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submitted 2 weeks ago by Posadas@hexbear.net to c/chapotraphouse@hexbear.net

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[-] LaughingLion@hexbear.net 65 points 2 weeks ago

I have DIRECT experience with this.

I had them. They denied my anesthesia completely for my surgery. I broke my leg in five places as well as my thumb and needed a plate in my hand as well as a plate in my lower leg and a rod in my bone. They must have though, "Oh, the patient should be awake and aware throughout this procedure." I fought it for months and gave up. They never covered it. I feel bad for the anesthesiologist. He deserved to get paid for his services. This was over a decade ago so I no longer owe it, never paid.

The insurance suits get what they deserve.

[-] beef_curds@hexbear.net 38 points 2 weeks ago

I had friends who worked for Anthem and apparently, even in support roles that have nothing to do with claims, they have a ranking for every customer that they show employees that says exactly how much bullshit you'll put up with. Like it says "This person will endure" (mark) vs "This person active fights".

The point is, ALWAYS fight your insurance company. ALWAYS keep pushing. Even when you think you're in the wrong, embrace your inner Karen, because they're tracking how much they can fuck with you.

I also had Anthem at one point, and I kept pressing a few times even after second opinion said "no" and eventually had my claim paid. They tried to shake my wife for a year and a half on 20k procedure, just by saying "nobody knows" then not following up, but eventually we pressed until it was covered. Try and waste as much of their time as possible.

None of this is a direct reply to you, I'm sure you pressed, but I'm just sharing under you because this can be the direct-experience thread.

[-] LaughingLion@hexbear.net 11 points 2 weeks ago

i understand i know it isnt directed at me but yeah i pressed for over 6 months while having a wound vac on my leg and relearning to walk but at some point i was just like, eh, whats another unpaid medical bill in america and in my state they cannot garnish wages nor do i have any assets so.... i did my part to bring down the for profit medical system to the tune of about $70k in medical debt that they eventually could not collect on and has fallen out of the statutory time to collect

[-] LeninsBeard@hexbear.net 18 points 2 weeks ago

Sorry for this procedure we will only pay for a metal rod to stick in your mouth like you're in a WWII movie

[-] LaGG_3@hexbear.net 14 points 2 weeks ago

Actually, the metal rod costs more. We'll cover the leather strap for the patient to bite down on - the shot of whiskey is to be covered by the patient

[-] LaughingLion@hexbear.net 12 points 2 weeks ago

for real it all seems so medieval

like they opened my leg and HAMMERED a titanium rod into the marrow. i dont think anyone could be awake for that

[-] LaGG_3@hexbear.net 55 points 2 weeks ago

This won't make surgeons feel rushed and make mistakes. Not at all.

[-] AernaLingus@hexbear.net 17 points 2 weeks ago

With any luck, more patients will die on the operating table and those chumps in malpractice insurance will have to foot the bill! porky-happy

[-] viva_la_juche@hexbear.net 54 points 2 weeks ago

Grim reaper meme moving from Unitedhealthcare to Bcbs

timmy-pray

[-] Nakoichi@hexbear.net 41 points 2 weeks ago

This is some fucking dystopian shit.

[-] queermunist@lemmy.ml 33 points 2 weeks ago

Imagining a pop-up screen for unlockable DLC that shows up in the middle of a triple bypass.

[-] Infamousblt@hexbear.net 24 points 2 weeks ago

what-the-hell

[-] FnordPrefect@hexbear.net 21 points 2 weeks ago

porky-happy "Remember Operation? Everyone loved that game! But it was only fun if you had batteries so there were a chance that the patient would react violently to the smallest error. We figure bringing that dynamic back will both encourage better performance from and be more fun for the surgeons."

[-] DragonBallZinn@hexbear.net 12 points 2 weeks ago

capitalist-laugh : “Finally, a real BUSINESSMAN! What’s the matter weaklings? Can’t stand a decent challenge?”

[-] supafuzz@hexbear.net 19 points 2 weeks ago

that's an awfully roundabout way of saying "do me next!"

[-] ChaosMaterialist@hexbear.net 18 points 2 weeks ago

This update has terrible timing, given recent news.

[-] miz@hexbear.net 17 points 2 weeks ago

https://en.wikipedia.org/wiki/Gail_Koziara_Boudreaux

[-] Parzivus@hexbear.net 12 points 2 weeks ago

[-] DavidGarcia@feddit.nl 10 points 2 weeks ago

I'm gonna guess this is a multi point market failure. the drug companies overcharge for anesthesia (because what are you gonna do, not get anesthesia?), the for profit hospitals probably abuse the hell out the fact that they can charge insurers for an arbitrary length of anesthesia and the insurance companies don't want to pay anyone for anything in the first place

yay profits