What’s a facility use fee?

I had a visit from this lovely cardinal yesterday.

Have you ever heard of a facility use fee? We ran up against one this week.

My husband had an appointment with an orthopedic doctor. The appointment was for a shot of cortisone in the knee. He asked if he could go to the doctor’s office but was told by staff that it had to be at a surgery center.

He wondered why, but was told that’s where procedures were done.

Then he got a text message from the doctor’s office that our deductible wasn’t met and it would be $1,600 for facility use. It was another $65 for the doctor and shot.

Of course my husband questioned this. But he went ahead with the appointment thinking there might be more happening than what he was expecting. Like maybe they needed a scope or an MRI, or something.

He said at the center there was an anesthesiologist, they put a bracelet on him like you’d get at a hospital. They wanted him in a hospital gown and there were four nurses in attendance. My husband lifted the leg of his sweats for the shot and refused the hospital gown. The anesthesiologist had nothing to do and stood oddly by.

I talked to a friend of mine who said they ran into the same thing for her husband when he was getting a cortisone shot.

Of course we’re fighting the fee, but be forewarned that it’s becoming a common practice.

Here’s a snippet from Consumer Reports:

When Dan Sokol saw an orthopedist for shoulder pain in January 2018, he got an X-ray and then a cortisone shot to treat what the doctor said was bursitis. It all took less than 30 minutes at the doctor’s office, and his shoulder pain went away.

So a few weeks later when Sokol, a 61-year-old bank credit officer who lives in Los Angeles, got a bill with more than $3,000 in charges from Cedars Sinai Medical Center, a hospital near his doctor’s office, he was sure there was a mistake.

https://www.consumerreports.org/fees-billing/surprise-hospital-fee-just-for-seeing-a-doctor-facility-fee/

Have you heard of a facility use fee before? Have you ever been charged one?

First trip to the Dream Center

sunset pink sky
Pink sunset sky Tuesday night.

I took a tour of the Phoenix Dream Center with a group of women yesterday. It’s the residential facility that heals and houses victims of human trafficking.

I wrote about The Dream Center HERE.

The building itself is an old Embassy Suites. It has security from Homeland Security as well as their own security staff surrounding the building.

I was impressed that it had it’s own medical office. They said they want to check the victims out physically within a day of them entering the program. Often human traffickers keep the victims documents like driver’s license or social security card when they escape, so it could take 45 days to get new documents and a doctor’s appointment. They lost one young woman to organ failure and felt that they could do better. So, they built their own medical office and doctors volunteer their time so there is no need for documents or insurance.

The girl who died said she was at peace, because she was free and felt like the Dream Center was home.

The center also has a dental office and optometrist office.

I cleaned out my closet the day before my visit and found they have two rooms for men’s and women’s clothing that were clean and organized. Residents can go into the clothing rooms and pick whatever they want off the racks for free. Residents also are responsible for maintaining the clothing rooms.

There’s a garden which is healing for the residents to work in. They also have a chapel, therapists and psychiatrists.

One of the eye popping statistics was that unlike the drug traffickers who sell their product and then need to find more to sell, human sex traffickers can sell their victims from 12 to 16 times a day for years. Young boys around 11 years old can earn $300,000 a year for their traffickers.

We were told that 95% of the residents grew up in the Phoenix area, they are not coming from the southern border. The number one trafficker is a Romeo, who a vulnerable young woman falls victim to and is manipulated into sex trafficking. They may meet their trafficker online or in person.

It was a worthwhile day, but I’m emotionally exhausted.

I thought human trafficking was a border issue, but it turns out it’s not and it’s throughout our country and the world.

What are your thoughts about human trafficking NOT being a border issue?