|
I'm still on medicaid and haven't had a single issue with it (other than most dentists not accepting it) in the past month I went to the ER for ripping my foot open on a carpet tack, then to the urgent care and orthopedics for a busted shoulder and minor upper arm fracture after I tipped my chair over trying to pick something up without putting any weight on my foot, and paid zero dollars! i just gave them the card at check-in, and check-out was "ok please pick your 4 week followup time" and nothing about billing job search on hold until this gets looked at again because there would absolutely be some bullshit if i went from medicaid to private insurance with a pending surgery
|
#
?
Sep 24, 2022 02:02
|
|
|
|
| # ? Apr 29, 2024 02:42 |
|
|
https://twitter.com/peachmilfshake/status/1588277062720450560?s=20&t=b37Ey4V_AN06JQlWpxeDOA lol wtf 
|
|
#
?
Nov 4, 2022 06:25
|
|
|
This country loathes poor people
|
|
#
?
Nov 4, 2022 07:29
|
|
|
It's open enrollment time! Oh, boy! Time to see how my employer's gonna gently caress me this year! Hey, why does this coverage detail here say I need to refer to the official plan documents for this aspect of the plan instead of just giving me the info on the web site like they do with everything else? Oh, well. I'm sure reading a several hundred page legal jargon thing will be fine. Can't seem to find it, though, for any year, let alone 2023. Well, no problem. The open enrollment people have a helpful support team which I'm sure knows all about what a "plan document" is and wont just try to direct me to the crap I've already seen. Oh, what's this? They completely ignore my request for the plan documents and keep referring me to summary plan descriptions, which some of the support people claim don't exist yet but others insist do? This sure seems like a well-oiled machine. And, look! The footer when they send messages back (from the folks I tried contacting that way) even has this! quote:Please Note: The information above is intended to provide guidance about the benefit plans presently sponsored by EMPLOYER. If there is any difference between this guidance and the terms of the official plan documents, the terms of the plan documents will govern. Sure wish I could review those legally controlling documents to help me make my decision that I'll be stuck with for the next calendar year!
|
|
#
?
Nov 5, 2022 02:47
|
|
|
And then I'm sure the plan documents have language that the documents may change at any time with no notice at their sole discretion 
|
|
#
?
Nov 5, 2022 02:52
|
|
|
I fully expect there's a sentence buried in there to that effect, yes.
|
|
#
?
Nov 5, 2022 02:55
|
|
|
Woodsy Owl posted:Well as a change of pace, I've got a healthcare success story to share: I kind of do. I acquired a vision problem that required either surgery or hard contacts (filled with saline and a huge PITA to insert) to correct. I was hesitant to sign up for my employer's vision plan because the maximum annual benefits seemed to total up to the cost of the plan, but I did anyway just in case. It turns out they fully cover vision aids that are "medically necessary" like mine. No, it didn't say this anywhere in the benefit information we had available, but my optometrist printed out a mystery PDF that said so. Sure, it took 5 or 6 iterations to get lenses that fit properly and didn't scratch my eyeballs but in the end they were fully covered. Also, I got to keep an extra pair because the optometrist was nice and didn't send the penultimate pair back to the manufacturer (wtf do they need them back for, these are supposed to be custom made based on 3D measurements of your eyeballs??). Even better, although they did send me an eye-popping bill later, they told me that it was a software glitch and to just ignore it, and I did and there was no follow-up (yet). I don't know what sort of vision aids are deemed "medically necessary". Typical prescription glasses/soft contacts aren't because I guess you can just squint or whatever the opposite of squinting is.
|
|
#
?
Nov 6, 2022 05:17
|
|
|
Have to agree to arbitration in order to sign up for health insurance  They make sure to let you know you're giving up a constitutional right, but there's no way to disagree save to just not get health insurance. Granted, having health insurance in no way guarantees health insurance.
|
|
#
?
Nov 14, 2022 21:00
|
|
|
Are the ppaca plans worse than ever and had their out of pocket maxes raised? Also lol at the plan I want having a 2k ER copay
|
|
#
?
Dec 3, 2022 00:19
|
|
|
webcams for christ posted:I was reminded of this chart that crack pinged me pretty good back in the day:
|
|
#
?
Apr 13, 2023 17:47
|
|
|
john madden
|
|
#
?
Apr 13, 2023 17:47
|
|
|
thread needs more posts, please post health care cost horror stories tyia apparently the charged amount before insurance for a therapy appt here is $486 wtf
|
|
#
?
Jun 1, 2023 02:02
|
|
|
https://twitter.com/realLandsEnd/status/1661686684193378304 This woman will lose her vision, but this will buy some art for a health insurance executive’s South Florida mansion, so it’s impossible to say if it is bad or not. https://twitter.com/realLandsEnd/status/1661805197478297616
|
|
#
?
Jun 1, 2023 02:11
|
|
|
Platystemon posted:This woman will lose her vision, but this will buy some art for a health insurance executive’s South Florida mansion, so it’s impossible to say if it is bad or not.
|
|
#
?
Jun 1, 2023 02:57
|
|
|
actionjackson posted:thread needs more posts, please post health care cost horror stories tyia I was quoted $500 for an initial appointment for psychiatrist. My insurance wasn't accepted there... the insurer is the one that told me to call them, I directly asked them to recommend me one. I guess it's because my specific plan only covered doctors that worked in the hospital I worked at, and the only psychiatrist on staff was someone I worked with everyday. He was so senile he couldn't remember his passwords and had to change them daily, even if he wrote them down. He also didn't believe in medication and just did talk therapy with patients, which is probably why he wasn't considered a risk since he wouldn't prescribe anyway. That hospital went bankrupt lol. On another note, 500 bucks is how much a quality pistol and some ammo costs. It's yours in 10 days flat, at worst.
|
|
#
?
Jun 1, 2023 19:36
|
|
|
what the gently caress. my therapist stopped taking insurance but it is only like $150 per visit. I can’t imagine where it would be $450 or why.
|
|
#
?
Jun 1, 2023 19:40
|
|
|
TehSaurus posted:what the gently caress. my therapist stopped taking insurance but it is only like $150 per visit. I can’t imagine where it would be $450 or why. I pay a different psychiatrist straight cash now. He doesn't even bother to pretend he takes insurance. About the same per visit as you.
|
|
#
?
Jun 1, 2023 19:42
|
|
|
TehSaurus posted:what the gently caress. my therapist stopped taking insurance but it is only like $150 per visit. I can’t imagine where it would be $450 or why.  Private psychiatrist in Australia from a few years ago. also was suspended for having an undisclosed relationship with a patient
|
|
#
?
Jun 1, 2023 19:56
|
|
|
TehSaurus posted:what the gently caress. my therapist stopped taking insurance but it is only like $150 per visit. I can’t imagine where it would be $450 or why. An insurer and that therapist might have an agreement to "charge" $450 per visit, the cost is "adjusted" down to $200, and the insurer pays $125 or whatever of that. The charged amount is meaningless.
|
|
#
?
Jun 1, 2023 20:00
|
|
|
seems like that number was in Australia so I assume that accounts for most of the difference!
|
|
#
?
Jun 1, 2023 20:12
|
|
|
lol they are based where i live (twin cities) https://archive.ph/ozyyG
|
|
#
?
Jun 2, 2023 00:50
|
|
|
actionjackson posted:lol they are based where i live (twin cities) You're going to gently caress this thread up too, huh?
|
|
#
?
Jun 2, 2023 01:02
|
|
|
Made an appointment with an allergist in May, for September. They called today saying the doctor has better things to do that day and that my appointment is now December. I'm really fighting the urge to call them and cuss them out, and I actually work here lol. That or just cancel the appointment so that the doctor can have another nice break.
|
|
#
?
Jul 19, 2023 19:39
|
|
|
https://twitter.com/WendyHassonMD/status/1683487688370823175?s=20
|
|
#
?
Jul 25, 2023 18:31
|
|
|
It's great we've got a system where obstructing care until the patient dies is by far the best outcome for the insurance company when an expensive condition comes up. If they really wanted to change things, they'd name the PharmD though. I believe there is a very limited number of people willing to do horrendously immoral poo poo on behalf of their employers, and if they all get run out town on a rail by a pitchfork mob, the insurer will be SOL PostNouveau has issued a correction as of 18:41 on Jul 25, 2023 |
|
#
?
Jul 25, 2023 18:38
|
|
|
~my wife~ has a success story of eventually getting authorization to continue using a medication that was working well for her. All she had to do was wean off it the first time it was denied, try a different and slightly cheaper drug that didn't treat all of the symptoms the first one did, and then appeal the decision to deny drug #1 three times until they finally agreed that actually she should take it instead of having to go to a hospital to (largely unsuccessfully) treat the symptoms that drug #2 didn't cover. Anyway the most recent authorization for drug #1 expired and you'll never guess what happened!! they're once again demanding she try a third drug, which is the same price as drug #1 that actually works, also doesn't treat the same symptoms, and is contraindicated for some other reasons that the specialist prescribing it laid out in the last successful appeal Also this same pharma plan sent me a refund because I had at some point overpaid for something (not specified anywhere). It's a cheque for 50 cents.
|
|
#
?
Jul 25, 2023 18:45
|
|
|
I had an aunt who was disabled from birth, every half dozen years she'd get a letter demanding that she prove that she had not somehow regenerated a new spine.
|
|
#
?
Jul 25, 2023 18:58
|
|
|
It is wild how the possibility of improving American healthcare isn't even seriously discussed at the national level anymore. The large majority of people either dislike or loathe their health insurer but everyone understands the system isn't going anywhere and aren't pretending otherwise. My limited understanding is that allowing everyone the option to enroll in Medicare/Medicaid would vastly improve the situation. I recall a lot of commentary around 2008-2010 saying this was impossible, but isn't it that simple? webcams for christ posted:I was reminded of this chart that crack pinged me pretty good back in the day: quote:Mr. Obama Goes to Washington
|
|
#
?
Jul 26, 2023 11:04
|
|
|
Nocturtle posted:isn't it that simple? yep
|
|
#
?
Jul 26, 2023 12:54
|
|
|
I simply don't have health insurance, and just exist 
|
|
#
?
Jul 26, 2023 13:06
|
|
|
Nocturtle posted:It is wild how the possibility of improving American healthcare isn't even seriously discussed at the national level anymore. The large majority of people either dislike or loathe their health insurer but everyone understands the system isn't going anywhere and aren't pretending otherwise. I hate that fuckhead so much.
|
|
#
?
Jul 26, 2023 17:00
|
|
|
https://x.com/DrTazKhalid/status/1716331081539166369?s=20
|
|
#
?
Oct 24, 2023 00:43
|
|
|
Oh hey, so it's no dying, but it is a wonderful example of clearly intentional fuckery - my dental insurance said "these two line-items are part of the same procedure so we're only going to 80% cover one of them (and discard the larger one, of course)". There's no per-procedure limit, just an annual cap, so the *obviously correct* thing here is "these two line-items are part of the same procedure so we're going to combine them and 80% cover the cost of that single procedure". But of course intentional fuckery carries no cost, worst case for them is I say "what the gently caress" and dispute it and they go "oh alright *since we're generous* we'll cover it" and pay what they should have in the first place, and best case for them is I can't be arsed or don't notice and they just saved $500.
|
|
#
?
Oct 24, 2023 00:55
|
|
|
https://x.com/brian_goldstone/status/1727093755998613840?s=20
|
|
#
?
Nov 22, 2023 18:40
|
|
|
I got an EOB from my health insurance company saying that they rejected almost $10k of stuff because "Medical necessity was not established because required documentation was not received within the allotted time frame." So, I sent a message to the billing department at the hospital and apparently they're still working on it, because they haven't actually prepared a bill yet. Did the hospital gently caress up a pre-auth and they'll try to stick me for $10k that I don't have? Are they really just getting documents together and it'll all work out with the insurance company paying $2.43 plus a box of Cracker Jacks to settle the bill thanks to their negotiated rate that I don't get if they deny the claim? Who knows! I loving hate this lovely, broken system. It needs to burn to the ground.
|
|
#
?
Nov 22, 2023 21:19
|
|
|
Kreeblah posted:I loving hate this lovely, broken system. It needs to burn to the ground.
|
|
#
?
Nov 23, 2023 10:52
|
|
|
love to get vital meds from emergency doctors not covered by medicaid. Doesn't make me feel like a burden at all, nosiree
|
|
#
?
Nov 23, 2023 13:21
|
|
|
The real burden is capital, and you are the one carrying it. 
|
|
#
?
Nov 23, 2023 15:29
|
|
|
"efficiency"
|
|
#
?
Nov 23, 2023 16:16
|
|
|
|
| # ? Apr 29, 2024 02:42 |
|
|
Nocturtle posted:“I don’t think in ideological terms. I never have,” Obama said, No loving poo poo.
|
|
#
?
Nov 23, 2023 20:01
|
|
