Thứ Năm, 31 tháng 10, 2019

NPR News: A Woman's Grief Led To A Mental Health Crisis And A $21,634 Hospital Bill

A Woman's Grief Led To A Mental Health Crisis And A $21,634 Hospital Bill
A woman in Illinois spent five days in the hospital undergoing psychiatric care to help her through a mental health crisis. The bill she got is about the same price as a new Honda Civic.

Read more on NPR

[Question - Other] Wouldn't it be better for all if doctors made house calls?

Fewer people on the road driving for the appt.

Fewer sick people in one place increasing the likelihood of spreading diseases.

Doctors could work for home instead of signing and expensive lease.

What am I missing?



https://ift.tt/eA8V8J Submitted October 31, 2019 at 08:54AM by kstanman https://ift.tt/2C1ab0w

Thứ Tư, 30 tháng 10, 2019

Washington State Apple Health [OTHER]

My mother lost her job yesterday. I was anticipating having healthcare until the end of the year as I turn 26 and will no longer be able to be insured by my mom. She lost her job yesterday, and so first thing this morning I went online to shop healthcare for myself, a couple of months earlier than I anticipated. All said and done, I am eligible for free healthcare, something I never thought I would have in my life in the United States. It covers my prescription, emergency, dental, and wellness checks, etc. Basically everything a young healthy woman who has no plans for children needs. I am very grateful, and I know that come March when I graduate University I will be able to afford a managed care plan and then finally will have my own employer sponsored insurance, if all goes well, by June of next year. Very thankful, again.



https://ift.tt/eA8V8J Submitted October 30, 2019 at 10:46PM by blh12 https://ift.tt/2q91j6k

How successful are “assistant physician” programs like the one in Missouri and are there other states with similar programs? [question - other]

There have been “assistant physician” programs that have started in Missouri and there may be other states. I am curious what other opinions are on the topic. It essentially provides a way for a physician that does not match or has not completed a residency a way to work in clinical medicine.



https://ift.tt/eA8V8J Submitted October 30, 2019 at 02:58PM by alamar1 https://ift.tt/31TWLOJ

[Discussion] Universal healthcare is cheaper.

The average American has a 20% income tax rate, meaning out of the $52,000 a year that they make, they pay $10,400 in income taxes a year.

The average English person pays 20% in income taxes as well, meaning out of the $33,000 a year (converted to US dollars), they pay $6,600 in income taxes a year.

Averaging between individual and family insurance plans, and including healthcare costs, the average American spends $17,000 a year on healthcare/insurance.

The average English person pays roughly $1,500 a year for healthcare, which is paid for by general taxes and thus doesn't add to their 20% tax rate at all.

The average American thus has 32.2% of their income taken away from them to pay for healthcare/insurance, ON TOP OF the taxes that they're already paying.

The average English person has 4.5% of their income taken away form them to pay for healthcare.

My conclusion, public funded things are cheaper to the individual than private funded things.



https://ift.tt/eA8V8J Submitted October 30, 2019 at 03:59PM by Mechaghostman2 https://ift.tt/32UcUF3

[Question-Insurance] I am a 31 year old woman who wants to get a salpingectomy (bilateral) but I do not meet the “criteria” per my insurance. Is there any way I can fight this decision?

I want to lower my risks of cancer, I do not wang any more children, and I would love to never have a period again. My main one is clearly the cancer risk. It runs in my family and I have cysts in my breasts often, which make me nervous.



https://ift.tt/eA8V8J Submitted October 30, 2019 at 10:45AM by _ibunktea https://ift.tt/2PBmJDQ

[Question - Insurance] Question about how household income is determined

Hi!

I'm considering applying to medicaid in NYC, because I currently have no dental insurance and haven't seen a dentist in a long time so I'm pretty sure my dental health is in terrible condition and starting to get anxious that I might face bad consequences from this soon. I'm 24 years old and currently out of school, unemployed (currently searching for a job) and still living with my parents. My medicaid application would be based on me being disabled because I am also a Type 1 Diabetic. I still have health insurance coverage for everything else except dental from my Dad's insurance.

I noticed while researching online that eligibility is also based on household income. Would my parents' income be taken into account for that or would it solely be on me? I think if my dad's income is taken into account, it would make me ineligible for coverage and then I don't really know what else to do that would get me coverage soon because I can't afford paying out of pocket for a dental checkup and whatever else they might need to do. I'm starting to feel really scared.



https://ift.tt/eA8V8J Submitted October 30, 2019 at 07:04AM by Aarxl110 https://ift.tt/2NrJ8AU

[Question - Other] how to get into the healthcare field

Somebody guide me on getting into the field! Hey guys. For the last two years I have worked at a company where I’ve been In the front office.

My title is only office specialist but essentially I’ve been managing it on my own since I only have one coworker and he doesn’t doesnt retain information and doesn’t do things correctly so i end up having to just do it as my boss is aware of. And I do a range of things from HR, transferring calls, paying the bills for my job, sending invoices, creating invoices, inputting in customer contracts. Our daily deposit, balancing our monthly income/billing . Scheduling technician days. This is my first big girl job since i graduated high school three years ago. So I feel like all these would transfer over to the healthcare field well.

Plus I just enrolled in school in August and am trying to finish my medical office technology associates. So far I’ve taken some business classes and Microsoft and excel and medical terminology. I should finish in about a year and a half. The reason I’m saying all this is because I don’t have any direct experience in the administrative healthcare field but it’s also been something I’ve wanted to do(not nursing I can’t stand blood) . I’ve applied to a few different jobs but haven’t gotten a call back and I’ve tried to network on LinkedIn not asking for jobs but just connecting with people in the healthcare field or people who had recently got a job in that to get their opinions and advice on getting my foot in the door. I’ve been working on it for the past 3 weeks and

I only got one response from another linked in member who was EXTREMELY sweet and nice. She offered to refer me to people and said she knew were looking for people at physician offices and things. But unfortunately for me i realized she lives in Pennsylvania . So obviously that’s a dead end . I live in the Memphis/TN, Southaven/MS area and am just wanting advice from experienced people On how to market myself, or even know what jobs I may have a chance at. Thank you!



https://ift.tt/eA8V8J Submitted October 30, 2019 at 01:46AM by ebullientdoll_ https://ift.tt/34gbp4u

[News] Top Healthcare News Summary from the week of October 29

Hey guys, here are biggest weekly healthcare stories. Let me know if you prefer this shorter-form format better!


Biogen's Alzheimer's Drug makes a comeback

  • It seemed like Biogen's Alzheimer's drug, - a therapy called aducanumab - was dead after its March clinical trial results came back with gloomy results. All trials were stopped immediately, and Biogen's stock got destroyed that day. For good reason, too - the drug was expected to be a blockbuster.
  • Fast forward seven months later. In a reversal for the ages, Biogen announced last Tuesday that after re-analyzing the trial, there was actually data to prove that larger doses of the treatment COULD actually be effective in mitigating Alzheimer's. The stock surged 26% on the news. *** ​

Google makes a bid for Fitbit, signalling its desire to enter the wearables market

  • Reuters reported that Google is making a bid to buy out Fitbit. It looks like the tech giant is trying to get into the wearables space, which has pretty much been dominated by the Apple Watch in recent years.
  • Even though wearables and their data haven't really made any push into providing meaningful clinical data for providers, Google's competitive bid for Fitbit just goes to show that they think there's a big potential market here. As data tracking gets better and wearables tech improves, I wouldn't be surprised to see significant progress with wearables and the intersection of wellness and preventive care. *** ​

Amazon Acquires Health Navigator

  • In its first healthcare-related purchase since PillPack a year ago, Amazon acquired a company called Health Navigator this week. The company more or less tells employees where they should go seek care based on the symptoms that they have (i.e., do you have a nail in your foot? You should probably go to the ER!) among having other virtual care functions. *** ​

UPS Unveils Medical Drone Delivery Platform

  • UPS has been pretttttty busy this month. Earlier in October, UPS received approval to operate drones commercially - the first approval ever in the U.S. Now, in this week's futuristic story, UPS announced its plans to deliver supplies and other things via ~DRONE~. Yeah, that means giant 4-rotor mechanisms flying in the sky to your local community hospital. Keep your curtains closed.
  • Okay, not quite to that level yet - but UPS does have major partnerships lined up with big-time players, including CVS, Kaiser Permanente, AmerisourceBergen, and others. The drones will carry things like prescriptions, medical supplies and instruments, and pharmaceuticals to hospitals and customers' homes. *** ​

Healthcare Policy Update.

  • Vaping Tax Bill: The House Ways and Means Committee is considering a vaping tax bill this week. The bill would tax vaping products at the same level as tobacco products.
  • Flavored Vaping Ban: Not to be outdone, the FDA is actually about to ban flavored e-cigs for good. This ban would exclude mint and menthol flavors (thank goodness) and is coming on the heels of over 1,600 vaping related mysterio-illnesses.
  • FTC Scrutinizes Hospital Mergers: This week, the Federal Trade Commission phoned a few hospital friends along with major insurance companies to request data on recent mergers and acquisitions. The agency is really trying to hone in on certain states with certificates of public advantages (COPA) - namely, Tennessee, Virginia, and West Virginia - states with large rural areas. In particular, the FTC wants to research whether COPAs are good for the public or not.
  • Healthcare Lobbying Update:
    • PhRMA spent $6.2 million as drug pricing legislation bounces around Congress to no avail (currently)
    • Amgen: $3 million
    • Bayer: $2 million
    • AbbVie: $1.8 million
    • Pfizer: $1.6 million
    • Gilead Sciences: $1.5 million
    • Meanwhile, don't forget about the surprise billing lobbying blitz happening at the other end of the healthcare world, totaling $4.1 million in lobbying spending in the third quarter alone.
  • Carcinogenic breasts: The FDA might require breast implant manufacturers to post cancer warnings on its labels.
  • Rural ACOs get a lift: Senators are considering boosting payments to rural ACOs
  • ACA Replacement Republican Healthcare Plan? Here's a quick writeup on what any possible ACA replacement might look like from the Republican party. Main takeaway: give more regulatory power to the states, save pre-existing conditions, and give Medicaid block grants. Read the full report here.
  • Big win for payors: The U.S. was just ordered to cough up $1.59B in subsidies to Kaiser, Oscar, and other payors
  • AI and Fraud Detection: And finally, the CMS is looking to use artificial intelligence to help with fraud - especially in home health, where fraud can be rampant. *** ​

Other Interesting/Notable Healthcare Stories:

Biz Hits

  • Opioids Update: Last week, we touched on the ~$50 billion opioid settlement. Reuters reported this week that talks have resumed between 4 states and the drug firms. The two sides are targeting a $48 billion settlement, but not all states are fans of the agreement since it might not get split up fairly
  • Hospital Profitability: Health system operating margins were up in 2018, but are still below the highs seen in 2015. Read the interesting whitepaper from Navigant here. A notable insight: smaller health systems were more profitable than larger health systems.
  • CVS CEO Interview: Healthcare Dive had a nice chat with CVS CEO Larry Merlo, which gave some insights into how the business views Amazon, its integration with Aetna, and more.
  • Teladoc Expands Services: Looks like Teladoc is trying to differentiate itself from other telemedicine ventures. This week, Teladoc launched a service called Teladoc Medical Experts. The service is meant to cover a broader range of medical conditions and diagnoses than the typical virtual care operator currently provides.
  • Livongo Partners with Telehealth: Speaking of telehealth, Livongo is continuing its partnership spree by teaming up with MDLIVE and Doctor on Demand, giving their members access to behavioral health and then eventually diabetes and hypertension offerings. *** ​

State Hits

  • From Politico - why North Carolina might be the most innovative state on healthcare in America.
  • The New York Health Act - which would establish single payer in New York - is drawing crowds. Read more about it here (paywall - WSJ) *** ​

Other Hits

  • Alphabet CFO Ruth Porat opens up about her bouts with cancer and Google’s work in early disease detection
  • Read an interesting essay from the WSJ about the link between aging and epigenetics
  • Medically necessary, or cruel? A thought-provoking article on the highly contentious issue of surgery on intersex babies.
  • An update on Skilled Nursing Facility values - surprisingly, SNF values are holding steady despite the reimbursement troubles facing the post-acute industry


Thanks for reading - you can view past editions here. Let me know if you came across an interesting story that I missed!

Sincerely,

Healthcare is Lit



https://ift.tt/eA8V8J Submitted October 29, 2019 at 11:58PM by Passit2Madden https://ift.tt/2ppZaTT

Thứ Ba, 29 tháng 10, 2019

NPR News: Firms Seeking Top Workers Find They Can't Offer Only High-Deductible Health Plans

Firms Seeking Top Workers Find They Can't Offer Only High-Deductible Health Plans
Big firms are again offering more generous health plans alongside or instead of policies with sky-high deductibles. Why? They need to do so to stay competitive and recruit top talent.

Read more on NPR

[Discussion] How to Take Proper Care of your Bones?

Eat, Drink and be merry a saying which is known by every person in the world. This quote doesn’t says eat or drink anything which is not beneficial to your health. It’s a fact humans want to live a healthier and smart whole life. For living fit and active we should maintain the number of minerals and vitamins in our body. Bones are one of the most sensitive and important parts of the body. The human structure is standing on the bones. Each and every bone of the body plays a very important role in the body of the body. Bones defends the sensitive organs and cells of the body form different harms. Bones need proper care band protection. Healthy bones are a big source of strong and fit body. The strength of the human body depends on strong bones. Osteoporosis is caused when the bones are too weak or the bones are not getting the proper amount of proteins and vitamins in the body. Such type of disease can cause bone breakage or fracture. Bone injuries are very effective to the body's whole remaining life because it can’t be recovered as much stronger as it was once naturally grown. Diet care is one of the most important things which a human body needs properly on a daily basis. Two or more bones are joined together to form joints. Joints hold these bones together. These joints also need a proper amount of calcium and iron in the body. These joints contain fibers that are very sensitive to make them stronger and healthier you need a healthy amount of minerals and vitamins inside the body.

Gym, exercise and physical games are very important for making the human body strong and healthy bones. We eat, run and walk all the jobs depends on the strength of the bones. Calcium is a very important mineral for the strength of the bones. Lack of calcium can cause brittle bones and bone breakage. Vitamin D is known as one of the best sources to make the bones stronger and healthier. Sunlight is the best source to have vitamin D inside the body. One of the best benefits of Vitamin D is that it absorbs the energy of calcium and minerals from the food. Many other vitamins and minerals are also the best sources to make the bones strong like magnesium, boron, silicon and vitamin k which are very beneficial to bone health.

Bone health supplements bundle are one best supplement that contains all the minerals and vitamins to make your bones stronger than ever. All the ingredients are natural and organic. Bone health supplements bundle is manufactured under the supervision of high professionals. Calcium, Magnesium, Vitamin C, K, folic acid, and vitamin D3 are all the minerals that are present in these supplements.



https://ift.tt/eA8V8J Submitted October 29, 2019 at 08:34PM by mobibuyer https://ift.tt/2MVveIb

[Discussion] Help with asthma research - looking for people who work with patients, patients & caretakers

Hi everyone. I am a graduate student at Parsons School of Design in NYC, and am working on a research project related to asthma. My team is looking to interview patients who have been diagnosed with asthma in addition to caretakers (e.g. parents/partners of people with asthma) and health providers, so that we can learn more about the experience people have with managing this disease. Especially interested in those with a recent diagnosis. If you are interested and willing to speak with us over a 30 minute Skype/Google Hangouts/phone call, please comment here or send me a DM so that we can schedule a conversation. Thank you!



https://ift.tt/eA8V8J Submitted October 29, 2019 at 09:57AM by KindAvocado7 https://ift.tt/32WCXeC

Healthcare Administration Degree [Discussion]

Who here as gotten a bachelors or masters in Healthcare Administration? What are you currently doing with it? I’ve heard you can make good money in this field, have you found this to be true? Is it difficult to get into the work force? How’s the typical work life balance? What do you wish you would have known before going into it?

Thanks



https://ift.tt/eA8V8J Submitted October 29, 2019 at 07:12AM by notsomethinggeneric https://ift.tt/2q3vITz

[Question - Other] Went to my University's health clinic last month, being charged more than my regular co-pay. Is this normal?

So, like the title says, last month I visited a doctor at my university's clinic and am being charged $44. I've visited a different doctor at this clinic once before back in spring and was charged $30 (my regular copay) for that visit. I've already called my insurance about the $44 for my most recent visit, and they told me the reason it is that amount is because the doctor I saw is an "Emergency Medicine specialist" doctor.

Have any of you ever experienced something like this before/is this normal? I would think if you are practicing at a regular health clinic, your specialty doesn't matter. Honestly, I find it a bit deceptive to patients because if you sign up for an appointment at a clinic (that is in network) you have no reason to think every doctor there is not a regular PCP.



https://ift.tt/eA8V8J Submitted October 28, 2019 at 09:23PM by pearshapedpears https://ift.tt/32UiHKV

[Question-Insurance] Knee surgery hospital bill

On October 15th I had a knee surgery to repair my meniscus. Today I went to my post op appointment and wanted to clear the bill with the surgeon. I had my surgery at a hospital which will have a separate bill. I got the bill for the surgery and it was about $6,500 minus insurance coverage. Fine. That checks out. I paid it in full and later called the hospital to get that bill. To my surprise the hospital cost was over $20,000. When I asked what the charges were for I could tell the lady didn't really know what she was talking about and just started saying things like, "Well the medication, ya know, the facility usage, the nurse to administer your pain meds, yada yada). So, what this means, is that the cost of my surgery itself is literally 1/4 the cost of the facility I had my surgery in...

I am just in awe and confused, I know we all hate on the health care system but what is going on here? I'm a young guy and tried to cover all my tracks before doing this surgery and no one can give me a clear explanation. Like, I'm so desperate I'm literally asking questions on Reddit. I asked probably 100 times to the point of annoying everyone if my insurance would cover this and if someone could give me a general idea of what I will be expected to pay. NO ONE could give me an idea. They would stumble over words trying to tell me there's no way to tell until after it's done. The problem is, how can I budget properly or know if I can afford the operation if I don't know how much it will cost?

My question is: What happens if my insurance denies the request to pay the hospital charges? I begged them to make sure it was approved before doing anything and they said not too worry, but I just got off the phone with the hospital and she said the $20,000+ is pending approval. How can this be? Does this mean there's a possibility that I will have to pay over $20,000 out of pocket? I can not afford that. Can anyone help me understand what is happening here?



https://ift.tt/eA8V8J Submitted October 29, 2019 at 12:59AM by tmajewski https://ift.tt/2qRHotg

Thứ Hai, 28 tháng 10, 2019

[Discussion]

Anyone out there track this data? What does a pharmacy make at the GROSS level when you click "Verify" For this informal poll assume: GROSS REVENUE - INGREDIENT COST = GROSS PROFIT

Insurance covered patients = $ reimbursed by insurance per fill + co-pay from patient (if applicable) - COGS [ingredient cost] for that fill

Cash patients = What pt actually pays (- discount cards/programs) - COGS [ingredient cost]

Want to keep at gross profit label so don't think about salaries/costs of supplies/electricity etc DIR - while significant - keep that our of this equation

Not looking for names of any pharmacies! but if ya wanna say chain or independent that's cool

Ex: Box of Humalog Pens: Reimbusement $40, COGS $45, Pt Copay $20 = Gross profit = $15. Tougher part is to get that average across a month's work of scripts (including the lisinoprils @ 0.17)

For me...

  1. Large Chain that did not allow pharmacists access to ingredient costs: My regional director told me many times the average Gross Profit across all 2,500 stores was $0.38 per Rx
  2. Five-store independent: Gross Profit average $8.50


https://ift.tt/eA8V8J Submitted October 28, 2019 at 06:26AM by RPhbynature https://ift.tt/34bozzl

Chủ Nhật, 27 tháng 10, 2019

Are any of you folks interested in lightly used natural foundations or sunscreens?

I am currently decluttering my makeup and I’ve got a couple items I’ve used only once or twice. If you are interested, please leave a comment and I’ll edit the post to include what I have.



https://ift.tt/eA8V8J Submitted October 27, 2019 at 01:16PM by unmotivatedvet https://ift.tt/31USlHr

[question-insurance] Just moved to the USA with a GREEN CARD, what is the cheapest insurance?

I am getting married on the 29 of November to a US citizen. I am 27, healthy and I don't have pre existing conditions. I basically never go to the doctor.

I would like to know what is the cheapest health insurance I can get. I just want to make sure that if I have an accident I don't lose everything I have and get in debt for the rest of my life.

I am self employed.

I am getting very scared reading stuff online lol

Thank to whoever can help!



https://ift.tt/eA8V8J Submitted October 27, 2019 at 09:03AM by deinter2007 https://ift.tt/36bm9Ta

Recommendations for clean, voluminizing mascara?

Hi! I’m in search of a mascara that is clean + green (no crazy chemicals, organic if possible, just something that is safe + natural) as well as voluminizing. I have super long lashes but they’re thin, and I need a mascara that would make them thick without sacrificing length in order to achieve the false lash look. Bonus points for recyclable or zero-waste packaging! Thanks! 🌿



https://ift.tt/eA8V8J Submitted October 27, 2019 at 06:01AM by otsawa https://ift.tt/2PmZQ73

Thứ Bảy, 26 tháng 10, 2019

NPR News: Some States With Legal Weed Embrace Vaping Bans, Warn Of Black Market Risks

Some States With Legal Weed Embrace Vaping Bans, Warn Of Black Market Risks
Many cases of vaping-related injury seem to involve THC, health officials say. That's led some states to take another look at the safety of the regulated cannabis market, as well as the black market.

Read more on NPR

I Need Help [Other]

I'm not sure if this is the right community to post this in (please direct me to the correct one if I'm wrong), but I'm in desperate need of some advice or help. I'm a 17-year-old male experiencing things you'd usually see a woman going through menopause deal with. I have extreme hot flashes and drip in sweat at random times (and usually when I sleep), have very noticeable mood swings, what I believe to be is a swollen thyroid at times, and random panic attacks. It is very difficult for me to lose weight and I sometimes feel like I gain it without even doing anything. Doing some research I found that the hot flashes may have something to do with a testosterone deficiency. I also think I may have Hashimotos disease especially because my mother and grandmother are diagnosed and take medication for it. However, upon complaining about to my doctor he simply said I may have just had a sore throat and that's why it was swollen. My mother doesn't seem to take me seriously despite my constant complaints about the issue. I only ever find forums and articles about my symptoms directed towards women but never towards men. I feel so brushed aside and hopeless at this point. No one takes me seriously and I feel like I can't get an answer no matter where I go, so I'm begging for any information that might be useful. Thank you.



https://ift.tt/eA8V8J Submitted October 26, 2019 at 11:44AM by toxxthicc https://ift.tt/2p5SOcq

Substitute for witch hazel

Hello there, I'm new to natural skin care situation and in the country I live in, it's not easy to find witch hazel and lots of recipes I've came across has this in it. So is it really essential if not what can I use instead of this?



https://ift.tt/eA8V8J Submitted October 26, 2019 at 01:42AM by isinsub https://ift.tt/2omDFD8

Thứ Sáu, 25 tháng 10, 2019

[Question-Insurance] Went to the ER today and one of the tests was a CT Scan. The cost of that CT Scan was $4,700. Insurance covers most of it but I did ask about a cash price. They said it was the same but said if I paid in full today they could knock off 40%. Does that seem inline?

No text found

https://ift.tt/eA8V8J Submitted October 25, 2019 at 11:23PM by Rh11781 https://ift.tt/361Pj7f

Can I still use mouthwash when oil pulling?

If yes, should I brush my teeth and use mouthwash (Listerine or Crest) before or after oil pulling with virgin coconut oil?

My previous thread: https://www.reddit.com/r/NaturalBeauty/comments/dlyt8s/oil_pulling_help/



https://ift.tt/eA8V8J Submitted October 25, 2019 at 11:13PM by bbtehbuild https://ift.tt/2Jny5Yg

Been using natural deodorant for years and now it's suddenly not working? Need recommendations!

So yeah, as it says, I've been using natural deodorant for about 5 years now. I have no idea why my body is just suddenly hating them all of a sudden. I definitely don't want to go back to aluminum contaminated antiperspirant.

Here's my history: Started out with Crystal (liquid, not the rock version). That worked pretty well for about 4 years. I really only had issues wearing silky or polyester dressy blouses but I remedied that with the little pocket wipes throughout the day in the work bathrooms.

About this past January, Crystal just stopped working. I tried different scents, but no avail. So I switched to Tom's. HUGE mistake, skin blistered and peeled. I went back to Crystal and just smelly suffered until my skin healed.

I tried Schmidt's next. Didn't work whatsoever and actually made me smell worse.

Tried Jason. That also was a bust.

I even tried the "amazing" and expensive Lume for a couple months. That didn't work at all. Didn't make the smell worse, but also didn't help for $20.

I thought I found the answer in Every Man Jack. The first stick worked so well, even with my dressy blouses! I happily bought my second stick about a month ago and...back to being smelly again.

I'm at my wits end. I just don't want to be self conscious about raising my arms after 11 AM or do an elliptical session without feeling like an onion. And no, I haven't been eating the typical "smelly" foods.

Help!! 😭 Cruelty-free brands only, please!



https://ift.tt/eA8V8J Submitted October 25, 2019 at 10:09AM by suddenlyanywhere https://ift.tt/346rs4N

[Question -Insurance] Very unhappy with my specialist options. What do I do?

So I’m currently having a lot of digestive issues. Have been for a while now. I won’t get into details, but I really need help. The few gastroenterologists I’ve been through have been VERY dismissive of my obvious symptoms. Come to find out they all have terrible reviews online. I’ve been to three so far. The last one reluctantly ordered a colonoscopy, but honestly I’m not sure I trust them to do it accurately based on my experience with them, as well as the god awful reviews of their facility online. I feel as though I won’t have peace of mind that I wasn’t misdiagnosed or they didn’t half-ass my procedure.

After talking with my insurance and medical group, it seems like all of my options are bad. Literally all of them. Even the doctors that are a far commute have an abundance of horror stories.

The best they can do for me is see if the my can implement a modification request to expand my options, but there’s no guarantee and I have to wait until Monday to find out.

What should I do? I really REALLY don’t want to wait much longer with this, but I also don’t want to rush and spend money on someone that doesn’t have my best interest at heart.



https://ift.tt/eA8V8J Submitted October 25, 2019 at 06:48AM by iforgot1030 https://ift.tt/2BD1Os9

NPR News: U.S. Travel Ban Disrupts The World's Largest Brain Science Meeting

U.S. Travel Ban Disrupts The World's Largest Brain Science Meeting
Scientists from nations including Iran, Mexico, and India were refused visas to attend this year's Society for Neuroscience meeting in Chicago. Some researchers got stand-ins to present their work.

Read more on NPR

[Question - Insurance] (USA-NYC) Pregnant wife (permanent resident who wasn't eligible for medicaid before) was put on medicaid once found pregnant...How does this work?

1) Does the medicaid last until she's had the baby and then she's kicked off?

2) Are the full costs of the pregnancy covered including the birth?

3) If I get a higher paying job does she get kicked off? (She had just left her job to move to where we live now and hadn't found a new job yet, but now I don't want her to get one and presume not a lot of places are going to want to take her on now)



https://ift.tt/eA8V8J Submitted October 25, 2019 at 12:29AM by evrem_throwaway https://ift.tt/2qIfr75

Thứ Năm, 24 tháng 10, 2019

[news] FTC demanding information from Ballad Health

Ballad health is a healthcare monopoly in upper East Tennessee and Southwest Virginia formed when the states of Tennessee and Virginia authorized a Certificate of Public Advantage (COPA). This monopoly is run by Alan Levine who has a history in Florida and Louisiana. The FTC was against the COPA, but it was done anyway. Now the FTC is finally demanding answers. Since the COPA the healthcare in this area certainly hasn’t had any public advantage. Ballad has sued thousands of patients with little incomes and refused payment plans. Nurses have left due to working conditions, physicians have resigned, and services have been sent from a centrally locates hospital to one at the south end of the service area. There has been a protest for over 170 days in front of Holston Valley Medical Center, and not one single time have Ballads leadership talked to the very polite protesters.



https://ift.tt/eA8V8J Submitted October 24, 2019 at 09:11AM by Deathmedic66 https://ift.tt/31IRCJc

[Question - Insurance] I need help interpreting my insurance coverage for hearing aids.

My work has a standard medical coverage policy and a supplemental policy. Both of which have hearing aids sections.

The standard coverage states:

The Program covers the initial hearing aid(s) following Illness or Injury and the exams for their prescription or fitting. In addition to the initial cost of a hearing aid following Illness or Injury, Covered Persons in the Program are eligible for:

• A hearing test/exam when Medically Necessary. Associated office visits, exams and tests are not subject to the maximum dollar amount.

• Reimbursement of up to $1,000 of expenses incurred to purchase a Medically Necessary hearing aid appliance(s) in any rolling 36-month period.*

• Reimbursement for the cost of repair of your hearing aid appliance. The cost for the repair does not count toward the maximum dollar amount.

*Note: The Program will cover the first hearing aid following Illness or Injury, and it is not subject to the maximum dollar amount. Batteries for hearing aid appliances are not eligible for reimbursement. See the How the Rolling 36 - Month Period Is Calculated table for more information.

Special reimbursement rules apply under the Hearing Benefit provisions of the Program. If you do not follow the special rules, you will not be reimbursed. The information that follows explains how to get reimbursed for the following:

• Medically Necessary hearing tests/exams

• Medically Necessary hearing aid appliances

• Repairs to hearing aid appliances

In most cases, your Physician will refer you to an audiologist for your hearing test or to obtain a hearing aid appliance. In general, you will need to obtain a prescription or letter from your Physician to establish the Medical Necessity of the hearing test and/or hearing aid appliance. When you file a Claim for reimbursement, the prescription or letter must accompany your Claim or you will not be reimbursed. If your doctor writes one prescription or referral that covers both a hearing test and hearing aid appliance, you may use the same prescription or letter to obtain reimbursement for both expenses. See the Medical Benefits Administrator table in the “Contact Information” section for information on where to file your Claim.

Your Physician’s office may file your Claim for you. If your Physician’s office does not submit a bill/Claim for your hearing aid appliance purchase, you must submit, along with your bill/Claim, either a prescription or a signed letter from your Physician on his or her letterhead that refers you to an audiologist for testing and/or establishes Medical Necessity for you to purchase a hearing aid appliance.

You are required to submit a bill/Claim for reimbursement for repairs to the hearing aid appliance.

The supplemental policy states:

The Program will reimburse up to $4,000 toward the purchase of hearing aid(s) for routine hearing loss during a rolling 36-month period beginning on the first date of purchase. See the table below for information on how the rolling 36-month period is calculated.

This benefit is available only if you are eligible for Expanded Benefits and the following conditions are met:

• You have exhausted your Base Medical Program benefits for hearing aids or benefits for hearing aids under other health coverage you are enrolled in; or,

• If you have no Base Medical Program benefits or coverage under another health plan to exhaust, then the hearing aid must be determined by an Audiologist to be medically necessary.

This benefit is limited to the cost of the hearing aid. This benefit does not cover any of the following:

• Office visits with an Audiologist

• Diagnostic or routine hearing exams

• Hearing aids provided for cosmetic purposes

• Hearing aid repairs

• Replacement batteries

How the Hearing Aid Benefit Under the Program Is Calculated The Program will reimburse up to $4,000 toward the purchase of a hearing aid(s) not considered for coverage under your Base Medical Program benefits for hearing aids or benefits for hearing aids under other group health coverage you are enrolled in. Any cost share (deductible, co-pay, or coinsurance) paid by the participant in connection with receiving the Base Medical Program benefits for hearing aids or benefits for hearing aids under other group health coverage you are enrolled in is not eligible for reimbursement under the Program. The chart below shows the calculation of the benefit payable under the Program.

My interpretation of the policies as it relates to my situation:

The primary policy covers "illness or injury". I do not have an illness. I do not know if occasional exposure to elevated sound levels and getting old count as injury. If illness and injury are ruled out, does that mean I get zero coverage in the primary policy?

If an Audiologist determines that hearing aids are medically necessary, does the supplemental coverage cover hearing aid devices only?

I have a wellness visit scheduled with my primary care physician and plan on bringing this up with him. How should I proceed? Ask for a prescription to see an Audiologist, a letter as described in the primary policy, let him do an evaluation?

It looks like I may have some coverage, but I need to jump through some hoops. I just want to make sure I'm jumping through the right ones.



https://ift.tt/eA8V8J Submitted October 24, 2019 at 08:36AM by notyours https://ift.tt/2paMUqd

Thứ Tư, 23 tháng 10, 2019