• AxExRx@lemmy.world
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    4 days ago

    Last time I had a surgery, I wrote “by participating in this surgery, all participants confirm they are covered under bcbs, and agree to waiver payment if not” right below the surgery site.

    The doctor got a kick out of it, says apparently I ‘got’ one of his aides, who saw it, said his coverage was lapsed, and ask if a patient could do that. The doctor said he made him stand in the corner for 30 mins while they did my shoulder repair.

  • Formfiller@lemmy.world
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    6 days ago

    Maybe we should try voting harder for representatives that are owned by the corrupt insurance companies and their shareholders

  • muusemuuse@sh.itjust.works
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    7 days ago

    So this sucks but you can avoid this with a simple trick. Call your insurance company first with the CPT codes for what you need done and where you plan to get it done. Your doctors office can give you the codes. They aren’t a trade secret or anything. Get diagnoses codes too if you can. Have the insurance company run the codes for you before you go. This does a couple things:

    1. You verify everyone involved is in network (be wary of anesthesiologists)
    2. You are getting a quote on a recorded line. The end price won’t be exact (especially is if the claim involves a hospital, fuck them, go to smaller providers whenever you can)
    3. if you get sticker shock anyway, you can call the insurance company back on that same recorded line and say the word “misquote”. This triggers an investigation that can strengthen your appeal.
    4. You now have evidence you can file internally with a quality of care/quality of service complaint if the provider did something shady with the billing, or with your state’s department of insurance if your insurance company is being bitchy.

    Ideally, we would have single payer insurance, but we instead have a government that pays itself to make private enterprise do its job, then the shareholders in that private enterprise make sure nothing ever gets changed. -sigh-

    In the mean time, if you really want to fuck them over, consider switching to health insurance company that does not have shareholders. In many states, they are legally mandated to refund any profit they make over a certain percentage at the end of the year and without shareholders, it’s harder to hide the money, which puts much more pressure on them to spend it on patient care.

    United Health Care want you to believe their way is the only way to do this. They are wrong. A shareholder-free insurer still isn’t perfect but the pressures are different without the parasites.

      • muusemuuse@sh.itjust.works
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        6 days ago

        There are those of us in n this industry that want that changed but we don’t have as much power as the bigger companies do so the best we can do is play by their rules. :(

  • skozzii@lemmy.ca
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    7 days ago

    Just imagine living in a first world country where they provide free Netflix instead of maintaining an insanely large military.

    • Sundray@lemmus.org
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      7 days ago

      As an American, I’d rather die a preventable death then share free healthcare with someone I don’t think deserves it! /s

    • NoneOfUrBusiness@fedia.io
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      7 days ago

      This point is overdone, but Americans spend more than other developed countries on healthcare, so it’s not even an austerity thing.

          • BaroqueInMind@piefed.social
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            7 days ago

            Appreciate you for the links!

            Whoever down voted me, go back to your echo chamber where you can stay an ignorant dipshit that takes everything you see on the internet as factual.

            Im just asking for citations to encourage spreading good information instead of AI generated hallucination trash and right-wing/cult/heresay nonsense.

            • BeeegScaaawyCripple@lemmy.world
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              7 days ago

              Whoever down voted me, go back to your echo chamber where you can stay an ignorant dipshit that takes everything you see on the internet as factual.

              this isn’t reddit. you can ask for sources politely or you can get downvotes. we like to encourage civility.

            • agamemnonymous@sh.itjust.works
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              7 days ago

              If you don’t wanna be downvoted, maybe don’t be so aggressive when you ask for citations.

              I’m gonna assume you’re another liar spewing bullshit.

              is a bit antagonistic for “just asking”. A little civility will take you a long way.

  • elbiter@lemmy.world
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    7 days ago

    Americans are amazing. Their healthcare system is literally killing them and ruining their families, and they keep talking about how bad “socialism” is…

    The amount of bullshit this people buy is incredible.

    • RememberTheApollo_@lemmy.world
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      7 days ago

      TBF a shitload of us know how socialized health care works. We want it.

      There’s a massive, massive industry that is working very hard to make sure that it doesn’t happen.

      • lonefighter@sh.itjust.works
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        7 days ago

        I work in healthcare. I feel like more and more people are wanting some sort of universal healthcare in the last few years, even if they are conservative, even if they’ll vote against it, and even if the term “universal healthcare” will have them up in arms. But the concept itself? They’re all for it, they complain that healthcare is too expensive and insurance companies aren’t covering things and the system needs to change. They’re getting there. It’s taking them getting fucked over for it to happen and most of us may be dead of completely preventable causes first, but they just might get there.

    • LordCrom@lemmy.world
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      7 days ago

      10 years ago, we almost had medicare for all as a public healthcare option. We were soooo close. But congress fucked it up necause they were lobbied by ins companies who knew everyone with a brain would flock to the public option.

      • Ensign_Crab@lemmy.world
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        4 days ago

        10 years ago, we almost had medicare for all as a public healthcare option.

        The ACA was 15 years ago, and it wasn’t even remotely close to Medicare for all. It was a halfassed Heritage Foundation policy that wouldn’t cover everyone before just enough members of the Democratic caucus killed the public option, which was the intent from the very start.

    • mechoman444@lemmy.world
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      7 days ago

      Christ on a stick. Universal healthcare has nothing to do with socialism. Government programs that serve the public are part of the government’s core purpose in the first place.

      It is remarkable how many people on this platform champion “socialism” when what they actually mean is social democracy. The difference is substantial.

      Socialism does not work. It has never worked. No nation has prospered under socialism, and none will as long as scarcity remains.

      • plyth@feddit.org
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        7 days ago

        Why should only healthcare work if run by government? Government could run all industries.

        • mechoman444@lemmy.world
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          7 days ago

          I can’t tell if you’re being sarcastic or not… If you’re not that’s the most brain dead thing I’ve ever heard in a long time.

          • plyth@feddit.org
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            7 days ago

            Why can’t the government serve the public and provide all needed goods and not just healthcare? Where is the limit that prevents socialism?

            • mechoman444@lemmy.world
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              6 days ago

              Socialism doesn’t preclude the end of Private Business.

              If the government controlled all private businesses where would they get money to operate? How woukd they collect taxes? How do you encourage innovation? philanthropy?

              • plyth@feddit.org
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                6 days ago

                Like in health care, the businesses continue to make money. The government can continue to tax its businesses or use all profits.

                Innovation is usually the argument against government healthcare. If that is not a problem for you, why should there be one in other areas? However, most research is publicly funded anyway.

                Philanthropy would also have to shift to the state. The state funds theaters and museums. It could take care of more causes.

                Where do you see problems?

                • mechoman444@lemmy.world
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                  6 days ago

                  It appears you’re arguing from a fundamental misunderstanding of the system you’re defending. You’re describing expanded government programs inside a market economy. That is not socialism. That is social democracy.

                  Under actual socialism, the state owns the means of production. There is no private sector to tax. There is no flow of revenue from independent businesses because those businesses no longer exist as independent entities. Your points about taxation, profit collection, and philanthropy only make sense inside a mixed economy, precisely the system you claim to be replacing.

                  In other words, you’re defending a model that isn’t the one under discussion. You’re arguing for more public services, not socialism. These are completely different frameworks, and conflating them is why your reasoning keeps circling without connecting.

    • Soup@lemmy.world
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      7 days ago

      Their systems are killing them, their cops are killing them, their guns are killing them, their politicians are on record saying they hate them, their religious leaders are clearly stealing from them while they abuse their children, they hate traffic but refuse to do anything about including keeping cars but using roundabouts, and the propaganda that they claim is corrupting their minds is so pathetic that even a toddler should be able to see past it like it’s made of crystal-clear glass.

      The reason I hate the US is because they have zero excuses and still fuck things up in so many obvious ways while anyone with more than a few braincells screams at them to please just stop chugging rat poison and all they can say is “but it’s different here, we aren’t Europe” as if that’s any kind of excuse.

      • ChunkMcHorkle@lemmy.world
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        7 days ago

        You are consuming far too much of the exact same mainstream media narrative that got us into this mess. All you’re really telling me is that you are from a country Putin is not interested in, or your own friends and neighbors would be going batshit crazy too.

        And before you excuse yourself thinking you’d never personally do that, that you are just way too smart for propaganda to ever be swayed by it, given your own propensity for unambiguously consuming media narratives and attaching your personal emotions to whatever caricatures of reality you’ve been shown, like you’ve just demonstrated in your comment, you’d probably be first in line to fall for the right-wing foreign-funded propaganda we’ve been flooded with for decades now.

        EDITED a comma