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Dafey

Signing up for Medicare

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Jawny

I believe a lot of the "free" procedures done under Medicare are a form of preventative medicine.  Cheaper to have a free screening than to have individuals postpone or never get screened.  Mammogram, Pap smears, immunizations and that sort of thing are often covered as "free" with insurance policies.  It wouldn’t surprise me if the Medicare part B did the same.

However, a colonoscopy here is relatively inexpensive.  Less than ₽10,000 for the hospital or clinic.  Additional professional fees. If an endoscopy is done at the same time, a similar cost.  If an anesthesiologist is requested, they get a fee.   The professional fee for the physician is cheap. Not sure of exact costs, but WAY less than $4000. 

The costs are posted in the endoscopy clinic in Chong Hua. Calling might get the information as well.  There are several threads on the topic in LinC archives. 

It wouldn’t surprise me to have a waiting period to get an appointment in the USA.  Here, the procedure can be arranged quickly. Get the procedure done in the AM.  Have an office call same day.  Biopsies, if done, get results in a week or so.

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Dafey

That's great Jawny and thanks.

I am curious as to how the procedure here compares to the US?

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Jawny

As far as I know, it is identical. Some details differ, such as the medicine used to empty the bowels.  There are some who will disagree with the type of medicine used, but I have no idea what the issues are.

The process is done in an assembly line way here.  The patient is checked in with the staff to be sure forms are signed, bills paid or arranged for.  Then, an orderly will take the patient to a prep room.  There is where the get naked process is done., with a gown.  I think jewelry is removed etc.

The anesthesiologist (If used) will come in to do some prep stuff like a needle in the arm, BP measurments etc.  Pretty much whaat would be expected.  The physician doing the exam will come in to greet the patient etc.

Then the patient is moved to the "operating room" (not a sterile environment) better equipped than the holding area.  Within a minute or two the meds take affect and the next thing you know you wake up.  Done. 

The physician will use images from the process to show what was found.  They are poor quality, but good enough for him to explain what he saw. 

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Dafey

Sounds pretty much like the US. However I am particular on the prep drug to empty your bowels. The first time I did it I had to drink a glass of this nasty ass tasting gunk every 5 minutes until my guts wrenched up. The next time I took a pill and a gallon of water...much nicer!


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Jawny

I suppose you can ask the physician for alternatives.  I just thought perhaps having a trip to the USA for a no cost procedure might be worth the manageable cost here.  You can contact the Chong Hua endoscopy unit and get some prices.  Then, choose a physician and ask his cost.  An anesthesiologist if used, is a percent of that, I think 50%. Add an office call and any biopsy costs and voila....peace of mind.   

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Davaoeno

Philhealth Coverage for Colonoscopy

Nora

February 9, 2016

philhealth, surgery, treatment

Comments

Colonoscopy is a procedure done by a doctor to examine the large intestine to see inflammation, ulcers, tumors, lesions or abnormal growths like polyps, or foreign bodies.

The doctor uses a long flexible tube called colonoscope which is gently pushed through the anus to the large intestine. Images of the large intestine are transmitted to a monitor.

Colonoscopy is often performed to investigate the cause of persistent abdominal pain, prolonged constipation or diarrhea, thin stool, rectal bleeding, weight loss or body weakness.

Here are 7 types of colonoscopy through stoma, covered by Philhealth:

1. Diagnostic, with or without collection of specimen by brushing or washing
PF: 7,560
Hospital: 7,400
Total Coverage: 14,960

2. With single or multiple biopsies
PF: 7,560
Hospital: 7,400
Total Coverage: 14,960

3. With removal of foreign body
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

4. With control of bleeding, using any method
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

5. With removal of tumors, polyps, or other lesions by hot biopsy forceps or bipolar cautery
PF: 8,400
Hospital: 9,600
Total Coverage: 18,000

6. With ablation of tumors or polyps or other lesions not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
PF: 9,240
Hospital: 12,700
Total Coverage: 21,940

7. With removal of tumors, polyps, or other lesions by snare technique
PF: 9,240
Hospital: 12,700
Total Coverage: 21,940

 

*Can be single or multiple tumors, polyps or lesions

*PF means professional fee

*Hospital costs include costs of medicines, room, equipment and laboratory procedures

 

I am a bit confused but as best as I can figure you negotiate a rate with the hospital and doctor and Phil Health will cover the above deductions. 

Edited by Davaoeno

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Dafey
32 minutes ago, Davaoeno said:

I am a bit confused but as best as I can figure you negotiate a rate with the hospital and doctor and Phil Health will cover the above deductions. 

So I can pick the highest bidder?

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Davaoeno
1 minute ago, Dafey said:

So I can pick the highest bidder?

Please try to be serious- some of us are figuring out how to get our anuses probed under the guise of " medical necessity "  !!!   :rofl:

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Jawny
2 hours ago, petecebu said:

Maybe try a ladyboy....lol

(Joke only mods..we do have to laugh at ourselves now and again)

 

If you are referring to gay physicians, one of the most well respected Internists here is homosexual. He is highly recommended and gets referrals regularly. Not sure if he does any comedy acts.  

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