Thứ Ba, 30 tháng 11, 2021

Dear Health Care Workers Who Did Not Take The Vaccine, Why Did You Avoid The Vaccine?

I believe some Health Care workers didn't take the vaccine because they did not take a break to recover from the vaccine since they couldn't afford to take a break.



https://ift.tt/eA8V8J Submitted November 30, 2021 at 07:31AM by RocketR3 https://ift.tt/3pasLM0

Degenerative eye disease and can't get the corrective surgery

My roommate has keratoconus, a degenerative eye disease. It cannot be fixed by anything except surgery. The places in our state that offer the procedure don't take his insurance, Cigna. He also applied for Care Credit but was denied.

It's really bad right now, he can barely work, and it will only continue to get worse. The stress of the situation and also the constant headaches has worn on his mental health as well. This is very urgent. Is there anything he can do to get this procedure?



https://ift.tt/eA8V8J Submitted November 30, 2021 at 04:07AM by SpookyEmoLightWorker https://ift.tt/3lky1LP

Thứ Hai, 29 tháng 11, 2021

American Healthcare - Why do we bother going to the doctor when the insurance companies gatekeep our care.

I'm sorry if this doesn't belong here - as it's a partial rant. Maybe someone can explain things for me to help me not feel so sour about it.

I'm 26 - I currently have no medical insurance. It's not offered through my job and I don't know the first thing about buying 'private insurance'. But what's the point anyway - when I go to the doctor and can't receive care because 'Your insurance will deny that, your insurance will deny that, your insurance won't let us do that kind of care on you' - So why do I bother paying for insurance?

When I was around 15 - I was figure skating. Everytime I would fall a certain way, I'd get a pounding headache and sick to my stomach. Had an appointment with a neurologist who had me walk a straight line like a sobriety test - I couldn't do it. Was falling over.

Show up for the MRI appointment that was set - 'I'm sorry, we don't have the approval for the claim on file - we can't do your MRI today'. I was 15 and suffering with potential brain trauma.....We HAD insurance...(my family has always had insurance - through work, I just recently lost dependency with my age).

I needed my wisdom teeth removed when I was 24 - I waited a total of 8 months in pain. 8 months! These teeth were getting infected and had killed the teeth next to them. I went through 3 different actual appointments where - the first two I was SENT HOME because 'We don't have approval for SEDATION' - I was having 8 (8) teeth pulled at once and was being put under anesthesia for it. Insurance denied that.

EDIT: 8 months in the interim of trying to be seen. I waited too long to have them removed at 24 - then had to wait an additional 8 months for the hospital to get the insurance squared away. FYI - they did the procedure before the approval claim came through. I've been billed for the sedation.

So now, my mother - who's about to be in her 50's - is having trouble with her shoulder. Lidocane patches everyday for the past 2 months and still can't use it totally. Doctors did x - rays and are telling her she has a pinched nerve with bone spurs on her spine. She had an appointment made for today expecting to get an answer with progressive treatment - they instead sent her home with papers showing arm exercises. She waited 2 months in pain for this appointment so they could give her physical therapy idea's. They're going to CALL HER for a phone appointment to talk about how bad the pain still is in a month - and then they'll try to schedule the MRI - but they made sure to mention how 'the insurance will probably deny'.

She's eating advil PM's like they're candy and still can't sleep.

'This is normal for people your age'. My mom understands this - but it's not normal to be in pain 24/7 with no relief happening out of nowhere without injury based cause. But the care they prescribed her was 'lift your arm above your head 10x a day'. She has bone spurs...growing on her spine...like hooks...That's normal? Pain management is eating ibuprophen and still not getting relief? That's normal too? (shes not even 50 yet)

I just have a very hard time understanding why doctors are so reluctant to use the tools at their disposal to provide good care.

and I'm worried that one of these times - doctors will shoo us away with 'the insurance wouldn't approve that so here's this band aid method until things get tooo badd' and the 'too bad' will end up being life threatening - all over 'the insurance wouldn't let us'. That's cool bro, even though my family pays for it anyway.

Thanks for reading if you did.



https://ift.tt/eA8V8J Submitted November 29, 2021 at 11:14PM by NewfoundOrigin https://ift.tt/3liAiY8

Chủ Nhật, 28 tháng 11, 2021

Customer Discovery and Feedback for Total Hip Arthroplasty Implant Id

Hello! I am a Master's student in Biomedical Engineering who is currently working with a team to create the foundation for a potential new product, "Adjustihip", in Total Hip Arthroplasty as part of a technology invention class. Our product involves a postoperative adjustable length implant to prevent the need for additional surgeries.

We are currently in a customer discovery phase where we need to acquire feedback about our product and the potential for its application in the field. We need as much feedback as possible from anyone involved in the healthcare field or who has any experience with hip implants. Please share this survey with anyone you feel may be helpful to our development. Thank you!

https://forms.gle/5qzurHfADRHDFJwP8

The survey should not take longer than 15-20 minutes to complete. Please feel free to pm or comment if you have any concerns/questions!



https://ift.tt/eA8V8J Submitted November 28, 2021 at 02:36PM by Blkskorpion https://ift.tt/3xwxZFD

Looking for some Career Guidance

I have a Bachelor's in Healthcare Services Administration and I currently work for a Children's hospital as a Business Operations Assistant for Patient Access team for one of their departments for over 3 years. I am in the process of moving to South Florida and wanted to explore options out there with my degree and experience. I'm just trying to be open to options or new careers with my experience and degree, any help or tips are appreciated! :)



https://ift.tt/eA8V8J Submitted November 28, 2021 at 08:43AM by terremotico https://ift.tt/3DZGVWl

Can I go to a walk in clinic / urgent care even if I dont have money right now?

New to the US. Normally where im from youre expected to pay after the doctor treats you. Is it the same here?

Will I be asked to pay upfront, right after the visit or a few days after my visit?



https://ift.tt/eA8V8J Submitted November 28, 2021 at 05:00AM by hotglue0303 https://ift.tt/3rdoSbV

Medical records have gone MIA

Hello! Not sure if this is the right place to post. I recently needed to show proof of some childhood vaccines for a new job. I figure no problem since I had them.

Problem: I was born in the mid 80s (what a time to be alive!). I saw a pediatrician who administered those vaccines. This doctor still practices and sees my child. Once I was too old to see a pediatrician… I’m going to say it was before 2007 I moved to a PCP. I didn’t see them for too long and at some point they retired- I have no idea when. I moved to another PCP who I saw for a long time… probably over a decade. And in June of this year I started with another PCP. I signed release forms and all that jazz. Well, much to my surprise my new PCP couldn’t get my records. I called PCP #2 mostly just looking for the vaccines. They also could not find them and stated they never had them. And PCP #1 has disappeared without a trace. I am a bit perplexed as to how PCP #2 never had them. I also feel like I have a memory of physically picking up my files from somewhere at some point.

I got a titer done for what I need for employment. I was able through my OB to find proof of two of the four I needed. I’ve tried the hospital and even my pediatrician. Nothing. Tried local BH. My state has an online vaccine records system but anything pre-2011 probably isn’t there.

What would be the best way to track down where my records went when my first PCP stopped practicing? Would those records even still be stored somewhere? Or am I just SOL and will need to get a million titers done? Sorry for the novel!



https://ift.tt/eA8V8J Submitted November 28, 2021 at 03:41AM by Owelet182 https://ift.tt/3xwSMZW

Clarification on what can and can't be asked regarding PHI & HIPAA in a personal environment

Let's say someone has a communicable disease (mandated report). What's the difference between PHI in that respect compared to PHI for let's say, STIs, in regards to reporting, disclosure, and HIPAA? If someone were to have a higher risk for contracting certain diseases and someone else with a disease were to live with said person, does the person with the disease have to disclose that information by law or can the susceptible person ask about it since they would be in close contact and their health is a risk? Would said person have to trust that the person with the reportable disease has taken the proper responsibilities and updated the Health Department?

In many places, people can legally ask someone if they have a STI before sleeping with said person to protect their personal health. From what I understand, it is not legal to ask someone if they have another type of communicable disease that is mandated to report. How is this the case if asking that question is also to protect the person who is asking the question? If said two people are living together and would be in close contact, that's different than randomly going up to someone on a bus and asking if they have certain diseases.

Essentially, where is the line between "its okay to ask these questions" and "that's a HIPAA violation"?



https://ift.tt/eA8V8J Submitted November 28, 2021 at 04:15AM by onelb_6oz https://ift.tt/3CX8zSQ

Insurance to get hip replacement for father

Hello all and thanks in advance.

My 55 year old father is in dire need of a hip replacement. He has Medicare and Medicaid. I can get his card details later if that matters.

We are in south Louisiana and having a very difficult time finding anyone that accepts that insurance.

Is there some kind of supplemental insurance I could get him that would help us find a doctor and expedite his hip replacement?

Or any other advice that could help me figure out this crazy stuff so I can finally get him the care he needs.

Thank you all again!



https://ift.tt/eA8V8J Submitted November 28, 2021 at 04:23AM by infiniteapecreative https://ift.tt/3FPMEif

What are the pros/cons of my adult son being on both his employer's plan and on our plan? (U.S.)

Our insurance, a good but not great plan, is via my wife's employment. My 22yr old son is starting his first job out of college, and the employer's somewhat better insurance plan would be relatively inexpensive for him. We will not save any money by taking him off our plan, until he and our daughter, 20 and still in school, can both come off. Wife's HR said it may benefit us for him to get on his employer's plan, as primary, and stay on her plan, as secondary. What are the pros/cons of such an arrangement, and are there any unexpected "gotchas" we should know about?



https://ift.tt/eA8V8J Submitted November 28, 2021 at 01:07AM by Yardboy https://ift.tt/3p4D5oW

Changing insurances but I need meds in the meantime, is there a resource I don’t know about?

I’m changing insurance soon but I have to work at my new job for 90 days before the insurance will kick in. I know I can ask my doctor for a large supply but I’m also on ADHD meds and I don’t think they can do that. Is there a resource I’m unaware of that I could look into in the meantime?



https://ift.tt/eA8V8J Submitted November 28, 2021 at 12:25AM by templenameis_beyonce https://ift.tt/3FYjHAR

Thứ Bảy, 27 tháng 11, 2021

NPR News: At least 2 people in the U.K. have the omicron variant, health secretary says

At least 2 people in the U.K. have the omicron variant, health secretary says
The cases involve travel to southern Africa, where the latest COVID variant of concern was first identified, the British health secretary said. No cases have been identified in the U.S. so far.

Read more on NPR

NPR News: COVID hit 13 members of their family the first time. A year later it struck again

COVID hit 13 members of their family the first time. A year later it struck again
The second time Vanessa Quintero's family caught the virus, probably from her 8-year-old daughter, fewer people got sick. They and their doctors credit the protection of vaccination.

Read more on NPR

How much does your PCP bill you for telehealth consultations?

My last doctor "visit" was a 10-minute facetime call to discuss my bloodwork from a previous lab. The total bill ended up being $180 for this (I paid $90 out of pocket).

Since my health insurance carries a 50% co-pay, I was just curious if this price is normal (for upstate New York) or if I should start shopping around for other telehealth providers.

Thanks in advance for any responses. I apologize if this is information you prefer not to share.



https://ift.tt/eA8V8J Submitted November 27, 2021 at 05:40AM by Original-P https://ift.tt/315f9sV

Finding a psychiatrist w/o health insurance in the US

My partner is a DACA recipient and currently looking for employment but needs to stay on meds. Their former psychiatrist hasn’t returned any of their phone calls or emails for a prescription refill. Are there any options (least expensive) or avenues we can explore to get a psychiatrist without health insurance? We aren’t married.



https://ift.tt/eA8V8J Submitted November 27, 2021 at 04:46AM by ebonieneedshelp https://ift.tt/3reiMbo

I went for a regular skin allergy prick test and this is what I was billed for the visit. Can someone tell me if this is a normal cost for a regular skin prick allergy test? I am not even allergic to anything; I got it as a precaution thinking I would owe a couple hundred, not a couple thousand.

https://ift.tt/3nVKY0D

https://ift.tt/3nVKY0D Submitted November 27, 2021 at 02:58AM by kaykakis https://ift.tt/3leaXhP

Thứ Sáu, 26 tháng 11, 2021

What happens to out of pocket max if plan changes?

I had a baby in May which gave us a qualifying event. When we updated insurance we also changed our plan to a higher deductible. I'll clarify that both of the insurance plans were through the same employer and insurance company.

My question is what happened to the amount paid towards the deductible/out of pocket max if the plan changes? Prior to May we had paid roughly $3,000 towards the family OOPM of $6,000. When the plan changed to a family OOPM of $7,500 do I lose that $3k or does it transfer over to the new plan?



https://ift.tt/eA8V8J Submitted November 26, 2021 at 11:19PM by Arosland3 https://ift.tt/2ZpyxAw

Thứ Năm, 25 tháng 11, 2021

Talk to me like I’m five

I’m moving back to the USA for the first time in fifteen years and purchasing health insurance. I have no idea how to navigate this. If my deductible is $6900 with no copay after the deductible is met…and I go to say the dermatologist and the bill is $200…does that mean I pay the full bill? Thank you ahead of time.



https://ift.tt/eA8V8J Submitted November 25, 2021 at 11:02PM by TransylvaniaPrincess https://ift.tt/32zJUXV

Diagnose breast cancer from fine-needle aspirate images

Hi, I am starting with machine learning, and I am very curious about solving medical problems with Artificial Intelligence. I found this post and I was wondering If you guys have any other recommendations. There are also other solved examples on that website if you want to check them out.

https://www.neuraldesigner.com/learning/examples/breast-cancer-diagnosis



https://ift.tt/eA8V8J Submitted November 25, 2021 at 08:09PM by datapablo https://ift.tt/3DSzznI

Thứ Tư, 24 tháng 11, 2021

Need help regarding insurance. VBP, Coinsurance Levels, etc

Hi all,

I recently switched to a nicer job. As such, I need to pick out insurance. One of the "top tier" plans appears to be some company called VBP which looks to be government related? It's about the same about that my wife and I were paying separately for HSA plans, so I'm thinking about getting it, but I don't want to overpay.

My wife and daughter are a bit fragile, we have at least 1 emergency room visit a year between Allergic Reactions and other issues. There's a few lower tiers that I need help understanding;

  • HSA Tier: Has deductible, deductible could be covered in ~10 months if I put aside the difference between HSA Tier and Top tier. 100% coverage after deductible for most things, 0% co-insurance(?) no copays
  • Mid Tier: Has ~50% smaller deductible. 100% coverage after deductible for Physician + Preventive, 85% coverage after deductible for hospital things, 15% co-insurance(?), has reasonable copays
  • Top Tier: No deductible, 100% coverage for pretty much everything, has reasonable copays but a heck of an inpatient copay.

I don't want to overpay monthly if I can get enough coverage, but I don't want to be in the situation I've previously been in where I didn't have the right coverage and owe a couple thousand (which I'm still steadily paying off)



https://ift.tt/eA8V8J Submitted November 24, 2021 at 10:17AM by rcmaehl https://ift.tt/3COAuEa

Does Health Care Really Cost THIS Much?

Desperately seeking advice.

I have just been told that I am being kicked off my parent’s health insurance and need to find my own. If I get it through my employer, I’ll be paying at least $8,100 a year (about 28% of my income). I want to submit an application to my state’s health care program, but apparently I only have till the end of this week to alert my company re whether or not I will be getting insurance through them or not.

I’m so panicked.

Does anyone have any helpful advice? Is this a normal amount to pay?



https://ift.tt/eA8V8J Submitted November 24, 2021 at 04:23AM by WastelandBB13 https://ift.tt/3FINXQ4

Will my GF lose her health insurance?

Hello and thanks in advance for any advice. My girlfriend has disability health insurance in PA that pays for all of her medical needs. It is very good healthcare and she cant afford to lose it. We want to have her move in with me in Florida and fly back to PA for medical need while keeping her permanent address in PA. My question is if she gets a job while in Florida, will this cause her to lose her healthcare in PA?



https://ift.tt/eA8V8J Submitted November 24, 2021 at 02:41AM by KarmaInFlow https://ift.tt/3FBNEpY

Thứ Ba, 23 tháng 11, 2021

New Graduate Student: Master's in Healthcare Admin Seeking Advice

Hello!

I will be graduating soon with a Master's in Public Health with the concentration of Healthcare Administration this upcoming December. However, when looking over the jobs in my area, I am feeling a bit discourage. Many of them are looking for things higher in experience than what I have.

For background my experience is: an ER medical scribe where I was a supervisor and trainer (3 years), patient coordinator at an urgent care (1 year), and now as a Medicaid waiver case manager (2 years and counting). I have done a remote internship with a border health clinic (that is in another state from me) where I help lead the research for patient satisfaction with telemedicine services that took place over a year time and I will be publishing a manual soon for the clinic which shows them how to fully utilize an EHR system that we used. Our findings are going to be published as well in these upcoming months.

I am starting to feel discourage but maybe I am looking at things a bit wrong? I don't know if now is a good time to look at jobs for that position nor know what I should be focusing on honestly. I just know I love solving problems, resource gathering, and project management so far as I am enjoying my case manager job but am wanting more from it.

Do any healthcare admins have any advice for me? I was looking at an internship with my county health department and their wellness program in hopes of that getting my foot in the door with them as I know my weakness right now is that my networking isn't as high as it should probably be.



https://ift.tt/eA8V8J Submitted November 23, 2021 at 01:38PM by EphemeralFruit https://ift.tt/2Ze2raS

Snapshot of my "lower" insurance rates for 2022 via exchange. 3 people (2 adults, 1 infant), $55k estimated income. Blue Cross is lowest premium offered, McLaren is plan used in 2021. Can we just get a single payer system already?

https://ift.tt/30O8X9g

https://ift.tt/2MqhW33 Submitted November 23, 2021 at 11:31AM by mnorthwood13 https://ift.tt/3HNt73O

Feedback Request: Healthcare selection for our growing family

My wife and I just welcomed our firstborn to our family, and it is time to update my insurance to include them both on my employer-provided plan. In the past I haven't given it much though, and always selected the plan with the lowest monthly costs since I rarely went to the doctor. Now that I'm getting older and have a family to support, I want to make sure I'm selecting the best option since we'll all be visiting the doctor more frequently.

My employer offers CDHP and PPO plans, and while I'm pretty sure the CDHP plan is the way to go (due to HSA, lower monthly cost, etc.), I get a little overwhelmed with the options and am looking for some feedback.

If you'd be willing to take a look and validate my decision, I'd really appreciate your feedback.

Here are the details provided by my employer for our family for each of the plans:

Plan Feature PPO CDHP
Annual Deductible In Network $700 $3000
Annual Deductible Out Network $1600 $6000
Out of pocket In Network (Inc. Deductible) $6000 $6850
Out of pocket Out Network (Inc. Deductible) $12000 $13700
Coinsurance (% EE Pays) In Network 15% 15%
Coinsurance (% EE Pays) Out Network 40% 40%
Employer Contribution to HSA $0 $1500
ER Copay $250 Coinsurance/Deductible
RX Retail Copay Plans (G / BF / BNF / S) $10 / $30 / $60 / 20% Coinsurance/Deductible
Premium Cost Sharing $233 (11% Premium) $173 (9% Premium)
Employee Cost Per Paycheck $150.36 $79.86


https://ift.tt/eA8V8J Submitted November 23, 2021 at 09:33AM by TombaughRegi0 https://ift.tt/3DJds37

CVS: Downsizing Presence To UPSIZE Profits? stock up 2.2% on Nov 18th following news (of store closures). 'Investors are reacting positively to entire new approach that CVS is taking which is, at its core, about making health services convenient and accessible in a consumer-friendly way.'

https://ift.tt/3FEseIP

https://ift.tt/3FBLOFC Submitted November 23, 2021 at 09:00AM by dannylenwinn https://ift.tt/30OtMB5

Eligible for $304 tax credit on marketplace buy can't figure out which plan is best for me

Hey y'all, I am trying to figure out which of my healthcare options are best for me. I need ones that cover transgender healthcare and behavioral health pretty well with reasonable prescription coverage.

I must have spent 4 hours looking at the plans. I found one that was really good but the cost of it is almost as much as my out of pocket cost for my medications (trans hrt) so I would only be saving like $15. It is a really good plan but I dont think it would be what I need and I would just end up paying nearly the same for the same level of care. I've googled and found people say to avoid Ambetter and their plans are among the cheapest with high deductibles and strange network coverage (I can't even figure out who the heck is in their network)

I already chose a dental plan so I dont need help with that.

Any advice? I live in springfield mo and my annual income is ~24k.



https://ift.tt/eA8V8J Submitted November 23, 2021 at 01:31AM by GayFroggard https://ift.tt/3cB0tEH

Healthcare.gov vs BlueCross.com etc?

Do you find that the marketplace has any real advantage vs individual websites for shopping? I assume it is analogous to Expedia vs an airline site. Are the prices identical on both?

Healthcare.gov seems like a spam-a-thon.



https://ift.tt/eA8V8J Submitted November 22, 2021 at 11:48PM by Airlineguy1 https://ift.tt/3oRAcYn

Thứ Hai, 22 tháng 11, 2021

NPR News: Republicans are changing state laws to try and get out of federal vaccine mandates

Republicans are changing state laws to try and get out of federal vaccine mandates
Nationwide, conservative lawmakers have come together to propose and pass bills aimed at nullifying federal vaccine mandates. Public health experts worry exemptions make the workforce more venerable.

Read more on NPR

NPR News: After slow starts, COVID vaccination rates in some Asian nations are now soaring

After slow starts, COVID vaccination rates in some Asian nations are now soaring
Several nations in the Asia-Pacific region, richer and poorer, had slow starts to their immunization campaigns but have since zoomed past the United States and many nations in Europe.

Read more on NPR

Chủ Nhật, 21 tháng 11, 2021

In Europe, there were almost 370000 deaths attributed to air pollution in 2019, compared to 640000 in 1990, a 42% decrease in 30 years. Also, the majority (90.4%) of all deaths were associated with ambient particulate matter (PM2.5).

https://ift.tt/3DIVf5P

https://ift.tt/3nCPl0s Submitted November 21, 2021 at 12:53AM by alen_93 https://ift.tt/30FwRUp

National Guard Units Still Being Used to Deal with the Covid Emergency

I've recently found out the federal and state governments are still using members of the national guards to conduct covid tests in some parts of the country. I have a variety of problems with this.

First I think it a misuse of finite resources. Don't get me wrong, dealing with the pandemic is important and may just be the defining issue of our generation. Still it puts an undue strain on guardsman who are people with families and other full time jobs they need to take care of, and who might not have the exact skills necessary to carry out such a mission. Even they have their limits and so do the company's they work for, with over-burdensome deployments perhaps pushing some employers to let these valuable but unavailable workers go, causing even greater economic dislocation and troubles for all.

Additionally the finances of the various guards have been put under strain over the last couple of years having to deal with various natural and security emergencies. Overworking the system may leave it unable to cope with future and even more pressing difficulties should they arise. I think there are more effective and fairer ways to deal with our nation's health emergency.

First why don't we have the drug companies makings billions of dollars from selling their vaccines cover the cost of administering and doing the lab work associated with them. They are flush with cash and would have a better idea how to carry out these tasks anyway since they created them. Likely this would lead to fewer false positives and negatives, which I understand may be a problem.

If lack of personnel to carry out this work persists I think we should look to the scientific community itself to shoulder more of the burden. I'm not talking about the hard working medical and nursing home staff who have acted courageously through this whole ordeal but about research scientists and other corporate and academic technicians to step up and do their fair share. Many receive federal grants to conduct their regular work and as such should be at the state's disposal to assist in scientific emergencies. The same way we have a selective service ready to call up men for military duties in times of severe crisis I think we should have a parallel obligation imposed on the nation's scientists.

All people at work in scientific fields should be compelled to register for such national service and when called upon to fulfill it, administering and carrying out covid tests, be pulled away from their current roles to lend a hand to the nation. They're better suited to the work, more competent and could save state government's millions of dollars that would otherwise go to private laboratory interests.

All this would cut down on medical profiteering and pave the way for a fairer society.



https://ift.tt/eA8V8J Submitted November 21, 2021 at 01:28AM by Aegidius25 https://ift.tt/3HF9Xgn

Thứ Bảy, 20 tháng 11, 2021