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 LIAM CEO Stunned By Hospital Bill For RM19,000, Minor Hernia Surgery

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Minolta
post Aug 29 2024, 09:10 AM

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Just go bek his home country or go singapore and get same surgery done. Easily 2x more than that lah.
Minolta
post Aug 29 2024, 09:16 AM

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On this, O’Dell recounted another troubling incident. “I mean this really happened to me. I walked to my ENT specialist, and the first thing the nurse asked me was, ‘Do you have an insurance policy?’ and I said, ‘Why do you need to know that?’ And she said, ‘Because we need to know how to bill your insurer’.”


For some CEO of insurance, ini memang bodoh. Even i understand, see doktor not like buy grocery. Buy grocery, just pay in the end at counter. All come from own pocket.
See doctor, if got insurance, need to apply Guarantee Letter first. This must be done before seeing doktor lah. Of course nurse ask if got insurance. Bodoh.
Minolta
post Aug 29 2024, 09:27 AM

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Consignment supplies: RM3,189
Equipment/instrumentation: RM3,850.30
Gases supply: RM61.19
Imaging: RM77
Laboratory investigation: RM120.70
Medical and surgical supplies: RM2,105.60
Medication: RM2,606.68
Miscellaneous: RM158.50
Nursing care: RM139.50
Nursing procedure: RM27.70
Operating theatre: RM1,372.40
Room and board: RM2,508
Doctors’ charges: RM2,621


Room and board : rm2,508

Got many types of room in private centre. The fella chose to stay in a 2k+ room. One night stay. Almost as much as doctor fees (split between surgeon and anesthetist some more). Obviously he chose this room becoz insurance pay. If own pocket, will he choose a top tier room? This is likely a suite. I think most private hospital for rm100+ beds for 4 person sharing.
Minolta
post Aug 29 2024, 09:55 AM

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QUOTE(prophetjul @ Aug 29 2024, 09:37 AM)
You mean:

If i pay cash, the bill is RM8k.
If by insurance, the bill is RM20k.

IS ETHICAL?
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Ini unsubstantiated claim. No detail head or tail. Macam sensationalised.

This case got name and bill breakdown. Can see details. More substantiated.
Minolta
post Aug 29 2024, 09:57 AM

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QUOTE(prophetjul @ Aug 29 2024, 09:56 AM)
THAT is a real life experience. It's for gall stone removal some years back.
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Sharelah name and bill. Then we dissect here macam LIaM CEO case
Minolta
post Aug 29 2024, 10:39 AM

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QUOTE(30624770 @ Aug 29 2024, 10:04 AM)
You got read what he said or not? The nurse asking for for insurance to know how to bill him. It’s not to apply Letter of Guarantee as he’s just going to see a specialist.
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You obviously dont know how it works. If got insurance (even for outpatient coverage), need to apply for GL BEFORE seeing. This process can take 1-2 hours. If lets say during application got issue (limit inadequate, policy expired etc), then they will let the customer know if want to proceed to self pay. If GL issued, then the final bill will go direct to insurance. Customer pays nothing.

If no insurance, then no need take trouble apply for anything. Final bill goes straight to customer and he pays before leaving.

Hence the nurse will always ask if got insurance or not during registration. Not because the nurse will put different level of charges if got insurance.
Minolta
post Aug 29 2024, 11:02 AM

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QUOTE(30624770 @ Aug 29 2024, 10:45 AM)
GL is issued for hospitalisation lah. In this case he’s going to see specialist only not getting hospitalised. The nurse is asking whether you have insurance in this case like how you claim your company insurance lah. You go see GP also the same. When you say you are claiming, the bill will be higher than paying cash.
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Thats why i say u dont know how it works.

Hes talking about outpatient insurance lah. Yes, there is such a thing.
Minolta
post Aug 29 2024, 11:06 AM

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QUOTE(mushigen @ Aug 29 2024, 10:54 AM)
Are you sure? Personal experiences: for endoscopy, pay myself vs claim insurance and the expected amounts would be very different.
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I am replying in the context of why nurse ask for insurance or not during his outpatient consult with a specialist.

To apply for GL. That is standard.
Everytime i see my gastroenterologist, i have to get a GL. Go earlier, register, apply GL then get breakfast while waiting. Once GL approved, i can see. If my limit burst, i will wait till next year’s outpatient limit refresh, then see.
Minolta
post Aug 29 2024, 05:45 PM

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QUOTE(30624770 @ Aug 29 2024, 03:46 PM)
Nope. Only certain things like doctors fees are standard. The other stuff are all not regulated. That’s why he bring this up in the article.

O’Dell strongly disagreed with Association of Private Hospitals Malaysia (APHM) president Dr Kuljit Singh’s assertion that private hospital bills cannot be regulated.
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To the orang puteh ni - good luck trying to get the goverment to regulate an industry where GLCs are some of the main players.

Minolta
post Aug 29 2024, 06:19 PM

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https://www.moh.gov.sg/cost-financing/hospi...lProcedure=true

For comparison. One sided hernia repair in a private hospital in Singapore with overnight stay (inpatient) cost SGD16,806!

How can similar op in Malaysian hospital with stay in expensive suite costing rm18+K be so shocking?


Singapore MOH data

This post has been edited by Minolta: Aug 29 2024, 06:19 PM

 

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