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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[–] UnstuckinTime@lemmy.world 4 points 1 year ago

This country is f****** crazy. I remember like 8 years ago I was trying to get into rehab to kick opiates which I eventually did in 2015. When I got into a free bed for a detox, they wouldn't let me in because it said my insurance wasn't accepted. The irony was I didn't have insurance anymore, they still had me listed as being insured with some s***** Blue Cross program at my old job.

I actually had to get proof that I wasn't insured so the state would cover my bed.

Any other OECD Nation pretty much and you get treated like anyone else. And the sick part is both political parties are okay with this, and militantly fight any serious ever for a public health care system with one single risk pool where everybody is automatically opted in.

[–] Rhabuko@feddit.de 3 points 1 year ago (1 children)

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

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[–] CynAq@kbin.social 3 points 1 year ago (1 children)

The extreme profit oriented business culture of the US combined with the human nature of bandwagons make these sort of disgusting practices possible.

Corporations are justified, by default, in anything they can do to increase profit, and will do so until there's enough public backlash to negate the amount of profit that practice makes.

The public backlash is tied to the social momentum the idea has. Because profitability is the default idea to be promoted, you can't say something like "don't do this obviously profitable thing because it's bad for people" unless there's enough people around you who'll get on the bandwagon. If suddenly some influential person or a critical number of schmucks say the opposite, then everyone is defending the corporation's, not only the right, but the duty to be profitable.

It's an unpleasant way to live, really, but people are creatures of habit and won't easily go against the culture they grow up in.

[–] Kaiser@lemmy.world 2 points 1 year ago

Unfortunately, insurance is insulated from public backlash because it’s not something that is easy to shop around for. Many people get insurance though work and have limited options to start with and a specific time window for make plan changes. When all options equally suck there isn’t an affordable place to switch your business too.

This sort of change would need to be legislated, but public opinion has very little impact on public policy.

Healthcare is broken in the US and no one with any real power to make change will do anything about it because it’s far too profitable the way it is now.

[–] emc@kbin.social 3 points 1 year ago (6 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

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[–] Uriel238@lemmy.fmhy.ml 3 points 1 year ago (9 children)

I can't help but wonder what happens to girls 15 and under when they get UTIs. Insurance company says sucks to be a girl?

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[–] markon@lemmy.world 3 points 1 year 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.

[–] citsuah@lemmygrad.ml 3 points 1 year ago (1 children)

do get it treated OP, however one does that in that joke of a country you're unfortunate enough to live in. Do know that unlike female UTIs which are relatively common and often uncomplicated if treated, male UTIs are not common and CAN herald some other underlying pathologies (such as urinary stones, blockages, anatomical problems etc) which should be properly investigated. So do go see a doctor if you're able to.

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[–] goldenbug@kbin.social 2 points 1 year 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?

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[–] bumbly@readit.buzz 2 points 1 year ago

This is why mens' rights activists exist. Unfortunately, just like the feminist movement, they were invaded by psychopaths.

[–] curiosityLynx@kbin.social 2 points 1 year ago

Mildly infuriating?

[–] cedarmesa@lemmy.world 2 points 1 year ago* (last edited 1 year ago)
[–] LostCause@kbin.social 2 points 1 year ago

So wtf, they want you to let it get worse until that infection spreads to kidneys or something and then pay 100x the amount to an emergency room? How does that make sense for their profits anyway?

Treatment is just a test to confirm and some antibiotics I think. Hope you can find some other way to get treated.

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