Author Topic: If you find bat in our house--update and advice.  (Read 2097 times)

DeniseNJ

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If you find bat in our house--update and advice.
« on: November 20, 2019, 07:18:49 AM »
So we had a bat in our house for a couple of days, killed it with an electric fly swatter and had the town pick it up for rabies testing.  We never touched it.  The doc said go to ER for rabies shots.  We get the shots and are told to come back 3 more times for more shots.  That's a family of four and 4 ER visits a piece--16 ER visits.  So I called everywhere--dozens of calls--to see where else we could get these shots.  No doc, urgent care, or drugstore has the vaccine (Walegreens has it if you are starting a job in a shelter or something but won't give it to you post exposure).  Basically we said we never touched it and doc said that a bat could bite you in your sleep and you wouldn't know it and you have to finish the series once you start--even though CDC says you don't have to finish.

After many calls to hospital I was told that a level 4 ER visit where you just get a shot is 3K and my copay is 15%.  So I found a place called Passport Health that does vaccines for travelers like malaria, typhoid, etc. and they gave us the shots for $400 each shot each person and my copay was 30% out of network.

The hospital instead submitted bills for over 20K each!!!!  My copays ended up being thousands and doctor bills were separate.  So glad I didn't go back.  I'm arguing with the hosptial now to waive part of the bill etc.

My insurance said that if you submit it as a bat bite instead of possible exposure it would be considered an accident and be covered at 100%.  Apparently you don't pay an ER visit if you are admitted like you are actually sick or if you have an accident, but if you just show up when it's not an emergency they charge you a fortune.

So advice--capture your bat and wait until it comes back--our was negative.  Make sure that you are being treated for a possible bite and NOT for possible rabies exposure. Check with your insurance to see how much an ER visit is depending on the diagnosis code.  Do not finish your shots if your bat is negative.  See your vet.

Typhoid Mary

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Re: If you find bat in our house--update and advice.
« Reply #1 on: November 20, 2019, 11:22:45 PM »
The problem with waiting for rabies test results is that rabies is mostly fatal and the shots need to be started right away to be effective. If you waited a day or two and the results were positive for rabies, you could be dead.

hops

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Re: If you find bat in our house--update and advice.
« Reply #2 on: November 21, 2019, 06:36:34 AM »
As noted in the previous thread, rabies immunoglobulin is what makes the treatment expensive. It's not too widely available (i.e., the drugstore down the corner won't be able to administer the whole series of shots), so you generally won't have many options for shopping around. Attempting to do so has a high likelihood of resulting in misunderstanding.

https://forum.mrmoneymustache.com/welcome-to-the-forum/er-rabbies-vaccine-$3k-go-to-walgreens/

nkt0

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Re: If you find bat in our house--update and advice.
« Reply #3 on: November 21, 2019, 06:45:35 AM »
If you didn't touch it, you're probably safe.

Ref: https://www.cdc.gov/rabies/transmission/index.html

Metalcat

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Re: If you find bat in our house--update and advice.
« Reply #4 on: November 21, 2019, 07:13:54 AM »
So...what does a low income family do?
Just potentially die?


John Galt incarnate!

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Re: If you find bat in our house--update and advice.
« Reply #5 on: November 21, 2019, 09:34:00 AM »
 A few times a bat flew into my house when I opened the back  door late at night.

It flew around for ~3 minutes and then flew out the door.

Metalcat

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Re: If you find bat in our house--update and advice.
« Reply #6 on: November 21, 2019, 09:38:10 AM »
A few times a bat flew into my house when I opened the back  door late at night.

It flew around for ~3 minutes and then flew out the door.

We had tons of bats in the tunnels at my university. It was a daily occurence to have a bat whip by your head.

John Galt incarnate!

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Re: If you find bat in our house--update and advice.
« Reply #7 on: November 21, 2019, 09:44:54 AM »
A few times a bat flew into my house when I opened the back  door late at night.

It flew around for ~3 minutes and then flew out the door.

We had tons of bats in the tunnels at my university. It was a daily occurence to have a bat whip by your head.

Were you frightened that it might bite you or a classmate?

Metalcat

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Re: If you find bat in our house--update and advice.
« Reply #8 on: November 21, 2019, 09:48:01 AM »
A few times a bat flew into my house when I opened the back  door late at night.

It flew around for ~3 minutes and then flew out the door.

We had tons of bats in the tunnels at my university. It was a daily occurence to have a bat whip by your head.

Were you frightened that it might bite you or a classmate?

Lol, no. Granted, I never assumed they were rabid.
It's never occurred to me to be concerned about rabid bats.

Buffaloski Boris

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Re: If you find bat in our house--update and advice.
« Reply #9 on: November 21, 2019, 09:48:10 AM »
So...what does a low income family do?
Just potentially die?

No. They go to the hospital and get treated. If they’re lucky they’re on some sort of Medical plan that pays for most of all of it. If they’re not lucky and they either don’t have insurance or inadequate insurance, they will end up having to pick up some/ all of the difference. They go off into debt collection hell for years, possibly go bankrupt, and embrace their future as permanent members of the underclass.

Metalcat

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Re: If you find bat in our house--update and advice.
« Reply #10 on: November 21, 2019, 09:49:20 AM »
So...what does a low income family do?
Just potentially die?

No. They go to the hospital and get treated. If they’re lucky they’re on some sort of Medical plan that pays for most of all of it. If they’re not lucky and they either don’t have insurance or inadequate insurance, they will end up having to pick up some/ all of the difference. They go off into debt collection hell for years, possibly go bankrupt, and embrace their future as permanent members of the underclass.

That's fucked up.

Buffaloski Boris

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Re: If you find bat in our house--update and advice.
« Reply #11 on: November 21, 2019, 10:00:47 AM »
So...what does a low income family do?
Just potentially die?

No. They go to the hospital and get treated. If they’re lucky they’re on some sort of Medical plan that pays for most of all of it. If they’re not lucky and they either don’t have insurance or inadequate insurance, they will end up having to pick up some/ all of the difference. They go off into debt collection hell for years, possibly go bankrupt, and embrace their future as permanent members of the underclass.

That's fucked up.

It’s profitable. Both the status quo and the “reform.”

SimpleCycle

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Re: If you find bat in our house--update and advice.
« Reply #12 on: November 21, 2019, 10:27:15 AM »
My friend had this happen and they assumed the bat bit her even though she had no evidence of a bat bite.

As someone who grew up where bats getting into our house was commonplace, this seems totally crazy to me.  We'd catch and release the bat and move on with our lives.  Never even had them tested for rabies.


socaso

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Re: If you find bat in our house--update and advice.
« Reply #14 on: November 21, 2019, 10:53:35 AM »
I was today old when I discovered there were electric flyswatters. It's like the veil has been ripped from my eyes.

Metalcat

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Re: If you find bat in our house--update and advice.
« Reply #15 on: November 21, 2019, 01:51:45 PM »
I was today old when I discovered there were electric flyswatters. It's like the veil has been ripped from my eyes.

I was today old when I discovered that I should have been concerned about rabies from the hundreds of bats I've encountered in my life.

Why isn't this a known thing?
I've never ever worried about bats, ever, and I know far more than the typical person about rodents in general.

SimpleCycle

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Re: If you find bat in our house--update and advice.
« Reply #16 on: November 21, 2019, 02:35:51 PM »
I was today old when I discovered there were electric flyswatters. It's like the veil has been ripped from my eyes.

I was today old when I discovered that I should have been concerned about rabies from the hundreds of bats I've encountered in my life.

Why isn't this a known thing?
I've never ever worried about bats, ever, and I know far more than the typical person about rodents in general.

You only need to be concerned for a confirmed or suspected bite, or contact with bat saliva.

The issue is when you've been sleeping in the same room as a bat and aren't sure whether it bit you or not.  Bat bites are very small and hard to detect.  This is when you get into the complicated protocols to determine if prophylaxis is needed.  Sometimes the answer is yes, sometimes no, but even when the answer is yes, it's done out of an abundance of caution.  A confirmed bat bite is much more concerning, especially if the bat can't be tested for rabies, and then you definitely need prophylaxis.

There are 3-4 human cases of rabies in the United States per year, so it's not a common occurrence.  The case posted above, the man was living in a bat infested house and letting the bats LICK HIM.

Some light reading on the subject: https://www.cdc.gov/mmwr/PDF/rr/rr5703.pdf


hops

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Re: If you find bat in our house--update and advice.
« Reply #17 on: November 21, 2019, 03:01:58 PM »
I was today old when I discovered there were electric flyswatters. It's like the veil has been ripped from my eyes.

I was today old when I discovered that I should have been concerned about rabies from the hundreds of bats I've encountered in my life.

Why isn't this a known thing?
I've never ever worried about bats, ever, and I know far more than the typical person about rodents in general.

A Canadian man died earlier this year after a bat flew into his hand:

https://www.cbc.ca/news/health/rabies-what-you-need-to-know-1.5213739

On the rare occasion people die from this, the stories are usually the same: they didn't realize bats were potentially dangerous and their early symptoms went unnoticed so they weren't helped in time. Depending on the location of the bite/contact, you might have less time to seek treatment than some of these articles make think you.

DeniseNJ

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Re: If you find bat in our house--update and advice.
« Reply #18 on: November 21, 2019, 03:39:07 PM »
My bat results weren't going to come back for like 4 or 5 days so they said since it was in my house overnight, they don't know whether it bit me.  If your insurance has a $50 copay for ER visits, then great.  Mine was 15%.  But 15% of 3K is not the same as out of 20K.  You can't get the shot anywhere else and they wouldn't let you just make an appt at the hospital to get the shot--it had to be an ER visit.  Four visits for four ppl--16 time 20K.  Seriously?  So we went to passport health for the rest of the shots at $400 a piece.

It also bugs me that the doc said we had to finish the series when the CDC says you don't.  The whole thing was designed to get us all into the ER as often as possible.  And forget about transparency of health care costs.

 

Wow, a phone plan for fifteen bucks!