Health insurance for moto

Hank_Thrill
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Arlen, TX, USA
11/13/2018 7:35pm Edited Date/Time 11/13/2018 7:38pm
One reason I support free health care. Euros have it much cheaper and better.
Tell someone overseas how much an ambulance ride costs in the U.S. and watch them crap a brick. I sincerely wish you the best and anyone else here who has gone through something similar.
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kb228
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11/13/2018 7:41pm
Premix wrote:
In Ohio? Start here for medical: [url=https://www.insurance.ohio.gov/Consumer/Pages/HealthCoverageAppealToolkit.aspx]Ohio Department of Insurance- Health Benefit Review and Appeals[/url] Has your provider submitted to you the policy language that states...
In Ohio? Start here for medical:

Ohio Department of Insurance- Health Benefit Review and Appeals

Has your provider submitted to you the policy language that states the exclusion they are denying? I’m curious as to how this reads.

If all else fails and you get stuck, negotiate the shit out of those bills.
When i spoke to someone at the insurancs company, she said hazardous activities include “but are not limited to” racing, motocross racing, rock climbing, bungie jumping, etc...

Kindof gives them free reign to say fishing is a hazardous activity.
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8tensolutions
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Salt Lake City, UT, USA
11/13/2018 9:27pm
One reason I support free health care. Euros have it much cheaper and better. Tell someone overseas how much an ambulance ride costs in the U.S...
One reason I support free health care. Euros have it much cheaper and better.
Tell someone overseas how much an ambulance ride costs in the U.S. and watch them crap a brick. I sincerely wish you the best and anyone else here who has gone through something similar.
And then ask them their sales/income tax and how long it takes to see a specialist. Research for quality insurance, work for a company that provides it, or don't complain when it doesn't cover you doing stuff that is stated it does not cover. It's like complaining your auto insurance doesn't cover you when you were racing the car on a road course or participating in a track day,
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aees
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11/14/2018 1:14am
A lot of talk and comments what not to do and how bad the system works.

How about some people write a reply that actually have a solution for proper insurance practice and racing MX? Write what it cost and what insurance company and possible limitations in that insurance.

The Shop

Bosco
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Toyota Hiace, NZ
11/14/2018 2:42am
And then ask them their sales/income tax and how long it takes to see a specialist. Research for quality insurance, work for a company that provides...
And then ask them their sales/income tax and how long it takes to see a specialist. Research for quality insurance, work for a company that provides it, or don't complain when it doesn't cover you doing stuff that is stated it does not cover. It's like complaining your auto insurance doesn't cover you when you were racing the car on a road course or participating in a track day,
On my £3397 paycheck last month, I paid £323 National Insurance contribution (healthcare), and £482 PAYE (income tax). £323 is about 44% of all the tax I paid, or about 11% of my gross pay.

When I broke my wrist last April, I was taken in an ambulance from the track to the hospital, seen immediately, given painkillers, casted and sent to my local hospital. At my local hospital, I was seen immediately, then stayed overnight and had surgery the next morning. And then stayed another night while recovering. I was sent home with 2 weeks worth of strong painkillers. Since then I've had 5 follow up appointments, all with maybe a 1 hour wait total before x-rays and being seen. I'll have another appointment in April next year, followed by a second surgery, and maybe an overnight stay. And then more follow up appointments. This all has, and will, cost me nothing at all up front.

Back home in Ireland when I was a student (earning below the threshold and paying no taxes) the story would have been the same, except I would have paid €100 for an A&E visit.

It's not perfect, but based on what I've heard of the US healthcare system, I prefer it.

@OP, sorry, I don't have any suggestions for what to do, other than chat with the hospital to see if you can negotiate.
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8tensolutions
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11/14/2018 6:11am
And then ask them their sales/income tax and how long it takes to see a specialist. Research for quality insurance, work for a company that provides...
And then ask them their sales/income tax and how long it takes to see a specialist. Research for quality insurance, work for a company that provides it, or don't complain when it doesn't cover you doing stuff that is stated it does not cover. It's like complaining your auto insurance doesn't cover you when you were racing the car on a road course or participating in a track day,
Bosco wrote:
On my £3397 paycheck last month, I paid £323 National Insurance contribution (healthcare), and £482 PAYE (income tax). £323 is about 44% of all the tax...
On my £3397 paycheck last month, I paid £323 National Insurance contribution (healthcare), and £482 PAYE (income tax). £323 is about 44% of all the tax I paid, or about 11% of my gross pay.

When I broke my wrist last April, I was taken in an ambulance from the track to the hospital, seen immediately, given painkillers, casted and sent to my local hospital. At my local hospital, I was seen immediately, then stayed overnight and had surgery the next morning. And then stayed another night while recovering. I was sent home with 2 weeks worth of strong painkillers. Since then I've had 5 follow up appointments, all with maybe a 1 hour wait total before x-rays and being seen. I'll have another appointment in April next year, followed by a second surgery, and maybe an overnight stay. And then more follow up appointments. This all has, and will, cost me nothing at all up front.

Back home in Ireland when I was a student (earning below the threshold and paying no taxes) the story would have been the same, except I would have paid €100 for an A&E visit.

It's not perfect, but based on what I've heard of the US healthcare system, I prefer it.

@OP, sorry, I don't have any suggestions for what to do, other than chat with the hospital to see if you can negotiate.
A quick google search shows 40% income tax if you make over 50K American and your example shows the healthcare is another $300 per month.....and your VAT or sales tax is 20% or more than double any state that I am aware of. I see value in both, but the $ has to come from somewhere.
6
11/14/2018 6:22am
You're a Vet (Social Medicine) or on Welfare(Social Medicine).


early
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11/14/2018 6:24am
What's more influential to entering the sport, this insurance mess or efi on a crf250f?
11/14/2018 6:32am
kb228 wrote:
Lying to insurance is fraud.. and its hard to say you fell down stairs when youre in an ambulance in your dirty riding gear lmao
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


1
aees
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11/14/2018 6:35am
kb228 wrote:
Lying to insurance is fraud.. and its hard to say you fell down stairs when youre in an ambulance in your dirty riding gear lmao
MediumRare wrote:
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years. If you did, well...
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


I would love to see you get your boots and pants of with a broken leg and femur... ?
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11/14/2018 6:37am Edited Date/Time 11/14/2018 6:52am
Jbulz wrote:
I think I would lawyer up if I were you
Agreed Driving a car is dangerous Walking on stairs is dangerous Riding a bicycle is dangerous - more so if you commute than recreational - cars...
Agreed

Driving a car is dangerous
Walking on stairs is dangerous
Riding a bicycle is dangerous - more so if you commute than recreational - cars are big
Football, soccer, basketball, dangerous
The gym is dangerous
Hiking is dangerous

While their point is valid mx is dangerous - you can get seriously injured doing just about anthing

Over 90 percent of spinal chord injuries come from car wrecks
kb228 wrote:
This is my logic. Wheres the line between falling on soft tilled dirt at 20-35mph and falling on a road at 60mph with cars and semis...
This is my logic. Wheres the line between falling on soft tilled dirt at 20-35mph and falling on a road at 60mph with cars and semis? Im sure anyone who rides both can agree they have more close calls on the street than off road from being hit by a car.
This will be the defenses argument. And they will win. Insurance will pay.

So steering away from the my countries idea If insurance is better than your countries idea....


You need to fight them and you need to call the billing department of hospital and tell them ifs tied up with insurance at the moment.


“Hello you can have health insurance but you must stay in your basement and never go out in the sun to remain covered”

Not sure how those policies can hold water as it’s been mentioned....everything is dangerous. At the least you were wearing protective gear and not wasted. Safer than most weekend activities.
11/14/2018 6:43am Edited Date/Time 11/14/2018 6:54am
kb228 wrote:
Lying to insurance is fraud.. and its hard to say you fell down stairs when youre in an ambulance in your dirty riding gear lmao
MediumRare wrote:
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years. If you did, well...
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


aees wrote:
I would love to see you get your boots and pants of with a broken leg and femur... ?
How do you think the Doctors get them off?
aees
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11/14/2018 6:52am
MediumRare wrote:
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years. If you did, well...
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


aees wrote:
I would love to see you get your boots and pants of with a broken leg and femur... ?
MediumRare wrote:
How do you think the Doctors get them off?
After you get morphine for starters. At that point it's already to late since the first or second point in the notes from medics are "removing protective gear on track/location".

Or you carry morphine and syringe to track yourself?
2
11/14/2018 6:58am
Agreed Driving a car is dangerous Walking on stairs is dangerous Riding a bicycle is dangerous - more so if you commute than recreational - cars...
Agreed

Driving a car is dangerous
Walking on stairs is dangerous
Riding a bicycle is dangerous - more so if you commute than recreational - cars are big
Football, soccer, basketball, dangerous
The gym is dangerous
Hiking is dangerous

While their point is valid mx is dangerous - you can get seriously injured doing just about anthing

Over 90 percent of spinal chord injuries come from car wrecks
kb228 wrote:
This is my logic. Wheres the line between falling on soft tilled dirt at 20-35mph and falling on a road at 60mph with cars and semis...
This is my logic. Wheres the line between falling on soft tilled dirt at 20-35mph and falling on a road at 60mph with cars and semis? Im sure anyone who rides both can agree they have more close calls on the street than off road from being hit by a car.
This will be the defenses argument. And they will win. Insurance will pay. So steering away from the my countries idea If insurance is better than...
This will be the defenses argument. And they will win. Insurance will pay.

So steering away from the my countries idea If insurance is better than your countries idea....


You need to fight them and you need to call the billing department of hospital and tell them ifs tied up with insurance at the moment.


“Hello you can have health insurance but you must stay in your basement and never go out in the sun to remain covered”

Not sure how those policies can hold water as it’s been mentioned....everything is dangerous. At the least you were wearing protective gear and not wasted. Safer than most weekend activities.
No they wont. Have you ever read the fine print in "MOST" american insurance policies? Nope. And most dont either.
They take the salesmans word for it. I mean agents word for it.

If not, you should read it. Most have a blanket statement covering any type of "Extreme activity or sport" Lots even list specific events and activities.

For example, if you crash your car drunk...........yah, thats not covered. Read the fine print.

Jbulz
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Ithaca, NY, USA
11/14/2018 7:38am
MediumRare wrote:
This is why insurance companies dont pay. The government(Social Medine) wouldnt ever even allow bills like this to be submitted. https://qph.fs.quoracdn.net/main-qimg-f956a3925e852430a3e4acadfc19b403
This is why insurance companies dont pay. The government(Social Medine) wouldnt ever even allow bills like this to be submitted.
https://qph.fs.quoracdn.net/main-qimg-f956a3925e852430a3e4acadfc19b403
What are you complaining about? Pretty nice of them to give you a $171,000 discount! ?
11/14/2018 7:56am
aees wrote:
I would love to see you get your boots and pants of with a broken leg and femur... ?
MediumRare wrote:
How do you think the Doctors get them off?
aees wrote:
After you get morphine for starters. At that point it's already to late since the first or second point in the notes from medics are "removing...
After you get morphine for starters. At that point it's already to late since the first or second point in the notes from medics are "removing protective gear on track/location".

Or you carry morphine and syringe to track yourself?
You have no idea how insurance works.. You'll learn. Probably the hard way.







11/14/2018 8:14am
Would be worth giving Brandon at Ridersurance a call. WWW.RIDERSURANCE.COM He's an ex racer turned insurance salesman and provides insurance to a lot of the pros. I've always had great experiences with his insurance and have never been denied a claim while on one of his provided policies.
aees
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11/14/2018 8:22am
MediumRare wrote:
How do you think the Doctors get them off?
aees wrote:
After you get morphine for starters. At that point it's already to late since the first or second point in the notes from medics are "removing...
After you get morphine for starters. At that point it's already to late since the first or second point in the notes from medics are "removing protective gear on track/location".

Or you carry morphine and syringe to track yourself?
MediumRare wrote:
You have no idea how insurance works.. You'll learn. Probably the hard way.







I think you are one that will learn the hard way if you think you can remove gear and transport yourself from the track before medics arrive. I had multiple fractures, and you are freaking not moving an inch before morphine is in the body if you break a major lower body bone. Besides you committing insurance fraud, that is.

That is exactly an example of what a regulator at an insurance company look at, to try and find ways of not paying out.

If not in your journal, it is in the report from medics at scene.

How else do you think they get info on what happen, besides asking you? My guess is you never broken something severe for real during racing and practice at a real organized race track.
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kb228
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11/14/2018 9:16am Edited Date/Time 11/14/2018 9:19am
kb228 wrote:
Lying to insurance is fraud.. and its hard to say you fell down stairs when youre in an ambulance in your dirty riding gear lmao
MediumRare wrote:
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years. If you did, well...
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


aees wrote:
I would love to see you get your boots and pants of with a broken leg and femur... ?
I took all my gear off in the ambulance with my broken leg with no issue. Saved me from wasting a set of brand new $200 riding gear and $100 boots.

In my case i could have completely changed my clothes before they got there. If i wasnt getting yelled at by people to not move i would have changed.
aees
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USA
11/14/2018 9:58am Edited Date/Time 11/14/2018 9:59am
MediumRare wrote:
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years. If you did, well...
Nobody takes an ambulance or goes to the hospital in riding gear in the USA for like, um, the last 50 years.

If you did, well, you didn't know how insurance works. Until now.


aees wrote:
I would love to see you get your boots and pants of with a broken leg and femur... ?
kb228 wrote:
I took all my gear off in the ambulance with my broken leg with no issue. Saved me from wasting a set of brand new $200...
I took all my gear off in the ambulance with my broken leg with no issue. Saved me from wasting a set of brand new $200 riding gear and $100 boots.

In my case i could have completely changed my clothes before they got there. If i wasnt getting yelled at by people to not move i would have changed.
If you run into a regulator that knows what he is doing you are screwed, and it is fraud (if you of course say you broke it at one location/event, and it was in fact another).
Sweetd31
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Deer Park, TX, USA
11/14/2018 12:09pm
One reason I support free health care. Euros have it much cheaper and better. Tell someone overseas how much an ambulance ride costs in the U.S...
One reason I support free health care. Euros have it much cheaper and better.
Tell someone overseas how much an ambulance ride costs in the U.S. and watch them crap a brick. I sincerely wish you the best and anyone else here who has gone through something similar.
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get an appointment
1
early
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11/14/2018 12:30pm
Sweetd31 wrote:
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get...
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get an appointment
So I don't have to go to a doctor that's in my companies insurance provider group for insurance to pay for it?
Sweetd31
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11/14/2018 12:35pm
Sweetd31 wrote:
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get...
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get an appointment
early wrote:
So I don't have to go to a doctor that's in my companies insurance provider group for insurance to pay for it?
Not if your policy includes out of network
Sweetd31
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11/14/2018 12:54pm
Also, I have yet to come across a Doctor who was not in my network

BCBS of Texas, and now Aetna
Eddieg15
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Pontotoc, MS, USA
11/14/2018 1:00pm
Did it on a bicycle,fell off tractor. They're all crooks anyway
2
OUMX117
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11/14/2018 1:03pm Edited Date/Time 11/14/2018 1:04pm
You're from Tahlequah. Chances are you're Native American. So you situation is not like the majority of Americans. You should consider yourself lucky in that regard.
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kb228
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11/14/2018 1:21pm
Sweetd31 wrote:
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get...
I will, right after I tell them I can pick my own provider/surgeon, and did not have to wait a month and a half to get an appointment
early wrote:
So I don't have to go to a doctor that's in my companies insurance provider group for insurance to pay for it?
Sweetd31 wrote:
Not if your policy includes out of network
Id rather choose who does my work as well. In my situation i could have had the first ortho surg who came ti me who is notorious for messing stuff up, or go to a bigger city and have an ortho surg who works with pro athletes and specializes in my exact type of fracture. Thats a big deal in minimizing long term complications.
early
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University Heights, OH, USA
11/14/2018 1:34pm
early wrote:
So I don't have to go to a doctor that's in my companies insurance provider group for insurance to pay for it?
Sweetd31 wrote:
Not if your policy includes out of network
kb228 wrote:
Id rather choose who does my work as well. In my situation i could have had the first ortho surg who came ti me who is...
Id rather choose who does my work as well. In my situation i could have had the first ortho surg who came ti me who is notorious for messing stuff up, or go to a bigger city and have an ortho surg who works with pro athletes and specializes in my exact type of fracture. Thats a big deal in minimizing long term complications.
Point is, arguing that the insurance system (pre or post ACA) is the best way to deal with providing medical care is a pretty tough pill to swallow. What good is the ability to pick your doctor if you're going to be charged 100k for that luxury, since there are loopholes the insurance company can exploit to deny coverage?
11/14/2018 2:03pm
Longstanding treaties with the federal government guarantee all Native Americans free health care. As a result, the Affordable Care Act exempts them from paying a penalty if they choose not to purchase insurance. More than 2 million Native Americans receive free health care at federally supported Indian health facilities. Many others receive care from tribal facilities and urban Indian organizations.

Thats what the USA calls welfare/medicaid/social medicine. Call it what you want, but federally supported means tax payer supported.


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