IBD & Private Rooms

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tbraz
Regular Member


Date Joined Jul 2007
Total Posts : 280
   Posted 2/14/2008 10:58 AM (GMT -6)   
How can insurance companies deny/question claims for private rooms when a patient has a diagnosis of any type of IBD! I can't imagine when I was flaring and going to the bathroom 20+ times a day and barely making it to the bathroom, having to move my roommates nuns cap and replace it with mine in time! Or having a bedside commode with someone on the other side of a curtain hearing my cries of pain! Hospitals should have only private rooms on GI floors thus eliminating the insurance companies claims of "this exceeds the normal charge of a semi-private room". I am fighting with my insurance company for denying almost $3,000 for this reason, luckily my GI originally thought I had an infection so I needed to be isolated, or I would be responsible for this amount. The bill itself was for over $106,000 and they wrote off 3/4 of it and only paid out $32,000, but want to stick me with $3,000? Give me a break! nono
Theresa

Originally diagnosed with CD in 1991
Only one serious flare up in 1998 and again in July 2007
Total colectomy August 2007 now saying "Undetermined Colitis"
2nd step J-pouch formation -January 2008
Takedown hopefully by April 2008


ks1905
Veteran Member


Date Joined Sep 2005
Total Posts : 5130
   Posted 2/14/2008 11:09 AM (GMT -6)   
Theresa,

As long as you did not request a private room you should not be responsible for it. I ran into this issue a few years ago ($5,500 a night). Call the hospital and explain that you did not request the private room.... I did this and they said that they would write it off.

--Keith
DX'd with Pan-Colitis June 2005
Current Status: Flaring since May
 
Current Meds:  50 mgs 6-mp, Colocort, Oral Cyclosporine (500 mgs)
Supplements:  None 
 


jano437
Veteran Member


Date Joined Jul 2005
Total Posts : 1614
   Posted 2/14/2008 11:30 AM (GMT -6)   
Let me tell you what I encountered.....Try having two people in the same room with IBD fighting for the bathroom. I never requested a private room, but in this case, we should of never been put in the same room together. I don't think hospital think when doing this. Private rooms should be a nessessity for IBD patients.

Janice
Diagnosed July 2005 with Pancolitis
Asacol 4 tabs 3 times daily
Pro-Bio
Forvia
calcium
Diosmin(for leg and vein support)


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 2/14/2008 12:00 PM (GMT -6)   
Fortunately, just about all of the hospitals here have remodeled or are new, and have only private rooms. It's wonderful. I don't want anyone around when I'm really sick - not friends, not family, my husband only for very short visits. I certainly don't want a room mate to bug me with questions and conversation.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Colazal,  Remicade, Nature's Way Primadophilus Reuteri.
In remission since April, 2006. Remicade has been my wonder drug.
 
Co-Moderator UC Forum


ks1905
Veteran Member


Date Joined Sep 2005
Total Posts : 5130
   Posted 2/14/2008 12:17 PM (GMT -6)   
When I go into the hospital they put me in a GI-ward and most of the rooms there have double beds with a single bathroom; everyone there has a severe digestive disorder and they share a bathroom..... they also have private rooms for people that request them or need to be quarantined. I was quarantined because of c.diff....it was very nice having a private room with a bathroom.

--Keith
DX'd with Pan-Colitis June 2005
Current Status: Flaring since May
 
Current Meds:  50 mgs 6-mp, Colocort, Oral Cyclosporine (500 mgs)
Supplements:  None 
 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 2/14/2008 2:13 PM (GMT -6)   
The only time I was in the hospital, I got lucky. My roommate was a poor, elderly woman who was out of her mind and totally bedfast. No competition for the bathroom and she rarely had visitors, bless her heart. The only problem was she was always yanking her IV out, which would set off an alarm that would carry on until a nurse came to fix it. A couple of times, I had to call a nurse for her when it went on and on with no response.
Diagnosed with ulcerative colitis spring 1999.
 
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal. Oregano oil antibiotic, antiviral, antifungal.
 
 


kazygirl
Veteran Member


Date Joined Sep 2007
Total Posts : 955
   Posted 2/15/2008 8:57 PM (GMT -6)   
i got a private room in the hospital on the grounds that it would be unfair to my roommate for not ever being able to use the toilet as i would be in there 21 out of 24 hours a day.
steph - 31 - female - diagnosed UC in 2000
it was all over the place in my colon... but not anymore!
last month and a half has been fabulous with no UC symptoms at all (after a year long painfully horrible flare) 
weaned off everything now i can't sleep  =(
but i love remission woohoo!
 
 

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