issue with the billing. However, the major change with the addition of the 'hospital fee' is certainly something to examine. Did the paperwork given to the patient explain the addition of the new fee now being added to bills at this facility? Certainly comparison of the paperwork signed this time and on the previous occasions will be of interest.

    The legal definition of implied contracts is all very nice and certainly the basis of acceptance and recognition of the responsibility to pay forms that all of these hospitals and clinics require to be seen for services. Sacrelicious has not refused payment, in fact she indicated that she has paid the fees presented. Her description actually sounds like they sent the 'hospital fee' bill first and followed with the procedure bill later.

    It isn't fair to argue the added fee? Whoa, in what universe do you live that consumers don't have a right to look for support and understanding when a new fee totaling a 200% increase in the cost of a well defined procedure is added (going from $300 to $900 total cost) without any specifically presented notice?

    Again, I think the AG's involvement can only be helpful in having this internal grievance process work effectively and appropriately. I think the AG's presence may just cause VM to rethink their process of notification of these new fees.

    Sacrelicious, I think a letter of explanation and copies of all the paperwork involved as well as how this is resolved with the AG's involvement could be sent to the television media's consumer advocate reporters when this is over. People need to be informed of these issues of new added fees. In these times particularly, folks may just need to shop for a better fee structure at other medical facilities when considering care for non-emergency care procedures.

  • Comment on asteria's answer…
    Min-wage_small

    Sacrelicious didn't sign away their rights to the grievance process, but did make an implied contract with Viginia Mason. When you go to the doctor you are agreeing to pay for the service you will receive. Also just because they had the same procedure done in the past doesn't mean VM can't change their fees, or Regence can't change the way they reimburse (or don't reimburse) those fees. It's still worth appealing though IMO to argue the hospital service fee isn't fair.

    From Wikipedia: "An implied contract is one in which some of the terms are not expressed in words. This can take two forms. A contract which is implied in fact is one in which the circumstances imply that parties have reached an agreement even though they have not done so expressly. For example, by going to a doctor for a checkup, a patient agrees that he will pay a fair price for the service. If one refuses to pay after being examined, the patient has breached a contract implied in fact."

  • Comment on asteria's answer…
    Qlandav2ex_small

    All very good info.
    I don't think there is anything you could sign that would take away your right to access the governmental consumer protection officials before going through VM's internal process.

    It would be good to contact the AG's office and start the process.
    I don't believe having them involved could be harmful to you and your treatment by the internal grievance committee.

    Again having the documentation of the charges you paid before for the same procedure on other occasions would be very important. Don't forget you can ask VM for those records if you can't find your copies. They may charge you for researching and making copies for you. Your point is that the care you received was not different from those previous times and that the extra fee does not pertain to your care when at that facility.

    And when you file your grievance indicate that you are pursuing a complaint with the AG's office simultaneously. You may be assigned an investigator and, if so, report that name on your grievance so that they can talk to the AG's office as well.

  • Comment on Russ Campbell, NWEBS's answer…
    Subcultureoftwo_small

    Thanks, Russ!

    Unfortunately, I already sent the payment because I thought it included the normal procedure fees too, and I didn't want to get sent to collections or anything. It wasn't until last week when I got a whole new bill for the procedure itself that I snapped.

  • Comment on Russ Campbell, NWEBS's answer…
    Qlandav2ex_small

    By the way the your complaint is not with a doctor or other medical professional but with the actual business of VM and disputed charges on a bill.

    The office address and phone number is:
    1125 Washington St. SE
    PO Box 40100
    Olympia, WA 98504-0100
    (360) 753-6200

  • Comment on Kip Waddle's answer…
    Icon_small

    I'd be more scared of a discount dentist in the States than a good dentist in Mexico.

  • Comment on elbie's answer…
    Avatar_default

    whoops, lee endo=(206) 453-3496 slip of the hand :)

  • Comment on RM's answer…
    Adorableblackkitty_small

    If you are on the low-end of income spectrum, you might try the Central Area Dental Clinic on Yesler. They charge on a sliding fee scale. A young woman I know went to them and got 4 fillings. They didn't do them all at the same time; it took 3 visits; I guess because of the number of appts. they try to get in in one day? Because they knew she wasn't working and so not limited on time? Don't know. But, it was next to $0, she had no income, and her experience with the dentists was good (she saw 3 different ones). Hard not to find the following repelling, but be assured that the brusque, bordering on rude, front desk staff are not an indication of the service and attitudes from the dental people; they seemed glad to be there and actually like people :-)

  • Comment on protosaurus's answer…
    Avatar_default

    The problem probably isn't the $50 frames. If he's got really bad eyes, the lenses can get really expensive. I have bifocals and the lenses cost $2-300 by themselves.

  • Comment on RM's answer…
    Icon_small

    I concur. My cheap dentist "missed" several cavities (incurred over several years of not having insurance). A year later, I went to a real dentist and had to get extensive work done. I'm sure I wouldn't have needed as much had it not been for that crappy dentist, but I am relieved that she wasn't the one to drill into my teeth.

  • Comment on RM's answer…
    Dinolock_small

    Can't say enough good things about the UW Dept. of Oral Medicine (which is part of the School of Dentistry).

  • Comment on jeze's answer…
    Avatar_default

    My older son has brown eyes and his irises were a medium-darkish blue when he was born. By around 6-7 months they were clearly going to change to brown, like his father.

    My younger son's eyes were also a watery blue and gradually they got lighter. He has blue eyes like me.

  • Comment on protosaurus's answer…
    Cats_small

    That seems painless enough.

    Thanks! I've got no first hand experience with glasses and he keeps saying that it'll be a small fortune. His glasses are 5 years old. Maybe I can talk him into letting them give up the ghost.

  • Comment on Emily Steed's answer…
    Img_0355_small

    That is to say, "she batted her baby blues at me" rather than "She is suffering from a case of the baby blues." Totally different things.

  • Comment on Squirrel Girl's answer…
    Sam_0356_small

    I second agree that. I've never had a problem with the dentist- it's the hygienists!!!! feels like they are trying to rip your teeth apart. AAARRRGGGHHHH