Thứ Hai, 31 tháng 10, 2022

Should I jump off a sinking ship

Should I jump off a sinking ship

Long story short, started a new job in administration 2 months ago. It was a promotion, pay raise, all the good stuff but since I've gotten here its been constant micromanaging, reports, etc. I've taken over a job that I found out 3-4 people were managing and I just know I won't be able to keep up.

Recently, our CEO told us we were in a bad financial situation, local government has partnered with another healthcare company to build a new hospital in our town, and 2 other hospitals in our state have closed in our state that were also under the same designation as we are (critical access). Alot of red flags all around and I don't know if I should just stick it out or look for something less stressful and more stable.

Is this across the industry as a whole or more so with the rural populous areas like the one I'm in? Any advice is appreciated



https://ift.tt/nOfexGE Submitted October 31, 2022 at 10:31PM by tmckay725 https://ift.tt/Mj7ebJW

WHO warns as northern Ethiopia records spike in preventable diseases

The UN health agency WHO (World Health Organization) has on Friday expressed serious concerns over a considerable spike in a series of preventable diseases in northern Ethiopia regions – and in particular Tigray – which is triggered by about two years of conflict and chronic issues of aid access.



https://ift.tt/nOfexGE Submitted October 31, 2022 at 08:14PM by globe_explorer245 https://ift.tt/sy9Ko0A

My mom is an IP for my grandparents but she also suffers from ADD and struggles greatly with getting her homework done, can we do anything?

My mom is terrified, staying up until she passed out, crying all of the time because she knows that her parents need her and do not want someone else in the home. It doesn’t help either that I have Autistic Spectrum Disorder/MDD/ADD non hyperactive like my mom/C-PTSD, amongst other things but I don’t want to list too many things and not be taken seriously since I know ASD and CPTSD have become very trendy which is deeply upsetting; getting to the point, I’m on disability for what was at the time called PTSD 2 when I was 16 and is now called CPTSD and I’m 25, I very rarely leave my house, I avoid people, I don’t sincerely trust anyone but my mom, people online see me as “big tiddy goth gf” and “shitposter” but I cannot explain heavily enough that I am a full on shut in and I need my moms care almost as much as my grandparents. She bathed me for fucks sake. We need her and she needs this us otherwise she’d be worried constantly, and she needs this income Tomorrow night will be the cut off and she could lose her job. My mom is the kindest and more selfless person I know and I hear others tell her the same constantly. I just want to yo take this terrible suffering and fear off her back, she works for my grandparents and for me alll day UNTI BED. I can’t handle seeing her suffer when she has devoted her life to us. Between the ADD and the working for us it’s incredibly difficult for her to do her homework on a time limit, she gets it done but she caring for 3 people CONSTANTLY and I mean she NEVER gets a break. She’s on the floor with the laptop choking back tears and I keep offering to help her but she refuse because “that would be cheating”. It’s breaking my heart, I’m in the bathroom sobbing and typing this. We live in Washington state if that helps since I know the laws vary state to state. I am desperate to help her; if the tables were turned she would go above and beyond for me. If there is any way to fix this you’d be my hero. If I could walk up to my mom and give her the news that she had even a few more days to finish the look on her face, and her looking at mine we would both probably burst into tears of joy. i would do anything to make that a reality. please help if you can ✨



https://ift.tt/nOfexGE Submitted October 31, 2022 at 02:28PM by samanthastpatience https://ift.tt/PdV8Kb6

new to medi-cal. mom asked for a photo of my BIC card to send to her insurance. will she be able to access my info?

22F. there's a situation where i'm confused about. i used to be on my mom's insurance but now i have my own medi-cal as of 2 months ago. but she asked for a photo of my benefits card to send to her insurance to prove that i won't be covered under her insurance anymore. it was my first time having my own healthcare so i didn't know if this was necessary or not to remove me from her insurance or if she wants my medi-cal info. will she have access to my medical records then if she has the photo of the card? i don't want her getting access to my things.



https://ift.tt/nOfexGE Submitted October 31, 2022 at 06:09AM by juhnaynay15 https://ift.tt/0qK8V5z

Chủ Nhật, 30 tháng 10, 2022

I’ve got conjunctivitis traumatica while trying to remove the torn contact lens stuck in my eye. Is it dangerous even though I am currently taking therapy to heal it..Can I wear contact lenses again or should I say goodbye to them forever?

https://ift.tt/3t4WDev

https://ift.tt/3t4WDev Submitted October 30, 2022 at 08:37PM by Impressive-Dig22 https://ift.tt/o1JASdV

Do doctors get in trouble from negative feedback on surveys?

I recently switched back to a doctor I had previously seen for a chronic condition. I requested an appointment and the scheduling experience was really bad. They took weeks to respond, and when they finally offered an appointment time, I replied that I wanted it but they never booked it and didn't respond to my requests to confirm it. Then they finally called to apologize and offered a same-day appointment.

The appointment was more three weeks ago. This doctor took over management of my medication. When I saw her, she said she would increase the dose and send it to the pharmacy. When this hadn't been done after a week, I messaged the office and asked to get it done before I ran out. When they didn't respond after a week, I called. They said they would mark it urgent. Now it's been five more days and it's still not done and I will be out after tomorrow.

Now I have a survey in the mail and am not sure how to respond. This has been a shitty experience but I also like this doctor so much better than my last one. I'm worried if I fill out the survey truthfully that she'll get in some kind of trouble, but I'm also frustrated at how bad the whole thing has been. She is part of a large medical system in my city.



https://ift.tt/J23FTig Submitted October 30, 2022 at 12:58AM by PickleChickens https://ift.tt/NWBXRbH

Thứ Bảy, 29 tháng 10, 2022

Should I pay this potentially fraudulent medical bill?

In 2021, my wife and I each visited an Urgent Health clinic called Northwell GoHealth in New York City twice for Covid tests. No symptoms, no medical consultation - we just needed the negative tests for work travel (we’re self-employed so this falls on us).

At the time, the clinic was advertising free covid tests with insurance. At each visit, we presented our health insurance cards and we were told by the receptionist that the test was free and that we would not incur any charges for the visit.

A year later, we have each received a bill for $1100 ($550 per visit), totaling $2200 for the two of us.

I of course immediately consulted my insurance company, who told me that the the clinic billed them for two items for each date: the covid test (which my insurance covered completely) and an “office visit” that was required to administer the covid test (which my insurance company doesn’t cover).

I have been on the phone with the clinic's billing department countless times. We were never informed that there would be an office visit charge. The tests were advertised as free, the receptionist confirmed for us that we would not be charged. We received no medical care besides receiving the covid test.

Then I found this article: https://ilovetheupperwestside.com/northwell-health-covid-test-fraud-claims/

The headline is “Former Prosecutor Says Northwell Health is Committing Fraud Following COVID Tests."

The article describes many people who are in the same situation as we are. They were told by the same clinic that the covid test was free, and now are being charged hundreds of dollars for each “office visit.”

From the article: “I’m not paying for medical services I didn’t get. I made multiple calls and told [Northwell] that what they were doing is fraud, against the law, and that the U.S. Attorney’s office might be interested in this. I used to prosecute fraud cases. They’re charging insurers for office visits that didn’t happen. That’s fraud.”

One of the victims of this fraudulent billing was my local City Council Member, Gale Brewer (as reported in the article). She managed to have the charges reversed on her account. So, I contacted her office. Her staff asked me to submit copies of my bills from Northwell GoHealth and they would include them in a complaint that they were already filing for other people with the New York Department of Health against Northwell GoHealth for fraudulent billing practices.

The City Council office warned me that it could take a while to get any result on this complaint filing.

A few days ago, I received a “filing billing notice” from the clinic, with an indication that in 30 days the bill would go to collections. I called the city council’s office, and they said there is no update yet on the complaint filing.

I’m scared of hurting my credit by not paying the bill, but it seems that there is a case to be made that the bill is fraudulent. What do you all suggest that I do in this situation?

Thanks for your help.



https://ift.tt/J23FTig Submitted October 29, 2022 at 11:24PM by musicman8585 https://ift.tt/CkgsTpP

NPR News: Talking to strangers might make you happier, a study on 'relational diversity' finds

Talking to strangers might make you happier, a study on 'relational diversity' finds
A study finds that we are happier the more we talk with different categories of people — colleagues, family, strangers — and the more evenly our conversations are spread out among those groups.

Read more on NPR

How to avoid billing surprises?

I have never been to the doctor as an adult, but I know something is wrong and I need to get it figured out. I'm 30. No insurance. How do I figure out where to go? How do I know how much it will cost? I'm in the chicago suburbs.



https://ift.tt/aZsbQm0 Submitted October 28, 2022 at 11:51PM by bobwmcgrath https://ift.tt/rcde6EG

Thứ Sáu, 28 tháng 10, 2022

Is it safe to drink 8 litres of water in 8 hours at high temperature while sweating profusely?

I work at a factory that has high paced movement and whenever it get really hot, I sweat a lot and I drink more water at one point it got so hot that I drink 1 litres nearly every hour, I told one of my coworker this because he finds it funny how I sweat a lot even for a basic 20 min work because the factory was warm but told me drinking 8 litres is not healthy. So my question is does sweating more allow me to drink more water?



https://ift.tt/aZsbQm0 Submitted October 28, 2022 at 10:56PM by that_beard2 https://ift.tt/r6du9bP

An architect trying to understand Emergency Department better.

I've pursued a masters in healthcare architecture and currently doing a dissertation on bottlenecks in emergency holding rooms. Just wanted to know more about the problems faced by healthcare workers and patients during this time period before actually visiting and surveying on ground reality.

I'm based in India but all countries are welcome!



https://ift.tt/F2Geq7L Submitted October 28, 2022 at 09:37AM by bubu_belfry https://ift.tt/Nf4KDRo

(US) Could I have 2 health insurances from Blue Cross?

I've been on my parents insurance through Blue Cross Blue Shield but my job offers Capital Blue Cross. I know having 2 health insurances is fine, but Capital Blue Cross is technically apart of Blue Cross Blue Shield so it felt sketchier lol Could I have both?



https://ift.tt/F2Geq7L Submitted October 28, 2022 at 06:58AM by throwaway4206983 https://ift.tt/7bOx1Py

Can one go about finding out information & a potential negligence a year later from a hospital? If so, how?

If a person passes away in the hospital, can the victim's family a year later ask for an explanation as to what happened if the explanations of the doctors does not seem to add up? Especially if the family feels there's a strong chance of negligence?



https://ift.tt/F2Geq7L Submitted October 28, 2022 at 05:57AM by SnooOpinions9765 https://ift.tt/8UmsVwQ

Thứ Năm, 27 tháng 10, 2022

Who runs the pipes?

This is less of a policies and more of a logistics/operations, but who runs all the gas and pneumatic systems in a hospital? Things like the O2, Suction, Medical Air, NO2, and waste gas. Not mention the pneumonic tubes used for labs and pharm. I know every unit has a control panel with gauges and a shut down switch, but I've never met a nurse or tech who knew what it meant or how it works.

So who handles all of that? General Maintenance/facilities? Biomed? Special HVAC guys? External contractors?

Bonus questions: Where are they hiding all the &@$! Christmas trees!? It's like those things are made of gold (joking, of course)



https://ift.tt/F2Geq7L Submitted October 27, 2022 at 09:49PM by Cybernetic_Nursing https://ift.tt/XjZLeRN

Anyone who has earned an MHA?

I am about to start my MHA degree, and I want to work part time in some sort of hospital setting. I’ve been working front desk at a hotel near me for my undergrad but I feel like getting more involved with hospitals now will help when I try to get internships or fellowships later. What (part time) entry level position or job would you recommend for someone who is looking to get into the hospital administrative department after graduating?



https://ift.tt/F2Geq7L Submitted October 27, 2022 at 03:26PM by Parking_Prune5025 https://ift.tt/iu6FjIq

Surgery was not billed as preventive care - now I'm being charged.

Hi guys. I apologize in advance for how long this post is going to be. I have been going back and forth between the hospital where I had surgery, and my insurance company over the last 2 weeks. I haven't found many answers online or situations similar to mine, so I figured I'd look for help here.

I had a laparoscopic bilateral salpingectomy (aka had my fallopian tubes removed) on September 16. Per my insurance policy, contraceptive care is considered a preventive care service and is covered 100%. It specifically states: Prescribed Contraceptive Services (Includes diaphragms, intrauterine devices (IUDs), implantables, injections and tubal ligation) when in-network are at no charge (deductible does not apply).

I checked with my insurance company prior to my surgery, and a bilateral salpingectomy falls under a tubal ligation. I was reassured that it would be covered at 100%.

Rewind to two weeks ago, I receive two bills in the mail from the hospital where I had surgery. My insurance was billed, however they did not cover my surgery 100%. I am being billed for a whopping $4,344.96. I was quite shocked as I was under the impression that my surgery would be covered 100%. I immediately called my insurance company and was reassured that yes, it should be covered entirely. The gal I spoke with stated she'd forward my claims onto another department that could look further into the charges. I finally got a call from her on Monday this week, and she tells me that my surgery was coded incorrectly. She provided me a list of 8 or 9 different CPT codes that would've been acceptable and advised that I contact the hospital's billing department and relay this information.

So I do just that, call billing and explain my situation. The gal from the billing department tells me that there's nothing they can do and they can't/won't change the coding on my bills. So I call the OBGYN office where my surgeon works. I explain my situation again, and am now told that I'm responsible for 30% of the total bill per my insurance plan, because it was an "outpatient surgery".

Sigh. I call my insurance company AGAIN. Now I'm being told that if the surgery had been billed as a preventive care service that it would've been covered at 100%. They once again recommend that I contact the hospital's billing department with that information, and if they are unwilling to help me that I need to file an appeal through the insurance company.

Once again, I call the hospital's billing department and explain that the surgery should've been billed as a preventive care service in order to be covered 100%. And I'm told the same thing again - that there's nothing that can be done, except that now my information is being passed on to a supervisor to have her "try and explain things in a way that I'll understand" and that she'll call me when she has time.

Before I file an appeal with my insurance company, I wanted to come here for advice to find out if there's anything else I can do to dispute these charges. I would've never had this surgery had I known that I'd end up having to pay nearly 5k out of pocket due to billing issues. I don't have that kind of money. Any help/advice is greatly appreciated as this whole situation has me uncomfortably anxious.



https://ift.tt/oeqlwt1 Submitted October 27, 2022 at 06:36AM by 480hunny https://ift.tt/uR4UxSC

NPR News: Abortion is on the ballot in Montana. Voters will decide fate of the 'Born Alive' law

Abortion is on the ballot in Montana. Voters will decide fate of the 'Born Alive' law
Voters in the state are being asked to approve a law declaring that an embryo or fetus is a legal person with a right to medical care if born prematurely or survives an attempted abortion.

Read more on NPR

Thứ Tư, 26 tháng 10, 2022

Does the ACA require employers to offer insurance to employees working over 30 hours per week?

My wife has applied to a child care job on a military base in NC. The odds are looking pretty good that she’ll be offered the job.

That being said, she’s hung up on whether or not she’ll accept it due to the employer’s ambiguity concerning hours and lack of benefits.

They said she’d be working at least 30 hours but, due to short staffing, she’d likely work closer to 40. When she asked about benefits they said part time employees do not receive health insurance then quickly skipped on to talk about a 401K.

I’m having trouble finding concrete information on whether or not they’re required to offer health insurance. From what I’ve read most signs point to yes, they are required to offer it to employees working over 30 hours. Can anybody help out with any information on that?

Thanks!



https://ift.tt/oeqlwt1 Submitted October 26, 2022 at 07:44PM by ChingusMcDingus https://ift.tt/JhFty12

Help?

Not sure if this is the right place to ask about this, so feel free to ignore. Also I am keeping this post as vague as possible to remain anonymous.

My doctor was (supposedly) wrongfully fired from their hospital system a few months ago. I say supposedly because this doctor was very popular with patients and constantly had good reviews written. This isn't the first time this particular hospital system has fired a doctor out of the blue like this either. I have also heard rumors of a lot of physicians and nurses leaving on their own within the last few years because of this fear of being let go.

The hospital refuses to tell me or any of this Dr's patients why they were fired, where they are now or if they are even still practicing medicine. The only notice I have gotten from them has been a phone call and a letter stating this doctor is no longer there. They gave me recommendations for a few similar (in their opinion) doctors, but the only one that seems to have close to their level of expertise is over an hour away from me. My issue with all of this is this doctor was the only one in my area that has adequate knowledge about my chronic illnesses. I've seen other providers in the past at this same hospital system who have completely ignored me and made me feel like all my issues were in my head/made up, so I have trust issues when looking for someone new.

I keep searching their name on Google every few days and have not seen anything new yet. How else can I find out where my doctor is? Would I have any luck just calling different hospitals in my area and asking? I don't want to make myself seem desparate here, but I am. I was finally starting to get my health under control, and now all of this happens. It has been months since I found out they were gone, and since then my stress level and mental health has gotten way worse. I've started to have random panic attacks/crying spells whenever I even think about having to find a new doctor. I have not talked to my pcp about this yet, but I might at my next appointment. The doctor in question was treating me for anxiety/depression symptoms (among other things), and was prescribing me medication for it. Their np is still in the office and has pretty much taken over for them even though they're just a nurse not a physician. I had an appointment with the np, and was told the hospital system will no longer allow this doctor's patients to receive any refills/renewals on their medications other than birth control. So now idk what to do when I run out of my meds. I hope I'll be lucky and my pcp will re prescribe them without question.

All of this increased stress is causing flare ups of inflammation and pain which just makes everything even worse. Idk what to do if I can't see my doctor anymore.



https://ift.tt/oeqlwt1 Submitted October 26, 2022 at 09:55AM by purplexzebra https://ift.tt/7KBkS3b

Thứ Ba, 25 tháng 10, 2022

NPR News: Recycling plastic is practically impossible – and the problem is getting worse

Recycling plastic is practically impossible – and the problem is getting worse
A new report from Greenpeace found that people may be putting plastic into recycling bins — but almost none of it is actually being recycled. Meanwhile, plastic production is ramping up.

Read more on NPR

Thứ Hai, 24 tháng 10, 2022

How can I get massages covered by my insurance? I have fairly generous insurance but no mention of massages

I have 30 covered visits per year to "chiropractic, osteopathic, naprapathic" physicians/chiropractors and acupuncturists but I have no real wish to engage in either. However I really like massages and they help me recover from physical activity/relieve pain immensely. Could I find a chiropractor that does both? Or a physician that does massages? I also have physical therapy services %100 covered if they're done by a physician or therapist if that can help.

Thanks!



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 08:59PM by icecubedrainer https://ift.tt/60YRw4u

Finding STI test that’s covered by my insurance (BCBS)

I’m trying to find a clinic in San francisco that will do a comprehensive STI screening. Planned parenthood says that my insurance is out of network. Does anyone know how to look up what my insurance would cover, and how to figure out what clinics would accept my insurance?

The search tool on the BCBS site seems to be oriented towards finding a healthcare provider (ie a doctor)



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 03:34PM by chris_yoike https://ift.tt/c61nFQo

Out of State Ambulance Bill

I went to Virginia for vacation a couple months back and got hurt. An ambulance had to be called and I was subsequently taken to the hospital.

I recently received a bill for the ambulance. I do not live in Virginia. What are the pros/cons of not paying this bill?



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 08:00PM by AntiMatterXD https://ift.tt/YAuivCs

TD;LR: The hidden bias in medicine that is costing lives: If you’ve been misdiagnosed, mistreated or dismissed by the healthcare system, you are not alone

Hello to the community! Following personal experience I recently learned of a huge problem in healthcare, and I would love to hear people’s reactions, experiences and thoughts on it:

When I was 19 years old I walked into the office of the head of the spinal department at a leading hospital. I’d been suffering from debilitating chronic back pain to the point of not being able to function for 3 years prior, following a major spinal surgery when I was 16.

The doctor heard my story, and asked me to step out of the room so he could speak privately to my father, who had accompanied me. My father and I were both taken aback. I’m the patient, and I’m an adult. But I stepped out.

My father came out a few minutes later. ‘He said there’s no physiological reason for your pain. That it’s in your head, and that you’re depressed’.

I was dumbstruck. By the cavalier misdiagnosis, by the stinging dismissal of pain that was completely wrecking my life, and by the disrespect of not discussing it with me directly.

I slowly walked to the car, barely able to stand from the pain, with the proverbial ‘it’s in your head’ writing off that women have been dealing with for centuries ringing in my ears. I felt helpless, scared and alone.

12 years and ~40 doctors later I am now completely pain free thanks, in part, to medical professionals who believed in me, and worked with me in partnership to help me overcome my pain.

I’ve since often wondered how many other young women receive similar feedback. In retrospect I wish I had shared more about my journey earlier - maybe it could have helped others in knowing they’re not alone, that they should never accept dismissal or bias, and that there is hope.

I recently experienced another gross misdiagnosis of someone close to me, this time a cancer diagnosis with much more severe consequences.

A year and a half ago, my father, until then a strong and healthy 70 year old, walked into his Primary Care Doctor’s office and told him he was having trouble swallowing. Protocol dictates that his doctor should have sent him to see a gastroenterologist immediately. Instead, the doctor wrote it off as reflux and prescribed medication.

After the symptoms persisted and worsened my father eventually did see a gastroenterologist, which led to a diagnosis of stage 4 cancer - 3 months later.

Despite extraordinary efforts and a brave battle, the cancer was diagnosed too late and my father passed away. It has been the saddest and most difficult thing I’ve ever had to deal with, for me and for many who were close to him.

Following this I found myself waking up at night, wondering if these experiences were just a coincidence, or if there’s something that could be done differently. I did some research and what I learned shocked me to my core.

I learned that medical dismissal, gaslighting and misdiagnosis is far from just my experience. In fact, it’s one of the biggest problems in healthcare.

I learned that medical errors are the 3rd leading cause of death in the US, following only cancer and heart disease.

That every year 40,000-80,000 Americans die from preventable diagnostic errors alone.

That when you walk into a Doctor’s office, 1 In 10 times you will be misdiagnosed. And if you have a serious medical condition, it’s 1 in 5 times.

I also learned that errors in diagnosis happen much more to women, people of color, members of the LGBTQ community, and people with emotional challenges.

That, for example, female-specific conditions such as endometriosis, often take 10 years or more to be diagnosed.

That women are 50% more likely to be misdiagnosed following a heart attack than men.

That women of color have 3.5 times the mortality rate of white women during and after pregnancy, similar to women in developing countries.

And that LGBTQ people are twice as likely than others to feel their provider dismissed their concerns or assumed something about them without asking.

The last thing I learned, and this is what shocked me the most, is that the healthcare system seems to view this as business as usual.

Imagine an airline where 10% of planes crash because of human error and bias. Now imagine that when that plane is filled with women or minority populations, it crashes even more. How long would this airline stay in business? Would we continue buying tickets for our parents and children?

Wouldn’t you think that these numbers would constitute a state of emergency and that fixing it would be the top priority?

Instead, this problem is often being swept under the rug.

I’ve already come across hundreds of stories of people from all walks of life dismissed and misdiagnosed by the healthcare system.

And we are all dealing with this alone, and aren’t learning enough from the experiences of others.

This is why I decided to share my story and to offer those interested to create a space for learning about this problem and how we can combat bias in medicine, for sharing our stories, for supporting one another and for consulting with one another, in order to protect ourselves and our loved one’s when receiving healthcare.

I feel it’s up to us, patients, caregivers, and all health consumers who care and are aware, to change this reality. We need to come out and share our stories, until we can’t be ignored anymore. And we need to create supportive spaces where we can get advice, think what action we can take, and support one another before and after these experiences.

If you’d like to be part of a community with this focus, you’re welcome to join here: https://www.facebook.com/groups/medicalmisdiagnosis

I would also love to hear any feedback, thoughts or experiences.

My hope is that we can together help create a powerful force for much better healthcare, one that is more equitable, more respectful and more exceptional, for the benefit of ourselves, our parents and our children.

Thank you for listening ❤️



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 04:02PM by Yael_theworld https://ift.tt/hDTAiKE

Is Dental care healthcare?

There seems to be this false narrative in the US that teeth are aesthetic only. Most states Medicaid doesn't offer it. In my state, the legislators quietly removed it. The VA only offers it to 100% service-connected disabled. I'm not eligible for Medicare and by the time I am I doubt Medicare will still exist.

I have infections in two places with a third developing. My case is complicated by an extremely rare condition of 5th row molars, which mean having too many teeth had left me with hooked roots. A dentist can't simply pull it. It has to be surgically removed under sedation. That is very costly. I use weed to control the pain when I can get it. Once the pain so bad my only route is euthanasia. I have a system set up.

I was assigned the dental school for any care I need. One school I went to, I was told I am too complicated. A student at the dental school where I live now, pulled one and I screamed so loud I think I scared people away. I know I was never afraid of dentists before then and now I am terrified.

All my life dentists have said leave my teeth alone until it becomes a problem. Well, it's a problem and I can't afford to address it.



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 11:59AM by Extension-Review-609 https://ift.tt/LDF0Em7

individual health insurance policy for sick people

I have a health insurance policy through Blue Cross. It expires in May. I'll need to buy my own policy unless I find a job by then who will provide insurance. (I'm in the US.)

In the past year I've had a lot of medical bills, and a few very expensive ones. One of the claims was for $80,000.

My question is this: when I try to find a new health insurance policy in May, will insurance companies be able to look back at my claims for this year and base the price of the policy on my 2022 claims?

BTW, I make too much money to qualify for Obamacare.



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 09:29AM by hi_its_julia https://ift.tt/U1BFA6y

[TX] Provider denying authorization for MRI so that I can have a tumor removed and biopsied. Appeal being ignored and don't know what to do.

Hey everyone just looking for some advice on how to proceed with my situation. I'll keep it as brief as possible and I apologize if I'm misusing any terms here.

Basically I have a 5cm tumor on my right chest wall over my ribs and liver. I'm in the process of trying to set up a surgery and have it removed so the docs can biopsy to see if it's malignant and go from there. This basically needs to happen yesterday. I've been stuck trying to get an MRI for over a month because my provider Aetna/eviCore is denying the MRI authorization due to my Dr's office allegedly not providing the imaging results of previous tests. My Dr's office says that they did so it's a moot point to argue.

I was instructed by Aetna to file an urgent/emergency verbal appeal and my Dr's office also submitted an urgent/emergency appeal. From what I understand from Aetna and Texas OPIC my provider has a maximum of 5 days to answer an appeal. It's been over a week and they have not gotten to it. I've spoken with multiple representatives who assured me it was submitted as urgent but it turns out it was not. They now say theres no deadline currently for them to review the appeal. They are also refusing to let me go through an IRO to submit an urgent appeal. Every time I ask to be transferred to their appeals dept there just happens to be no one available.

I'm at a loss as to either what to do for this process or if I should just pay for the MRI out of pocket and possibly seek reimbursement later if at all possible. Either way I can't sit around while this tumor is just doing whatever in my chest.



https://ift.tt/VhNT9JQ Submitted October 24, 2022 at 05:48AM by jdswhatwhat https://ift.tt/oG7DrZp

[Question - Insurance] Can I get non-emergency surgery on Medicaid? (Colorado)

I'm just wondering if I should try, or if all the appointments to try to get it approved will be a waste of time.

I was told years ago after x-rays that I have a congenital hip impingement on both hips, the bones grind together and on one side have trapped a nerve for over a decade. Orthopedist told me if I didn't get the surgery soon, I would need both hips replaced in my 50s or 60s. I was told it was a minor surgery, they would enter laproscopically and cut off the protruding bits of bone, and recovery time would be minimal. Then the provider went on to say they couldn't approve the surgery until I completed a bunch of PT. At the time I was working and I was still on my mom's insurance plan. I couldn't afford the time off and the co-pays to do the PT.

Now I'm still only 31, but my hips have been hurting worse this year. I've been unemployed for a few years and I'm on Medicaid with no co-pays. If there would be no co-pays for PT then I could probably do it.

But is any of this an option on Medicaid? I've looked it up but I don't know if this surgery would count as "medically necessary" or not. Does it depend on the doctor?

Any advice is appreciated.



https://ift.tt/1XuAQTk Submitted October 24, 2022 at 12:15AM by SoScorpio4 https://ift.tt/JnyrhpH

Chủ Nhật, 23 tháng 10, 2022

NPR News: Researchers have found a link between chemical straighteners and uterine cancer

Researchers have found a link between chemical straighteners and uterine cancer
NPR's Ayesha Rascoe speaks to Alexandra White of the National Institute of Environmental Health Sciences about the link between chemical hair straighteners and uterine cancer.

Read more on NPR

Thứ Bảy, 22 tháng 10, 2022

NPR News: The fastest ever laundry-folding robot is here. And it's likely still slower than you

The fastest ever laundry-folding robot is here. And it's likely still slower than you
Researchers and companies have tried over the years to automate the chore with limited success. Using a brand new method, researchers have taught a robot to fold a record 30-40 garments per hour.

Read more on NPR

Cigna Virtual care help?

Hey guys, so I have Cigna Open Access plus, I’m just going to post the numbers on the card to give the most info

  • open access plus
  • No referral required
  • Preventative office - $0
  • Office visit - $20
  • Specialist - $30
  • Emergency Room $150/$300

  • INN DED ind/fam - $250/500

  • INN OPP Ind/fam - $6350/12700

I want to see a virtual psychologist using Cigna’s MD Live - but I have to pay $300? (It’s what it says for a today visit) Is this correct?

Is there anywhere (with my plan) that I can see a virtual psychologist/therapist free of charge? Or at least a reasonable price? In in MA

Thanks



https://ift.tt/hMW7uA1 Submitted October 22, 2022 at 01:24PM by Current-Weather-9561 https://ift.tt/Q85LKjI

Oscar health reimbursement confusion

Hey everyone,

Need some clarity on my situation if you could help :)

I went and got a vaccine recently from a CVS Minute Clinic in AZ - where I live. I knew that Oscar Health - my insurance - would cover the cost since it is preventative care. A couple days later I received a charge from CVS for the vaccine.

Confused, I called Oscar. They said they did not get a bill from CVS. More confused, I called CVS and they said they charged me because MinuteClinics cannot bill preventative care (???). So I asked for an itemized bill and submitted that to Oscar for reimbursement. Oscar returned to me and said they needed the vaccine submitted by the provider as preventative care to reimburse me… but CVS just told me MinuteClinics can’t bill as preventative care.

Can someone a bit more knowledgeable fill me in on what I am missing here? Am I just going to be lost in a bureaucratic hell and eventually get denied and be on the hook for the vaccine? It is by no means life changing money, obviously, but it’s enough to care about the outcome. Pretty frustrated since both Oscar and CVS seem to be pointing at each other and saying “it’s their problem!”

Thanks for the help. Cheers.



https://ift.tt/hMW7uA1 Submitted October 22, 2022 at 06:20AM by Will___powerrr https://ift.tt/Wtljq9J

My company is switching to a High deductible plan for next year and I'm freaking out

Hey everyone, just needed to vent and see if maybe anyone's got some advice for me here...

I'm currently on a healthcare plan with copays (30 dollars per visit for most services) and a monthly premium of 524 a month for my family of 4 though my employer. (The plan itself is a blue cross blue shield PPO plan)

Recently my company (large global business operating all over the world and a major player in our industry , i.e. not some tiny mom and pop operation) sent out a letter saying that in order to avoid rising healthcare costs, we'd be switching to a high deductible plan . My new premium will go down by about 10 dollars per month, while the cost of literally everything else appears to be skyrocketing. If I'm reading this correctly (Its been a while since I was on a HDHP ) , we pay 100% of everything (including the 4 therapy visits our family has per week , monthly med checks for everyone, psychiatrists, doctors visits that aren't physicals, the multiple expensive medications we're on etc. until we hit our deductibles which have risen to like $3k per person.

How the fuck am I supposed to afford this? After running the numbers its appearing that our medical costs per month (until the deductible is met) will be higher than my salary?

I've never considering getting a new job just to pay for healthcare but I'm not even sure if I have better options?



https://ift.tt/hMW7uA1 Submitted October 22, 2022 at 02:44AM by shorty6049 https://ift.tt/CTi6EI8

Thứ Sáu, 21 tháng 10, 2022

NPR News: Health department medical detectives find 84% of U.S. maternal deaths are preventable

Health department medical detectives find 84% of U.S. maternal deaths are preventable
More than half of these deaths occur well after the mom leaves the hospital. To save lives, mothers need more support in the "fourth trimester, that time after the baby is born," one researcher says.

Read more on NPR

Surveillance report proof read/comments

Hi. I am in second year and I made a mock surveillance report and I would like some feed back on it. I have references it’s just not included in the doc.

Could one you guys give it a read over for me and let me know where I could improve it would be greatly appreciated.



https://ift.tt/YjJsRLG Submitted October 21, 2022 at 07:07AM by Great-Shoulder-996 https://ift.tt/HNspG61

Pain in right arm stifness but other wise ok

Uk post

So last two days woke up with pain in right elbow can hardly lift my arm.

But no other sign of pain like eye or headaches but could be just slept on arm wrong.

Got some pain killers and jopey that solves had this one winter before where could hardly move my car gear stick.

It just feels like stifness as if i twisted it badly have been swimming allot recently so am wondering if linked.



https://ift.tt/YjJsRLG Submitted October 21, 2022 at 03:45AM by novatroop77s https://ift.tt/zveaKEF

Thứ Năm, 20 tháng 10, 2022

Needing an appointment for a walk-in clinic

Hey there, I have a question for health care workers because I am really perplexed. I have health insurance through Sutter Health a health company and chain of hospitals in California. My doctor asked me to go in and get a standard std test as it is time to do so. She told me that I could just walk I'm to a clinic during my lunch break (as she knows I am busy working 60 hours a week between two jobs and taking 18 units in college.) So I go to do so, twice they were on their lunch break, makes since as it was also mine. So I got off of work early to rush in between my last class and my second shift of the day. Well the very nice woman at the front desk asked me if I had an appointment. I was confused because I didn't think walk-in clinics needed an appointment as the name and my doctor told me I didn't need one. Well come to find out that now walk-in clinics are only opperating via appointments. I have been to one since covid without an appointment so I don't think that is the reason. Is this the new standard? Are walk-in clinics not walk in anymore? Just curious if anyone else has had this happen or if it is only Sutter Health.



https://ift.tt/zOAsdkj Submitted October 20, 2022 at 05:42AM by Ok-Tear-543 https://ift.tt/0xl9DqM

Medical Debt Question

I received a bill recently for ~$400 for some xrays (after insurance) that were not described as opitonal to me when I went in for the visit - the doctor just said "I'm going to do some xrays to make sure my assessment is right". It was obviously right, and then I received a huge bill a month later.

However, after doing more research, it looks like medical debt below $500 will no longer be allowed on your credit report. So my question is -- what is the incentive for me to pay what I believe to be an unfair charge, or even bother disputing it? I guess I probably can't go back to that doctor, but anything else I'm missing?



https://ift.tt/zOAsdkj Submitted October 20, 2022 at 05:00AM by stormbless3d https://ift.tt/3Qtcwud