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Do they send you a hospital bill if you were only checked be a nurse

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  • 03-01-2010 12:31pm
    #1
    Closed Accounts Posts: 44


    Hello,

    Last night I felt sick in town and was brought to the hospital. When I got there the nurse checked me and said I would have to stay overnight, but I told her it was out of the question for personal reasons, and she didn't really put up a fight or anything. Now I'm wondering whether I still have to pay the 100 euro fee even though I wasn't seen by a GP and did not stay overnight.


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Comments

  • Banned (with Prison Access) Posts: 31,117 ✭✭✭✭snubbleste


    Did the notice on the wall say 'You do not have to pay the A&E fee if you don't stay overnight or see a doctor' ?


  • Registered Users Posts: 81,223 ✭✭✭✭biko


    GC-> Health


  • Registered Users Posts: 286 ✭✭mr biazzi


    I never seen that one,


  • Moderators, Science, Health & Environment Moderators Posts: 11,667 Mod ✭✭✭✭RobFowl


    If you just say the triage nurse and didn't wait to be examined then I'd say you could argue that you are not liable for the bill.
    Simply registering at AE does not make you liable ..


  • Closed Accounts Posts: 44 SilverScreen89


    snubbleste wrote: »
    Did the notice on the wall say 'You do not have to pay the A&E fee if you don't stay overnight or see a doctor' ?

    didn't check. i was still a bit shocked. I just dont see why I would have to pay 100 euro for a two minute check up by the nurse. I mean, I wasn't checked by a doctor, so they didn't do anything to me...


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  • Moderators, Science, Health & Environment Moderators Posts: 11,667 Mod ✭✭✭✭RobFowl


    Information

    Everyone living in Ireland and certain visitors to Ireland are entitled to free maintenance and treatment in public beds in Health Service Executive (HSE) hospitals and voluntary hospitals. Some people may have to pay some hospital charges. Holders of medical cards and certain other groups do not have to pay charges.
    The HSE has the discretion to reduce or waive the charges entirely in cases of hardship.
    There are daily in-patient charges, an out-patient charge and some long-term stay charges.
    Rules

    Charges for out-patients/accident and emergency/casualty services in public hospitals

    If you go to the out-patients, accident and emergency or casualty department of a public hospital without being referred there by your family doctor (GP), you may be charged €100 (from 1 January 2009).
    There is no charge if you are referred by a GP.
    The charge of €100 also does not apply to the following groups:
    • Medical card holders
    • People who are admitted to hospital as a result of attending the casualty department (you will then be subject to in-patient charges)
    • People receiving treatment for prescribed infectious diseases
    • Children up to six weeks of age, children suffering from prescribed diseases and disabilities and children referred for treatment from child health clinics and school health examinations
    • People who are entitled to hospital services because of EU Regulations
    • Women receiving maternity services.
    If you have to return for further visits to an out-patient clinic in relation to the same illness or accident, you should not have to pay the charge again.
    You can be referred by your family doctor to the out-patients department of a public hospital for specialist assessment by a consultant or his or her team or for diagnostic assessments (i.e., x-rays, laboratory tests, physiotherapy, etc.). If you attend this service as a public patient, you will not have to pay for this service. If you wish to attend a consultant in a private capacity, you must pay their fee.


    http://www.citizensinformation.ie/categories/health/hospital-services/hospital_charges


  • Registered Users Posts: 205 ✭✭chillin_penguin


    A nurse is still a health care professional and you took up someone's time so ya you have to pay.


  • Closed Accounts Posts: 44 SilverScreen89


    A nurse is still a health care professional and you took up someone's time so ya you have to pay.

    it's her bloody job. 100 euro for two minutes work does not seem fair to me is all I'm sayin.


  • Registered Users Posts: 5,848 ✭✭✭bleg


    Nope. Same thing happened to me. Had a problem, saw the triage nurse, she said it wasn't anything serious. Waited until the Monday to see my GP. Bill arrived in the post, rang the hospital admin and told them I didn't get any treatment. They double checked and said grand and told me no fee needed to be paid.


    Edit: So yes they will send you the bill but you won't have to pay it. This happened 2 years ago now though so they might have tightened up...


  • Closed Accounts Posts: 44 SilverScreen89


    bleg wrote: »
    Nope. Same thing happened to me. Had a problem, saw the triage nurse, she said it wasn't anything serious. Waited until the Monday to see my GP. Bill arrived in the post, rang the hospital admin and told them I didn't get any treatment. They double checked and said grand and told me no fee needed to be paid.


    Edit: So yes they will send you the bill but you won't have to pay it. This happened 2 years ago now though so they might have tightened up...

    thats good news! so when should I expect the bill?


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  • Registered Users Posts: 5,986 ✭✭✭happyoutscan


    it's her bloody job. 100 euro for two minutes work does not seem fair to me is all I'm sayin.

    Yeah, and it's your job to pay the bill if you took her time up or better yet you should have waited to see your gp if you thought the a&e prices unfair. Try working their hours and putting up with all the sh*te they have to before complaining about it.

    Geez some people...


  • Registered Users Posts: 5,848 ✭✭✭bleg


    thats good news! so when should I expect the bill?



    You're dealing with the HSE...


  • Registered Users Posts: 3,200 ✭✭✭imme


    bleg wrote: »
    You're dealing with the HSE...
    don't you just love the snide comments anytime the Public Sector is mentioned on here.


  • Registered Users Posts: 456 ✭✭sgt.bilko


    My own personal opinion is that the OP should pay the set fee.

    In his/her own words , he/she felt sick. How does that necessitate a visit to a hospital??

    Why not call the out of hours doctor? They will advise with/without a visit if they see fit.

    I'm sure the local A&E could do without someone who feels sick.

    That said, I'm not privvy to the signs & symptons so this is a personal opinion as mentioned already.


  • Closed Accounts Posts: 44 SilverScreen89


    sgt.bilko wrote: »
    My own personal opinion is that the OP should pay the set fee.

    In his/her own words , he/she felt sick. How does that necessitate a visit to a hospital??

    Why not call the out of hours doctor? They will advise with/without a visit if they see fit.

    I'm sure the local A&E could do without someone who feels sick.

    That said, I'm not privvy to the signs & symptons so this is a personal opinion as mentioned already.

    thing is I wasn't treated!!! I was checked and that's it! They filled some file with my name, but I wasn't treated, nor did I even talk to a doctor. I was literally only in there for fifteen minutes!!


  • Registered Users Posts: 4,392 ✭✭✭TequilaMockingBird


    So who do you think should pay for that 15 minutes of assessment?


  • Registered Users Posts: 1,341 ✭✭✭Nelbert


    Having previously worked in a hospital I can tell you that you should have to pay the fee.
    The visit you describe is exactly the sort of nuisance visit and waste of time for any healthcare worker that the fee was put in place to prevent. i.e. go to your G.P. (it's cheaper anyway) if he sends you to A&E you don't pay.
    I never worked in A&E but I've been in and out of their in the course of my previous job (I know a couple of people who work there in different capacities also and your type of visit is what frustrates them the most as it takes them away from other patients who might actually need their help.) and it's not a pleasant place to work and the staff do their best with what they have at their disposal, they don't need time wasters making their day any harder or more awkward.

    Had you of spent 15 minutes with your GP would you expect not to be charged?


  • Registered Users Posts: 926 ✭✭✭drzhivago


    RobFowl wrote: »
    If you just say the triage nurse and didn't wait to be examined then I'd say you could argue that you are not liable for the bill.
    Simply registering at AE does not make you liable ..

    Dont think thats right Fowl old pal
    The fee is registration fee
    The OP decided not to stay having engaged in the process

    People often leave before they get that far and ask for their names to be withdrawn from record so that they dont get a bill, usually happens when waiting times are long


  • Registered Users Posts: 926 ✭✭✭drzhivago


    thing is I wasn't treated!!! I was checked and that's it! They filled some file with my name, but I wasn't treated, nor did I even talk to a doctor. I was literally only in there for fifteen minutes!!

    There are a few questions here that are relevant

    Did you feel sick enough to go?

    Did you present without a GP letter

    Did you register at the A&E reception?

    Did you see the triage nurse and get an assessment?

    Did you leave of your own accord?

    From what I read the answers to all the above are yes and thus you will get a bill, will legally be obliged to pay the charge and will also be followed up for this in the current climate as the hospitals recoup revenue they legally can.

    You used the service, why do you think you should not pay

    If you felt so much better after 15 minutes that you could leave do you think maybe you should not have gone in the first place


  • Registered Users Posts: 5,848 ✭✭✭bleg


    imme wrote: »
    don't you just love the snide comments anytime the Public Sector is mentioned on here.


    Sorry that you felt it was snide but that wasn't my aim. I was merely trying to highlight that in the HSE there are no target timelines for items such as this (as far as I know). Therefore, when dealing with the HSE in cases such as this it is impossible to know how long it will take to be billed and will most likely vary depending on what hospital is attended.


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  • Closed Accounts Posts: 291 ✭✭liberal


    i cut my hand at work before the boss insisted i go to a&e, when I got there the nurse said I'd be fine without stitches, so i left and never got a bill


  • Registered Users Posts: 3,963 ✭✭✭3DataModem


    sgt.bilko wrote: »
    I'm sure the local A&E could do without someone who feels sick.

    +1


  • Registered Users Posts: 5,143 ✭✭✭locum-motion


    Hello,
    Last night I felt sick in town and was brought to the hospital. When I got there the nurse checked me and said I would have to stay overnight, but I told her it was out of the question for personal reasons, and she didn't really put up a fight or anything. Now I'm wondering whether I still have to pay the 100 euro fee even though I wasn't seen by a GP and did not stay overnight.

    Hmm, first thing I'm wondering about is why you thought you'd be seen by a GP in a Hospital!
    thing is I wasn't treated!!! I was checked and that's it! They filled some file with my name, but I wasn't treated, nor did I even talk to a doctor. I was literally only in there for fifteen minutes!!

    Why is it relevant that you weren't treated? As far as I can tell, you didn't receive any treatment because you decided to leave 15 minutes after arriving despite the fact that a healthcare professional gave their opinion that you'd have to stay overnight*. Effectively, that's leaving Against Medical Advice (AMA) and doesn't negate the fact that you sought treatment in an A&E Department without a referral by a GP, without being admitted to the hospital etc.
    Have a look at Rob's excellent post (#7) and tell me which of those categories (of people who don't have to pay) you think you belong in.
    It seems to me that you have to pay, and to be brutally honest, I think you've got a damn cheek to think that you don't!

    *: Ironically, if you'd stayed overnight, you wouldn't have had to pay the €100, as you'd have been admitted to the hospital, and people who are admitted aren't liable for the charge, as pointed out by Rob.


  • Closed Accounts Posts: 5,430 ✭✭✭testicle


    thats good news! so when should I expect the bill?

    Whenever you change your god awful signature.


  • Registered Users Posts: 5,143 ✭✭✭locum-motion


    imme wrote: »
    don't you just love the snide comments anytime the Public Sector is mentioned on here.

    At the risk of straying off-topic:

    In fairness, I don't think the public sector in general gets alot of snide comments, at least, not in the Health Sciences forum.
    Also, I think most people have a great deal of respect for the actual frontline staff such as the doctors and nurses, so there's not too much snideness/snidity/snidology/whatever the word is aimed at them either.
    Now, the admin/management/etc staff in the HSE; that seems to be a different story!


  • Registered Users Posts: 3,235 ✭✭✭Dave147


    So who do you think should pay for that 15 minutes of assessment?

    I wasn't aware the nurses in the hospital were paid per patient they checked, I thought they were paid for the hours they worked :rolleyes:


  • Closed Accounts Posts: 8,073 ✭✭✭sam34


    Dave147 wrote: »
    I wasn't aware the nurses in the hospital were paid per patient they checked, I thought they were paid for the hours they worked :rolleyes:

    i odnt think anyone is suggesting he should pay that particular nurse. rather, he used a service and thus should have to pay the HSE for that service.


    just because he decided midway through that he didnt want to continue with it, that doesnt mean everything up to that point should have been free


  • Closed Accounts Posts: 44 SilverScreen89


    i cant believe the amount of crap I'm hearing from people, and you all must be rich folks with lots of money to be spending. It just so happens that 100 euro to pay is a lot of money for me, and it just so happens that I was in a state of shock when this happened. The nurse was a complete bitch and I was certainly not encouraged to spend the night there by the atmosphere. I would rather have spent a **** night and calm down at home.

    I know there is going to be a lot of people that will say that I shouldn't have gone to the hospital...but I'm twenty and had never gone before and they certainly don't let people know about the procedures in there. So a little bloody compassion would be nice.

    Now to ask a question again, because I genuinely don't know, when will I be getting the bill?


  • Registered Users Posts: 5,848 ✭✭✭bleg


    Impossible to know. If you don't get anything in the next 3 months I'd say you're grand.


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  • Closed Accounts Posts: 8,073 ✭✭✭sam34


    i cant believe the amount of crap I'm hearing from people, and you all must be rich folks with lots of money to be spending. It just so happens that 100 euro to pay is a lot of money for me

    i'm not particularly rich, and €100 is a lot of money for me too.

    however, when i avail of a service, i expect to have to pay for it.


This discussion has been closed.
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