this post was submitted on 25 Jun 2023
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Mildly Infuriating

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She literally called me at the time of the appointment to tell me she can't see me. She was so apologetic, but was like "I absolutely can treat you, but I'm not allowed by your insurance". Fuck this country.

Update: I went to urgent care. Before leaving home, I called to be sure they would accept my insurance (Aetna). They said yes.. After arriving for my appointment, they told me they do not accept my insurance. I will simply leave without paying.

Final Update: I can understand that that differences in physical biology demand different attention. That's not what I'm complaining about. It's the way it's set up. I was told that at my appointment. Why not just refer me to a specialist? The website could've even just referred me to urgent care (yes, my insurance requires a primary care physician's referral for urgent care, according to the urgent care facility). But, no, their goal is to obfuscate and irritate until the patient gives you and pays out-of-pocket.

I was able to receive care at a cost I could not afford. I won't discuss what I had to do to "find" the money to pay for care and prescriptions. That being said, the condition I was diagnosed with was more serious than a simple infection, and I'm glad that I saw a doctor. I need further treatment and just hope I can get insurance to cover any of it.

If you're an American reading this, please consider ways to get involved in organizing in support of Medicare For All in your community. Here is one resource I have found. We don't need to live like this. We deserve better. Stay safe and healthy, friends.

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[–] [email protected] 3 points 2 years ago* (last edited 2 years ago)

A lesson I learned the hard way is the only way you can tell what your insurance actually covers is to read the fine print. The insurance company service reps can't be relied upon and the medical office reps just make up an answer if they don't know. Nor can you be sure the coverage statement from the insurance company is right when they finally send it. IMO that statement's wrong a significant percentage of the time too.

I've had to argue with my insurance company's reps about what is covered, actually read them the policy details, and provide the page and paragraph numbers because they have no idea what the policy their company sold actually covers.

[–] [email protected] 3 points 2 years ago (1 children)

That's so fucked up! I'm sorry OP.

[–] [email protected] 2 points 2 years ago

Thank you ❤️

[–] [email protected] 3 points 2 years ago (2 children)

What the hell? Was someone drunk when they drew up that policy?

[–] [email protected] 3 points 2 years ago

Too much cocaine

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[–] [email protected] 2 points 2 years ago

Mildly infuriating?

[–] [email protected] 2 points 2 years ago

This is so ridiculous! Our system is beyond broken. If you're sick you almost have to scrape by before Medicaid limit or pay out the ass and have excellent job with very good insurance. It's so fucked up. This is truly nutty.

[–] [email protected] 2 points 2 years ago* (last edited 2 years ago)
[–] [email protected] 2 points 2 years ago (1 children)
[–] [email protected] 2 points 2 years ago

urinary tract infection

[–] [email protected] 2 points 2 years ago (4 children)

I’m not going to defend health insurance companies, but this is not because of your insurance. CVS will only see patients with simple medical problems because they 1) are not equipped for more in-depth diagnosis and treatment and 2) don’t want the liability associated with such. UTIs in males are medically complicated, by definition which has a very specific meaning. Males don’t just get UTIs like females do, because the male urethra is significantly longer, providing significantly more protection from bacterial retrogression to the bladder. The long story short is that if you are a male with a UTI you need to go to an actual healthcare facility and see a qualified professional, not an NP/PA at your local CVS.

Source: am a pharmacist

[–] [email protected] 3 points 2 years ago* (last edited 2 years ago) (1 children)

The issue here is the clown medical delivery system that enables these scenarios. At this point, people have better chances of diagnosis and treating themselves than rely on a chain of clowns, if only medical devices and pharmaceuticals were easily available.

[–] [email protected] 3 points 2 years ago

Riiigghhttt! I can understand that that differences in physical biology demand different attention. That's not what I'm complaining about. It's the way it's set up. I was told that at my appointment. Why not just refer me to a specialist? The website could've even just referred me to urgent care. But, no, their goal is to obfuscate and irritate until the patient gives you and pays out-of-pocket.

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[–] [email protected] 2 points 2 years ago (10 children)

That moment when it's better to live in Russia than in US...

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[–] [email protected] 1 points 2 years ago (1 children)

I am sorry this is happening to you. I cannot even phantom why this is the case, anyone could please explain to me why UTIs are not covered for men?

[–] [email protected] 2 points 2 years ago

There is a documented thing insurance companies have started doing where they deny claims until you appeal them. AI was being used somehow to determine which cases.

[–] [email protected] 1 points 2 years ago

Have you try other online services (no insurance need) like GoodRX care? I don’t see you need 16 or older for UTI in their options.

[–] [email protected] 1 points 2 years ago (1 children)

Hypothetically, in an emergency situation, you could get fish antibiotics from your local pet store. Not the best idea but an untreated infection isn't good either.

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[–] [email protected] 1 points 2 years ago

This country is ripe for a revolution.

[–] [email protected] 1 points 2 years ago* (last edited 2 years ago) (2 children)

Since nobody addressed this, if you (anyone reading this) have a bladder infection, go to the women's section of any pharmacy. Usually somewhere near pads/tampons, and find a box of this blessed relief. It has cleared up all but the most stubborn infections I've had.

Azo

[–] [email protected] 2 points 2 years ago

just FYI to anyone reading this, this stuff is indeed magic pain relief, BUT it's not an antibiotic and you still need to see a doctor. UTI's can spread and it doesn't feel very good. I would up in the ER getting IV antibiotics over Thanksgiving one year. it sucked.

[–] [email protected] 1 points 2 years ago

You're a lifesaver!

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