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Posted

It's obviously a terrible experience and sounds like the hospital were just trying to get as much money as possible by making it sound worse than it was. But the sums involved here are not that big by any stretch of the imagination.

 

By my reckoning you owe them 18k. Getting a lawyer involved might end up costing you more, depending on the lawyer you choose. Personally I would see what the ombudsman says, if they don't want to help, try and negotiate the sum down with the hospital, then pay them off and chalk it up to experience. The way you were talking, I was expecting the sum to be >100k.   

  • Like 2
Posted
30 minutes ago, ChipButty said:

Office of Consumer Protection Board 1166

or http://complaint.ocpb.go.th (online) 

www.ocpb.go.th

That's some good contact info.

 

Not trying to criticise, but is it this department that has been described as pretty ineffective, or is that another similar sounding one?

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Posted
1 minute ago, bluesofa said:

That's some good contact info.

 

Not trying to criticise, but is it this department that has been described as pretty ineffective, or is that another similar sounding one?

I asked my wife thats what see gave me she had the info on her phone

 

Posted
2 hours ago, BritManToo said:

Disagree, Thai government hospital is generally very cheap.

But in a Thai Private hospital specialised in ripping off foreigners the sky's the limit.

A prostate brachytherapy in France/Germany costs about 200000 Bahts, a prostatectomy will be 400000 to 500000; that's what a government hospitals will charge a foreigner. And there are not so many government hospitals capable of providing these procedures (safely?), probably only the bigger university places in Bangkok and Chiang Mai. 

What is dirt cheap in Government hospitals is accomodation, but who wants to stay in a shared ward with family members having to provide non medical care?

I used these examples because I did some research on them, but from what I heard on orthopaedic procedures in government hospitals they get dangerously close to half million when anything complex is involved. Make sure you got a good insurance if you are riding a motorbike.

Posted (edited)
1 hour ago, Ajarn Lucky said:

I resent being conned and lied to, especially by a doctor

Just wait...Wait till you have been living in Thailand 10+ years

Wait till you think you have it really figured out & read,write & speak Thai at decent level

 

When something like this happens it really throws you back...Like a kick in the gut

 

But upon reflection you will have to admit to yourself....When you Think about it.....Thailand.....

Is there anyone there who is not trying to ATM the foreigners?

(And the Thai's too for that matter ....when possible)

 

Who does not try it on?

The Government?

The merchants?

The Taxi's/TukTuks/Lor Daengs?

The girls?

The Monks for gawds sake?

 

So why not the doctors? Did you think like I did that they were somehow different?

Immune to the standard greed that permeates every pore of Thailand?

 

They are not!

The sooner you get that into your head the safer you might be .....for now

 

But imagine this.....your married or have someone who loves you....Something happens & your taken into

one of these dens of thieves unconscious

 

They tell your loved one if you don't get X-Y-Z meds needless operations what ever generates $$$ ..your a goner

Will your loved one pay? If a real loved one you know the answer

 

Oh they would never do that right?

 

I am not saying it is the end of the world but "knowing" this now can help you prep you & yours for the

likely possibilities

Edited by meechai
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Posted
18 minutes ago, geriatrickid said:

If your opinion is based on stories like the one in this thread, then you are quite gullible.  

The OP is quick to accuse and to claim deceit, yet the OP leaves out key details. He  supposedly was admitted with a mosquito born disease, yet we all know that Thai medical authorities are on high alert in respect to  foreigners carrying Covid19.

 

Diagnostic tests are  not guaranteed and often the diagnosis of a patient who presents with symptoms common to multiple illnesses is lengthy and through  the process of elimination. Test results for many diseases are not immediate. For example, nucleic acid detection assays that identify dengue viral RNA require 24–48 hours. 

 

The OP has not explained what the 36,000 baht was for, but if he was presenting as an infectious disease case, then he would have required an isolation room and those are not cheap.  It is very easy to criticize the doctors and nurses, but some of the people who present are not particularly nice people. 

 

Yes, there is over charging for procedures, however, in this case we have no idea as to the infection, the treatment, the hospital or what was actually stated. All we have is alot of allegations, some of which seems outlandish.

Rather than gullible, I am quite the opposite, I am realistic. Too many people visit and live here who are ignorant of the medical pitfalls in this country.  This is particularly true of people from the UK, who are used to getting free treatment. if I pay for anything, no matter what it is, I want to be sure that I get value for money.  In terms of medical treatment and medicines in Thailand, that is not always possible, indeed sometimes, and in many rural areas, hardly ever true. 

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Posted
9 minutes ago, xylophone said:

True and I experienced it when I decided to have a colonoscopy after attending a presentation at a hospital here.

 

After the pres I asked the professor what the cost would be and he gave the basic cost as 12,000 baht (a few years ago now) so I booked in for the procedure.

 

Prior to it the nurse took my details and all was well until I came to pay the bill, which was given as 18,000 baht (a 50% increase) which astounded me, so I queried it........so they hurriedly shuffled of to a room and sorted through my file and other paperwork before coming back with a bill for 12,000 baht!!

 

On enquiring why the difference, I was told that the 18,000 baht cost was if the bill was going to be settled by my insurance company!!!!! Once the receptionist let that out, she was given a few glaring looks by the other staff.

 

I have seen other instances of a higher cost being given if they think an insurance company is footing the bill; common practice here. 

If that's true then it's fraud plain and simple.

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Posted
3 hours ago, Ajarn Lucky said:

Looking for a lawyer and intend to negotiate nicely.

Why?  You've already said that the insurer was handling it... "Insurance dealing with my claim".

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Posted
4 hours ago, pixelaoffy said:

Not a lot you can do other than not pay bill and try negotiate a reduction 

 

As above...and it is also possible to negotiate a payment plan.

 

You will almost certainly have signed a consent form for the hospitalization. Did you also get a written  cost estimate? If so that would strengthen your case.

 

if you are determined to complain the correct place is the Department of Inrternal trade, hotline 1569. I don't klnow if any English speaking is available.

 

But before you call, perhaps post some details of the costs here, i.e. what the admission was for, what treatments received and what the bill was. i do find that many, many people on this board have very unrealistic expectations about medical costs, especially those coming from=countries with a National Health Service or equivalent.

 

Is it is possible that you misunderstood the cost estimates you were given, for example might you  have mistaken the cost of a specific procedure, or the room cost, for the total cost? (very different things)

 

If you did nto already, should insist in an itemized ("detailed") biull so that the individual charges are evident.

 

 

 

 

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Posted
24 minutes ago, poohy said:

Private hospitals maybe cleaner more modern etc

But remember they are a business and its not the business to make you better quick they will only let you go when they can't rape your wallet any more

Insurance to them is a licence to print invoices i am sure the insurance  company know how much bills get padded here

Yes they are, they also have better qualified staff and less ques and from my experiences with the private hospital that I attended as an outpatient on a few occasions, i.e. I paid out of my pocket as I don't have outpatient cover in my private health cover policy as it's cheap enough.

 

From my experience I found them to be very thorough to get to the bottom of what I had (the flu) as advised by the local doctor at the clinic, then the public hospital and then their "specialist" all were wrong, with me suffering immensely for at least two weeks because of their misdiagnoses, I was seriously ill.

 

The private hospital doctor who had me obtain an x-ray then refer me to the specialist across from his office who said the chest x-ray was clear, she then had me have a sinus x-ray again, again all clear, and then prescribed me drugs for a chest infection, not a flu, I said how can you tell the difference, she said the from rattling when I breath deep and the whining noise when I breath, was from a narrowing of my windpipe, she also asked me to open my mouth wide, now that was a first, none of the other doctors at the clinic or hospital, including the "specialist" asked me to do that, (common practice usually when you see a Dr), and said that my windpipe appeared inflamed and was narrow which was probably from an allergy, she then asked me if I was exposed to any mold of late, I said not that I know of, the wife then said, wait there is that big black stain from an old roof leak above your desk which was fixed about 6 months ago, that is where I sit all day on my laptop, bingo, the specialist said it was highly probable that my chest infection and narrowing of my windpipe came from the spores of the mould stain, suggest you get it cleaned with bleach, but wear a mask and have eye protection and wear gloves, allow the area to dry before sitting back there making sure it doesn't come back after a week, and make sure the leak has been properly sealed.

 

All of that coming from a specialist in a private hospital, week later had another check up, two weeks after that and then a month after that, now that's what I call them doing their job properly, yes it cost me, but I felt good within an hour of taking the drugs and puffer, although we did find out that the meds were cheaper outside the hospital so when the doctor said she was going to give us a repeat, we told her that we would get them from out local pharmacy and she made a note in front of the nurse, getting her to sign off on it, probably to cover herself if quizzed from up above, no doubt they make money on the meds too, after all they do employ pharmacists and they cost, so why not mark up the meds, groceries stores mark up their products.

 

So it's private for me regardless if it's out of my pocket or the insurers, you pay for what you get.

  • Like 1
Posted

Thank you very much Sheryl for your informative post. 

 

Did not get a written estimate. Never been admitted to any hospital before so no idea of process. It was done when I was feeling really ill. I must have signed a form but do not remember.

 

Yes, it seems I did mistake room cost for total cost. Naive and gullible but feeling so ill and trusted them.

 

Got an itemized bill. Not in isolation room.

 

My complaint is there was no need to stay in an extra night. Fuelling this is the way I was lied to and the essence of my grievance.

 

Yes, a lawyer might cost more than outstanding bill.  I am tempted to go down that route because so angry about what happened, doctors should not lie, they are supposed to be trustworthy and help people.

 

Insurance are dealing with my claim, however I will contact the hospital and point out the malpractice and law breaking admission process of not providing a full cost estimate.      

 

   

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Posted

Once again Sheryl many thanks for your clear post. I was not admitted to rule out serious disease. The 2 new mozzie borne infections he was worried about are extremely rare and there is no treatment or cure. Covid and dengue were ruled out very quickly, not even tested for. 

 

I was really scared: they made it seem like I had a life threatening, very contagious disease and so must be kept away for the public.   

Posted
17 minutes ago, Ajarn Lucky said:

Thank you very much Sheryl for your informative post. 

 

Did not get a written estimate. Never been admitted to any hospital before so no idea of process. It was done when I was feeling really ill. I must have signed a form but do not remember.

 

Yes, it seems I did mistake room cost for total cost. Naive and gullible but feeling so ill and trusted them.

 

Got an itemized bill. Not in isolation room.

 

My complaint is there was no need to stay in an extra night. Fuelling this is the way I was lied to and the essence of my grievance.

 

Yes, a lawyer might cost more than outstanding bill.  I am tempted to go down that route because so angry about what happened, doctors should not lie, they are supposed to be trustworthy and help people.

 

Insurance are dealing with my claim, however I will contact the hospital and point out the malpractice and law breaking admission process of not providing a full cost estimate.      

 

   

 

Again,I see no indication of lying in the doctor's part. S/he may very well have been awaiting important lab results before discharging you, as is appropriate if a serious underlying cause needs to be ruled out. Discharging a patient before serious condition was ruled out, on the other hand, would have been malpractice.

 

No law was broken, I don't know what "law" you are referring to.  Did you specifically ask for a full cost estimate inclusive of tests, treatment etc? I suspect not, and even if they had given it to you it would have of necessity been a very wide range.

 

You were not "naive and gullible",. you were seriously unaware of how medical care pricing works. No one took advantage if you. A hospital employee showing you a list of room rates could not possibly be expected to know that you took this to be an all inclusive rate (irrespective of the treatments and tests needed) as this was not a reasonable interpretation on your part.

 

You need to drop this and stop feeling victimized. Instead, be grateful that it turned out to be nothing serious and did not cost much more, and take note of what you have learned for future reference. Next time, ask the doctor to estimate what the total treatment cost will be (and when given it, ask if this is inclusive of room rate, tests, medications, doctor fees etc). This information can only come from the doctor as there are no standard "one size fits all" charts; how could there be?

 

If you are insured, the normal procedure is for the hospital to notify the insurance company and provide them with a written estimate of costs, receive a Guarantee of Payment based on that, and then go back to the insurer if costs or length of hospitalization increase beyond what was initially authorized.  Any issues on cost are hashed out between the insurer and the hospital.

 

 

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Posted

Yes, I had similar experience at a hospital. I went in due to pain in stomach. They gave me a big bill of 4000 just for giving me antibiotic and observation.

 

When I ask them what's the problem, they couldn't even answer properly. What I saw in the pill was just antibiotic.

 

I think some hospitals do scam foreigners.

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Posted
3 minutes ago, Ajarn Lucky said:

Once again Sheryl many thanks for your clear post. I was not admitted to rule out serious disease. The 2 new mozzie borne infections he was worried about are extremely rare and there is no treatment or cure. Covid and dengue were ruled out very quickly, not even tested for. 

 

I was really scared: they made it seem like I had a life threatening, very contagious disease and so must be kept away for the public.   

 

they were not ruled out at all if not tested for. But I doubt that is the case.  They almost surely did test for dengue and COVID, perhaps also Japanese B encephailitis, Zika and Chikungya.

 

 

Posted
4 hours ago, Ajarn Lucky said:

Looking for a lawyer and intend to negotiate nicely. 

 

   

why?  your insurance carrier will do that.

 

wait until your insurance denies payment, then sue them.

  • Like 1
Posted

He was only concerned about Zika and Chikungya and tested for those.

 

I looked on T V and other sites for info and peoples' experience of similar situations. Seems some is not correct......like it is law to be shown a list of charges...live and learn. 

 

Thanks for your info about being admitted to private hospital; I will do my best to make sure that does not happen.     

 

Posted

With due respect to all, some of the posts regarding health insurance are quite vindictive.. in my case, I am over 70 and have many pre existing medical conditions, and I CANNOT GET HEALTH INSURANCE, no matter how much I am prepared to pay. I go back to Aus once every year for complete medical check up and treatment/medication as necessary. (private medical insurance for many years) I self insure in Thailand and am happy to pay for reasonable costs at hospital, however in my 40 years in Thailand, I have had numerous hospital experiences including 3 children born here.

Based on my experience, I recommend for self funded expats in my circumstances to:

1. Go to a public hospital and see a doctor if you are sick.

2. Let them know you are self funded and need a fixed quotation for any further medical services recommended by the doctor, so YOU can decide what you want to do.

3. In some cases if it is serious and expensive and you are ok to travel, you can choose to go home for treatment, or continue at the hospital.

 

I have experienced on many occasions, hospital staff and doctors applying phsychological pressure to the patient to admit to hospital for "observation" and further treatment, extending the stay each day, when not really necessary.

One of the procedures commonly used is to insert a drip to stabilise the patient's condition, to ensure further treatment..

In 80% of visits I and my family have made to Thai hospitals over the years, we have been over diagnosed unnecessarily.

This had been my experience..

just saying..

 

On two occasions, the hospitals have saved my life with serious problems requiring surgery and extended hospitalisation, for which I am very grateful, and happy to pay.

Also, the birth of my children.. excellent medical advice and service, and happy to pay. In each case, I requested a detailed quotation and proceeded on that basis, and have never been overcharged..

 

But believe me, there have been many cases of overcharging and over servicing pressured on me by doctors at mostly private hospitals..

 

At the end of the day, use your common sense and weigh up your options before committing yourself.

  • Like 2
Posted
26 minutes ago, JomtienRay said:

Also, the birth of my children.. excellent medical advice and service, and happy to pay. In each case, I requested a detailed quotation and proceeded on that basis, and have never been overcharged..

The birth of my children was free, I did give them 1k or 2k for a private room.

It didn't seem they overcharged.

Posted
2 minutes ago, BritManToo said:

The birth of my children was free, I did give them 1k or 2k for a private room.

It didn't seem they overcharged.

well I hope wiffey was out of that room toot sweet and cooking you dinner by evening time? They do make such a fuss over child birth. 

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Posted (edited)
3 hours ago, Ajarn Lucky said:

After moving to BKK about 6 weeks ago I started experiencing sudden bouts of feeling extremely ill and spiking a fever. I was at a private hospital to ask how much blood tests cost; tried 3 but could not get in a gov hospital that morning. While at the private I had another bout. Their infectiuos disease doctor came to see me and was very concerned I might have 1 of 2 new mozzie borne diseases and recommended I stay 2 or 3 nights to find out. They showed me a card of the price for 2 nights and it seemed reasonable so I agreed to admit. Now know it was not the full price.; nowhere near.

After 1 night I was feeling much better and ready to discharge but the doctor insisted I must stay in at least 1 more night. I was afraid I might have a life threatening disease and that it was highly contagious and so why I must stay in.

Since investigated the diseases : neither is life threatening, nor contagious and neither has a cure or treatment, just paracetamol and anti-inflammatory medicine at home. Absolutely no reason why I had to stay in other than bump up the bill.

 

I resent being conned and lied to, especially by a doctor and why I disputing the bill .              

Which hospital and which doctor did you see? So others here can be aware in the future.

Edited by bbi1
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