(Closed) Health Insurance Rant

posted 6 years ago in Wellness
Post # 3
4693 posts
Honey bee
  • Wedding: October 2013

I’m sorry, it sounds like your insurance is just like mine.  It sucks.  🙁

Post # 4
390 posts
Helper bee
  • Wedding: September 2012

Awww HUG!  I’m frustrated with insurance too!  My parents were teachers so they always have had great insurance and now that I’m on my own my insurance really stinks!  I work for a good company but in comparison to what they have nothing compares.  Also, my poor Fiance due to being laid off 1.5 years ago has had to pay all his own health bills.  He’s been working since then but because he’s a contracted worker he doesn’t get benefits and because we’re not married yet he can’t be on my insurance.  SIGH.  He has more medical issues than me too so out of the 2 of us it’s probably better for me not to have insurance then him.

Post # 5
5475 posts
Bee Keeper
  • Wedding: August 2012

Ask your doctor if he can either change the diagnostic code or add a second one.  The worst thing he could say is ‘no’…

Post # 6
868 posts
Busy bee
  • Wedding: November 2011

I don’t have anything helpful to add other than I’ve lived in Canada and in comparison, the American health care system is UNBELIEVABLE.  I cannot believe the way things work here!  Canada also has a similar system to many parts of Europe and even MEXICOs system seems to work better and be more affordable!  

I was so shocked coming to a place that thinks it can justify tens of thousands of dollars if you break your damn arm!

Sorry, I think I just added to your rant but I would appeal!

Post # 6
9029 posts
Buzzing Beekeeper
  • Wedding: June 2011

Wow that sucks, for the future are you able to change your insurance premium so that you pay a little more towards it each month and that way they will cover more procedures for you.

Post # 7
3773 posts
Honey bee
  • Wedding: December 1999

As a previous poster said, definately call and talk with one of the staff in the doctor’s office directly. The billing department can’t change a billing code, but the staff can contact your insurance help you work it out. I had to do this all the time when I worked in a clinic.

Post # 8
7431 posts
Busy Beekeeper
  • Wedding: October 2009

I would definitely start with the doctors office, and if they won’t change the code, tell them you need ALL your records  dating back to the diagnosis for that procedure, so you can appeal the insurance denial. It will suck if you have to do that, but hopefully having to copy all those pages will get their asses in gear!

Post # 9
3692 posts
Sugar bee
  • Wedding: December 2011

Most health policies also will not cover pre-existing conditions for the first year of coverage.  That could be part of your problem.

Post # 10
18643 posts
Honey Beekeeper
  • Wedding: June 2009

I agree to start with the doctor.  Hopefully they can find a different way to have it billed so that it is covered by this insurance.  I had Lupron shots for 6 months and I got a 3 month shot one time and they insurance denied it because they called it experimental but the 1 month shot was covered by the insurance.

Post # 11
76 posts
Worker bee
  • Wedding: October 2011

What kind of procedure was it?

I make sure not to have anything done without asking if it’s covered first. Especially when I’m at the dentist office. Want to give me flouride? Is it covered? lol

Post # 14
13014 posts
Honey Beekeeper
  • Wedding: November 1999

Definitely check with the doctors.  They can also appeal on your behalf and tell the insurance company that the procedure is medically necessary.  Next time, make sure you double and triple check that everything is covered before doing anything!

The topic ‘Health Insurance Rant’ is closed to new replies.

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