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Thread: QUICKIE wheelchair pricing are you kidding me ?

  1. #11
    Quote Originally Posted by SCIfor55yrs. View Post
    Three years ago my Permobil bill was a little over $30,000 and Medicare paid all of it except the $2400 the elevating seat feature cost. Keep in mind that these custom power chairs are a very low volume item compared to cars. That is part of the reason for the high price. The cost of the development and manufacture is much higher than that of mass produced cars.
    Yes, but that does *not* justify the 12k charged for the SmartDrive or the $950 for the scrap of plywood.

    edited to add *not* duh
    Last edited by nonoise; 01-03-2015 at 03:03 PM.
    I have had periodic paralysis all my life. I lost my ability to walk in 2011 beginning with a spinal block, which was used for a hip fracture caused by periodic paralysis.

  2. #12
    What gets me is the DME will invoice, say 32 grand for a power chair and the Insurance will pay them out at 20 grand. We still have to pay the 20% of the 32 grand invoice rather than the 20g's they were actually paid. So we pay 6400. rather than 4000. as the 20%.

  3. #13
    Senior Member Fragile's Avatar
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    I don't understand, and it's not just wheelchairs. About 6 months ago I began using duette catheters. Before insurance covered it, I bought some by myself for about $19 each. When I got insurance coverage for them, insurance was being charged over $50 each.

  4. #14
    In the end, it is just a pricing game with insurance and other payers on one side and DMEs and other providers on the other side. They try to scam one another to max out their profits or to live within an imaginary budget created by Medicare, Medicaid, and politicians.

    I will say this about the local independent DMEs, none of them would likely qualify for the "wealthy citizen" list around here.
    You will find a guide to preserving shoulder function @
    http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

    See my personal webpage @
    http://cccforum55.freehostia.com/

  5. #15
    I wasn't referring to the DME vendors getting rich (although a number in my area are VERY comfortable) but to the manufacturers, esp. the biggies like Permobil, etc.

    (KLD)

  6. #16
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    I have myself simply bought used Power Wheelchairs, and as long as I can modify them to suit myself I will continue to do it this way. Now Insurance Companies are the bain of my existence, and I believe they are the real reason for the spiraling up of medical as well as high premiums for their product.

    How to circumvent them and the hold they have on government in every phase of our existence (not simply the medical fields) is yet a mystery to me. We are expected to pay an insurance premium for/on everything, now if there is any possible way they can slip a word into their contract that avoids fulfilling "Their" agreement with their customer they do it. Paying their premiums is like giving away money for air.

    I buy my chairs for a few hundred dollars and buy parts, seating, from the internet, not all from I-vendors, they are becoming greedy now as well. While I do blame Insurance Co.'s for all ills, it is also no reason to make them fix all ill's. Because the 80% of a fraudelent sale is still a formidable Price and that is in effect stealing from all of you out there. Making them pay for a $3K to $8K chair sold at fraudulent prices of $10K-$15K- and on up is being borne by us/US (spell it how you want) Medicare and that angers me. Two wrongs do not make one right and I will not be a part of that. Even "PUTTING IT TO THE INS Co's" is wrong. Now I do not require "specialized" equipment so there is more $$$(IN Theory) left for you guys who do require "Specialized" stuff.

  7. #17
    Any industry that is mostly supported by government funding will be costly.

  8. #18
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    Quote Originally Posted by TheRainman View Post
    Any industry that is mostly supported by government funding will be costly.
    This is a point that no one can argue. However, there is no reason I should be a part of such a thing, when I have an alternative. I am a mostly liberal person, a former friend who has a family quite full of (governmrnt) freeloaders, he claims to be a Conservative Republican, even a Tea Party supporter, can you see why I have a problem with that? And from what I see he is not in the minority.

    I have a lot of problems with Insurance Company's and their double standards. Make no mistake Insurance Company's take up a lot of space at the Government table, they are one of the biggest freeloaders. This should be pointed out as often as possible, and any and all measures must be taken to dislodge their entrenched positions.

    I am not willing to point towards either Political Party both are equally responsible. When the single payer part of the Affordable Health care Act was removed by mostly Republicans, their culpability in making this bill far less appealing to me. I think this one payer system can work as well as Social Security does.

    There are a couple of doctors who have created a payer system in Washington State and also nearby that have a very workable plan that supports individual payment and guarantees as much time with your GP as is necessary. Not the 15 minute visit and barely covers maintenance drug and blood testing results every 3 or 6 months that currently is in effect.

    This would cost as a yearly premium for someone like me less than I currently pay to my Part B gap insurance plan, not even considering the prepaid Medicare tax that I paid into for so many years. This plan would also guarantee an excellent yearly salary to general Practice Doctors of $200K-$250K+if implemented as the Doctors who thought this up is followed exactly. They're doctors and they figured out how to make a good or better living, and get to give the attention their patients (me and you) deserve.

    Read the article published in Time Magazine with Scott Kelley on the cover page.

  9. #19
    Quote Originally Posted by Bob Sullivan View Post
    ...clip...
    There are a couple of doctors who have created a payer system in Washington State and also nearby that have a very workable plan that supports individual payment and guarantees as much time with your GP as is necessary. Not the 15 minute visit and barely covers maintenance drug and blood testing results every 3 or 6 months that currently is in effect.

    This would cost as a yearly premium for someone like me less than I currently pay to my Part B gap insurance plan, not even considering the prepaid Medicare tax that I paid into for so many years. This plan would also guarantee an excellent yearly salary to general Practice Doctors of $200K-$250K+if implemented as the Doctors who thought this up is followed exactly. They're doctors and they figured out how to make a good or better living, and get to give the attention their patients (me and you) deserve.

    Read the article published in Time Magazine with Scott Kelley on the cover page.
    Being a Seattleite, ya got my interest:
    http://time.com/3643841/medicine-gets-personal/
    I have had periodic paralysis all my life. I lost my ability to walk in 2011 beginning with a spinal block, which was used for a hip fracture caused by periodic paralysis.

  10. #20
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    Quote Originally Posted by nonoise View Post
    Being a Seattleite, ya got my interest:
    http://time.com/3643841/medicine-gets-personal/
    OK so I got your interest, and after careful cogitation what do you think of it? Can you see such a solution working? I know I think it can be a solution. I always try to get all my thoughts and medical problems out to my GP, I even write them down to attempt to remember everything that I have questions or concerns about since my last visit, but that allows no time for him to consider solutions for me. Most doctors are already thinking of the last or the next patient, as they walk into the door to see you, with that 15 minute visit. If you have quarterly visits or worse semiannual regular visits, 15 minutes is simply not enough time to talk with your GP.

    I also think the biggest reason we often are sent to specialists is because of the amount of time your GP has time to digest your problem and come up with a solution. The specialist has the problem narrowed down because your GP has hopefully primarily diagnosed your problem in the first place, and he has sent you to the right specialist.

    Now there is the matter of respect for the profession of being a GP, as well as a reasonable living after more than 6-8 years of study and that expense being remunerated. Who are the doctors who are in the line when a call for first responders is made?? It probably will not be your neurologist, or proctologist with the current trend of medical schools producing mostly specialists we are losing possible GP's by the boat load, every year. Now many young folks become doctors because they are idealists, and want to be some sort of savior?? We as the user/customer need this kind of person, but that doesn't pay off medical school or leave much for these folks to raise a family of their own. I doubt many of us ever give all this much thought, I know I really don't. But here I am writing and thinking about it.

    But do y'all think about this unique solution to doctors visits and payments ? I pay more than $100 a month for my Part B gap insurance. My 20% of Part obligation. And Medicare has chipped in their devalued or discounted payment. And as indicated even with a discounted premium for Medicade of $50 per month per individual covered would releive municipalities, States, etc of a tremendous amount of cost obligation.

    Now who is cut out of the mix? Insurance Companies! Useless and duplicated form fill out, perhaps our medical records would only have your medical records not Insurance justifications and coding directed towards bean counters.

    I haven't wasted my thinking about how a nefarious doctor or office manager can contaminate a plan like this, and I am sure there are plenty of opportunities to mess it up. Just as every other plan has loopholes to be exploited. Trying to figure them all out creates problems of its own. Just as has been encountered while legislating the ACA, Medicare, Medicade, etc etc.

    I haven't given too much written thought about folks with many children since the premium is per person per month. But obviously the premium will be a lot more when you figure 2-3-4x individual premium costs. However, everthing else is the same. What are your thoughts?

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