ANA Discussion Forum
AN Community => AN Community => Topic started by: Sheryl on January 24, 2008, 02:14:58 pm
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Hubby and I both have benign brain tumors - he had surgery on meningioma in '04 and now has had CK on regrowth on 10/1/07. I am a six-year wait and watcher for 9th cranial nerve schwannoma. So, we both have the need to keep copies of our MRI's which are done yearly and sometimes more often for him. This is especially important since we travel between Florida and Massachusetts twice a year. Well, imagine my surprise when for the very first time, I was asked for $9.45 per MRI CD copy here in Florida. As a courtesy they would send a copy to a doctor without charge but none would be given to us as patients even to bring to a doctor. We have dealt with large teaching hospitals in Boston, an independent radiology company, and a small community hospital on Cape Cod and NEVER have been asked for money. In fact, we are asked how many we need and since we were out of state, copies were sent FEDEX overnight to us without asking and no charge from Cape Cod. They are making tons of money on these tests - maybe I should volunteer to bring in two blank CD's!!! >:(
Sheryl
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hey you snowbirds! Send the warmth, will ya? :)
I had one place (private MRI centre) locally try to charge me to hand me the MRI CD.... they said they had no issues giving me the films, but as for the CD, they would have to charge me... I basically gave them a piece of my mind (well, you have met me...so you know it wasn't pretty!) and to this day, regardless of where my MRI's are done (remember, I get volume discount with all of my 'whoas'), I have never paid for an MRI CD.
Tell them to.... well, you know... and stand your ground. That is ridiculous, IMO. :)
Phyl
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I have had MRI's all over Texas and never had to pay -- I did have them threaten that I would if I did not return them, but no follow through. I have my whole room wallpapered in them (not really, they are in the top of my closet)!!! Thankfully, I haven't had to have one in a few years, so I don't even know about CD's!! :o)
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Pay for medical records - yes: $1.00/page. Pay for MRI CD - no; both Univ. of Miami.
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Nancy,
Unless your medical records are a very small file, you should be charged a flat fee of around $25.00. If it's for a disability case, you should get them through your lawyer and not be charged at all. I know the laws vary from state to state but that is pretty much the norm for most states. I used to work for a place that provided that kind of service. It still annoys me that anyone should have to pay at all for copies of their medical records. The only way to get around it is that each time you go to your doctor and he writes notes, to ask for a copy of the notes from that visit, and each time there is a test, get a hard copy of the results and keep a file for yourself. Most doctors office staffs don't make the copies of the charts themselves, but hire a service to come in and copy the chart, then the service processes BS paperwork and sends out the copy of the chart to you after you have paid the fee. ::)
~Karen
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Hi Karen: I was pretty surprised too when I was told $1.00/page - I just wanted to see the OR report - it wasn't that many pages, maybe 3 or 4.
I was equally surprised when I asked for my last MRI CD + the radiologists report be mailed to my home & they didn't charge a penny. Go figure.
Years ago it didn't cost anything, boy, "The times they are a'changin'" (Bob Dylan).......
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I only requested one copy of my MRI films from the hospital where the test was done. I received them free of charge.
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UPDATE - Received an answer to a letter I wrote to the President of the hospital - he basically "passed the buck" to his Customer Service Department. Their answer - "If your physician requests a copy by fax, there is no charge. Lee Memorial Health System is the largest Public Not for Profit Health System in the state of Florida that is not tax supported. Our healthcare charges are mandated by our publicly elected board to be among the lowest in the nation. So our fiscal responsibility is paramount and we do not have the luxury of being able to offer that free service at this time." Will probably reply as I like to have "the last word"!! I actually was requesting the copy myself to add to other medical records so everything could go in one package to Dr. Chang in California for a "no charge" consult and they wouldn't honor that.
Sheryl
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While getting 2nd and 3rd opinions on my son they requested the actual films so I went to the hospital and signed a release and to my surprise they told me it would be $12 for each film but that they could make a CD for no charge. Well I just about had a heart attack and just stood there and cried and told them it was for a 2nd opinion and that the Dr wanted the actual films. The girl went back and spoke with someone and came back and told me that it would be free of charge since it was for another Dr. I never did understand why we would be charged for a copy of our own records. Like all of you know it is important to have copies of everything.
We were not charged for records for his Social Security. We were charged about $4500.00 for about 1.5years of his medical records from all of the hospitals and Drs he saw 3 months before surgery and for a year after. These were requested by his lawyer and the cost is pasted on to the consumer. Hope this helps. 16
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My 2 cents- my hospital gave me the floopy MRI and one on a CD that I was going to mail to the dr. I politely asked for a second one as insurance against the USPS. The folks were very obliging. My husband copied the disk- many times, as I have gave then to each of the four physicians I saw. Copying CDs is easy and CDS are easier to handle. All my drs. used them instead of the BIG floppy films. Perhaps this would be beneficial idea for you and your husband to keep costs and storage space to a minimum.
Good health to you both.
T
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the orginal MRI. (that started this whole mess) .. I did have to pay for copies, since then all the follow up MRI they just let me keep em...
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I just had my one year MRI today and I wasn't charged for the CD. They actually gave it to me and asked me to bring it to my doctor. And I was all geared up to take Phyll's advice and give 'em what for. Maybe I should have charged THEM for having to deliver the CD to my doctor myself.... hmmm...
Lori
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T - thanks for the info about copying. We actually thought of that but thought there would be a copyright or lock on the hospital's MRI CD. Also, does quality diminish from one copy to the next? Our wonderful neurologist's nurse ordered a copy through their office for us (free) and we picked it up today. Also, my brother is a physician, and he requested one too (last name is different) so there are more ways than one to skin a cat!!!
Sheryl
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Lori~
I definitely think that you should have charged a delivery fee!! I want to make a buck any way I can!! Hope everything is looking good on the MRI!
Sheryl~
Way to get creative and have your bro get a copy!!
K
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I've never had to pay for my MRI films. The first time I had to pick them up and bring them with me to the doctor four hours away. The next time they mailed them. The last time my doctor asked me to bring them with me. He gave them back to me when the appointment was over. I didn't feel like keeping them so I gave them to my students. I thought it was good proof that I do have a brain. lol
Now if I can just get the insurance company to pay for the last MRI! It's been almost a year now.
Jean
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They gave me a copy for free. And also sent a copy to my surgeons for free.
Yvette
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I received a written report and CD of my two MRIs and my CT scan. No charge. In Ont Canada we have OHIP (Ont Hospital Insurance Plan). Dr appointments, all diagnostic, hospital visits and operations are at no cost. Mind you we pay a small health tax and so does our employer. All med's for seniors are covered minus the 1st $200 deductible.
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If Global Warming ever causes Canada to become warm and sunny - I'm going there. Not having to deal with all this insurance nonsense would probably solve everyone's headaches!
Lori
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After my first MRI, I probably ended up getting at least 4 copies of the disk mainly for out of town/state consults. I also got the actual films for one neurosurgeon who preferred this over the disk. I wasn't charged for copies. Just went by and picked them up and mailed them myself. After getting the disk copied the final time before deciding on where to receive treatment, I thanked them greatly for their patience. That's when I was told that they were supposed to be charging $15/copy but they typically didn't do it. Thank goodness.
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Interesting responses - figured that most copies were given without charge. I was going to pursue their response with another of my own but "you can't fight city hall" and, as mentioned in previous post, I was able to get two copies and, if needed, will try to burn my own from one of them.
Sheryl
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The medical world is getting to be such a racket any more. It's bad enough that we, as patients, have to pay for our medical records. They are considered the property of the doctor who wrote/made them, even though they contain our personal information. As long as I have gone to the hospital for my MRI's, I have never been charged for copies of the films. I also went for a copy of the report, at a later date, because they had not faxed it to the right doctor (can you imagine them faxing it to all the extra doctors I requested, but not the requesting doctor, i.e. the doctor who wrote the script for the test). I had, at one time, gone to an imaging place who did tell me that if I lost the films, I would be charged for a 2nd copy, but they told me that up front. Once they start charging us for these films after they do them, is the day I will have to just hit someone and just take them because that is just freakin ridiculous. Isn't that the whole point in having insurance? They are already getting paid by the insurance company for the test, now they want to be paid for the films/cd separately? I would think that is part of the entire charge. Just my thoughts.
~Karen
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Boy, am I glad I looked at this thread! I need to get copies of my MRI and my report to send to the original radio-oncologist who did my CK - same story - I need to fill out a 3 page form requesting the information, I need to pay $25 in ADVANCE for a CD and I have to pay some amount (undisclosed) IN ADVANCE for copy of my report...
I don't know, but I think I paid a big bill to them already?!?!?!?! I gather from this thread that if it's a request from a requesting Doctor, then there is no charge...I'm going to try this...
Thanks for the info...you all just might have saved me $35 - $40...think I'll go out and celebrate (plus it's my birthday today)!! :D
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HAPPY AND HEALTHY BIRTHDAY WITH MANY MORE TO COME ;D
As to the money you saved, I'll take 10%!!! LOL
Sheryl
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I've never had to pay for a film or CD, of an MRI.
At this point, over 18 months post-op, I don't even ask for a copy of the MRI scan as my doctor looks at it with me on his computer and I see no need to have a copy. However, my wife has had numerous surgeries and occasionally needs an MRI, most recently on her knee. See always wants a copy (CD). No charge.
Jim
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Sheryl,
Update, I had my head MRI last weekend and quizzed them about charging for MRI's images (the group I use is touted as the "official MRI Center to the NE Patriots", in case you want to check out who I am referencing). Anyway, they told me that films are for free, as well as 1 CD... but if a 2nd CD is requested (I have to do 2 as I have 2 teams, as you know, following my AN/Chiari situation), they typically charge for the 2nd CD, but since ALL my yearly MRI (too many in one year to count due to my loverly trifecta of ailments) pays their annual salary, they don't charge me.... I've talked them out of it. I have faith in you all to have the MRI centers "see the light" so they don't charge you... stand your ground! :)
Phyl
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In the UK patients on the NHS have only just been given the right to have copies of their medical records and any test reports that have been done. BUT.... you have to use a service linked to the NHS and fill in a lengthy application form with a fee, I forget what the maximum amount is but I had to pay 37.50 POUNDS STERLING and I waited several weeks to receive my records and scan CD. Most UK patients don't know that you can do this and just accept that we do not see our x-rays, scans, letters, reports or anything about us. Also, because I was signed off by my consultant I will have to apply and pay and wait again.
The NHS is great because it is available to all and usually if you are in imminent danger of death it will save you. But for cases like mine it is maddening, frustrating and not effective.
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37.50 GBP/Sterling? OMG! Unbelievable! That's an aweful lot to pay!!!
I had first hand experience with NHS and local A&E (to Camden area) when I was there a few yrs back. NHS can be exceptionally good in situations. Even as a foreigner, who has private healthcare here in the States, I asked for the "financial" office to pay the bill for my A&E visit... and even as a non-UK resident, there was no bill to be paid. Was nice, indeed, for me at the time.
(BTW, saw the news about Camden/Camden Canal Markets last night on BBC... I am heart broken... have spent much time there and have very fond memories)
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I did a quick check on the current U.S.-U.K. exchange rate and unless I got it wrong, 37.5 pounds sterling converts to $73.00 U.S. That is, indeed, absurd.
When I think of socialized medicine, as in Europe, I regret the current public mania for making a lack of perfection in our health care system the excuse to devolve into what will likely be a mediocre system, at best. Well at least 'everyone will be covered'. When public clamor, media scare stories and politician's inherent penchant for meddling finally bring us the 'universal' health care system some demand we have 'for the children', we'll see our current system, although admittedly imperfect and occasionally exasperating, for the pretty good system it is/was. Too late, then. $73. for a CD of an MRI? I can't wait. >:(
Jim
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Hi, to clarify, the 37.50 GBP was also for all notes, letters etc sent from ENT to GP etc during the course of my investigation which comprised two days in hospital, 3 visits to the ENT and the MRI.
We do have a mediocre system and , no offence, but is it any wonder when anyone can land on our shores and be treated completely free of charge for any ailment?
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WOW - look what I started :o
Jim, I agree with you 100% and hopefully, being 61 will be able to enjoy Medicare in four years as long as the politicians don't meddle in that too much.
Sheryl
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WOW - look what I started :o
I blame you! ;) :-*