From: Tom Grosman on
Hello,

I live in France and have recently started back on dialysis (after a
transplant of 17 years). I tend to spend a lot of time in the US. The
French health system will reimbourse me for any dialysis abroad, up to the
standard cost here in France. Can someone please tell me what a dialysis
session costs these days in the US?

BTW, I pay practically nothing here in France for my health care (sure it's
paid in taxes, but since the per person cost of healthcare in the US is
almost twice that in France, it still works out to be cheaper for everyone,
certainly for me since in the US I would have premiums, copays, deductibles,
non-covered items, out of network expenses, plus insurance people whose job
it is to try to deny paying my bills (plus taxes anyway for pgms like
Medicare, SCHIP ). It is such a relief to not have to worry about going
bankrupt, losing my life savings, my house, not being able to switch (or
quit) jobs...

Single payer healthcare can and does work. If France can do it (number one
rated healthcare system by WHO), certainly the US can too, and most probably
even better. The only thing lacking is the (political) will. ***end rant***

Thanks,

Tom


From: "Paul Bartram" p.bartram AT OR NEAR on

"Tom Grosman" <grosman(a)aonix.fr> wrote

> Single payer healthcare can and does work. If France can do it (number one
> rated healthcare system by WHO), certainly the US can too, and most
> probably
> even better. The only thing lacking is the (political) will. ***end
> rant***

My dialysis and associated care is completely free here in Australia, funded
by Medicare. The only thing I pay is $5 per prescription under the
Pharmacutical Benefits Scheme.

As for your question, I found this at
http://www.farces.com/index.php/section/ESRD/

"DaVita says the company's cost per treatment averages $266, and a dialysis
patient gets 156 treatments a year. But 87 percent of dialysis patients use
Medicare, which pays only about $240 per treatment. To make up the
difference, the providers charge insurance companies for the other 13
percent of patients much higher rates."

DaVita is one of the US's largest providers of dialysis services.

Private dialysis clinics here charge up to $AU500 a go...

Paul


From: Dave on
"Paul Bartram" <p.bartram AT OR NEAR mysoul.com.au> wrote in
news:47ca313a$0$3158$c30e37c6(a)pit-reader.telstra.net:

>
> "Tom Grosman" <grosman(a)aonix.fr> wrote
>
>> Single payer healthcare can and does work. If France can do it
>> (number one rated healthcare system by WHO), certainly the US can
>> too, and most probably
>> even better. The only thing lacking is the (political) will. ***end
>> rant***
>
> My dialysis and associated care is completely free here in Australia,
> funded by Medicare. The only thing I pay is $5 per prescription under
> the Pharmacutical Benefits Scheme.
>
> As for your question, I found this at
> http://www.farces.com/index.php/section/ESRD/
>
> "DaVita says the company's cost per treatment averages $266, and a
> dialysis patient gets 156 treatments a year. But 87 percent of
> dialysis patients use Medicare, which pays only about $240 per
> treatment. To make up the difference, the providers charge insurance
> companies for the other 13 percent of patients much higher rates."
>
> DaVita is one of the US's largest providers of dialysis services.
>
> Private dialysis clinics here charge up to $AU500 a go...
>
> Paul
>
>
>

In the US, Medicare reimbursement varies by what part of the country you
are in. My Medicare Explanation of Benefits Statements show an Average
per treatment Payment of US$172.00. That is 80% of Medicare Approved
amount. Insurance or Patient pays other 20%, which is approximately US
$43.00. At one time, my Employer supplied insurance was primary, and
the insurance company paid 80% of what the clinic charged, which turned
out to be US$385.00 per session, with Medicare still only paying US
$96,00. This had to do with the Medicare Coordination of benefits rules
where employee supplied insurance is considered primary for patients who
work for a company having more than 100 employees.

For somebody coming to the US wihout any coverage, I don;t belive there
as anything in any rules anywhere to stop them from charging any amount
they like. Best to call the unit you will get treatments at to find out
what the bill is going to be. Oh yeah, They are probably gonna want
the cash up front as well.

Dave