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athena

(4,187 posts)
18. I have excellent insurance, and it sucks.
Sat Sep 14, 2019, 05:35 PM
Sep 2019

Every time I have to see a doctor, I have to pay a $30 or $60 co-pay, depending on whether the doctor is a specialist.

Four years ago, I had to have a minor surgery, and while I was recovering from it, I received a letter in the mail telling me that my surgery wouldn't be covered because it should have been out-patient surgery, and I had stayed at the hospital overnight. (I have no idea how I could possibly have gone home the same day; getting up out of that hospital bed on the second day was the most physically painful experience I've ever had.) I was completely stressed out for days, not knowing how much I would have to pay out of pocket. When I called my doctor's office, they were completely unhelpful. After lots of phone calls and e-mails, I was finally able to figure out that my doctor's office had filed the claim incorrectly. (I believe they did this on purpose because they charge a patient three times more if insurance doesn't cover a procedure. Insurance companies will refuse to pay more than a certain amount for a procedure, but an individual is in no position to argue about what any given procedure should cost.) In the end, after lots of phone calls and e-mails, my doctor's office filed the correct paperwork, and I only ( ) had to pay $500 out of pocket for the surgery (not including additional amounts for the anesthesia, etc.). But I'm certain that my recovery was slowed down because of the extreme stress I suffered.

Anyone who likes their insurance company has not (yet) been in a situation where their insurance company will try to screw them over. The insurance companies hold all the cards. They're able to refuse to cover a procedure for extremely arcane reasons. Medicare for all, on the other hand would ultimately be controlled by the power of the vote. I will never understand what makes Americans so comfortable handing over all the power to a private company and so uncomfortable handing over much less power to the government.

If I were to vote in a presidential
primary today, I would vote for:
Undecided
You may want to check out executive compensation for your non-profit company. Sneederbunk Sep 2019 #1
I don't care. They work for the members question everything Sep 2019 #3
A perfectly stated RightWing talking point. OneBro Sep 2019 #27
So what, if they are doing a good job? Fact is that if you made their compensation $0, I bet Hoyt Sep 2019 #4
Isn't that the truth...................... turbinetree Sep 2019 #8
I've had a way better experience on Medicare. Turin_C3PO Sep 2019 #2
Medicare--Pre-conditions never a problem, unlimited coverage, all prescriptions allowed at140 Sep 2019 #54
That's a Lovely Anecdote, But Insurers Are Bilking The Country DrFunkenstein Sep 2019 #5
Yes, publicly traded. This is why we chose the ones that are not. question everything Sep 2019 #7
Huh? Their profit is coming out of your pocket! at140 Sep 2019 #55
Of course! I do expect anyone providing a product or service to profit question everything Sep 2019 #57
Thank you! jcgoldie Sep 2019 #9
Under single payer, you will not be covered for every procedure, test, or treatment. These will emmaverybo Sep 2019 #26
So to follow up on your analysis, we need to start talking about whose wealth is being undertaxed CTyankee Sep 2019 #43
Well for one, we need to roll back the tax giveaways. Biden has promised to do so as a first bit of emmaverybo Sep 2019 #44
I live in Europe Kentonio Sep 2019 #50
A few years ago, hip replacement surgery was re-categorized as elective. These are emmaverybo Sep 2019 #56
The insurance my wife and I currently have sucks. Garrett78 Sep 2019 #6
I have excellent insurance, and it sucks. athena Sep 2019 #18
Shouldn't you change doctors? Blue_true Sep 2019 #23
I did. I never went back to that doctor again. (n/t) athena Sep 2019 #45
Because many Americans are terrified of having no health DeminPennswoods Sep 2019 #24
There should be charts like Ross Perot had charts. n/t Beartracks Sep 2019 #29
"Anyone who likes their insurance company.... handmade34 Sep 2019 #32
Thank you for your sensible post! Thekaspervote Sep 2019 #10
"And both are locally located" wellst0nev0ter Sep 2019 #11
No "we" don't! ananda Sep 2019 #12
The kids in the gig economy, those who take 6 months contracts, who change major jobs every 2 years, crazytown Sep 2019 #13
There are two sides to the MFA debate; those of us who have been... DCofVA Sep 2019 #14
Well, I had a great experience with "Obamacare" OKNancy Sep 2019 #15
Mahalo for sharing your story, Nancy.. Cha Sep 2019 #25
I'm sorry your husband died but that doesn't sound like such a great deal to me. Hassin Bin Sober Sep 2019 #38
My state didn't do the Medicaid expansion OKNancy Sep 2019 #39
That's the problem with those high deductible plans. People choose them when they think... Hassin Bin Sober Sep 2019 #40
LOL our income OKNancy Sep 2019 #41
Medicare for all peasant one Sep 2019 #16
thank you for saying that handmade34 Sep 2019 #33
Sorry you have had such a difficult time. I'm not that familiar with "cost" plans but what I can Nanjeanne Sep 2019 #17
That is part of the problem, all the paperwork Bev54 Sep 2019 #19
Exactly. athena Sep 2019 #20
Yes Bev54 Sep 2019 #21
It's true some people have good insurance, but for the greater good... Joe941 Sep 2019 #22
There Is A Reason Other Countries That Are Not Owned Outright By Corporations SeaTownBlue Sep 2019 #28
But in many countries private insurance does exist question everything Sep 2019 #46
no one loves their private insurance. no one. Consumers are conditioned to say things like this Kurt V. Sep 2019 #30
Yup Bradical79 Sep 2019 #58
Having a situation where insurance is tied to job rownesheck Sep 2019 #31
I'd like to retire in a few years, JenniferJuniper Sep 2019 #36
And this was supposed to have been resolved with the ACA question everything Sep 2019 #47
Personally, I'd like to see a full on education+Jobs+healthcare reform. Amimnoch Sep 2019 #34
People who think their private insurance is great JenniferJuniper Sep 2019 #35
Warren and Sanders say Americans don't like their health insurance. Polls don't back that up Gothmog Sep 2019 #37
I can see the chants at next year's DNC TSIAS Sep 2019 #42
Listen, you're going to get with the program and celebrate Medicare for All and like it! elocs Sep 2019 #48
You seem to have that backwards Bradical79 Sep 2019 #59
Choice sucks, doesn't it. elocs Sep 2019 #60
This message was self-deleted by its author dflprincess Sep 2019 #49
It is not about today, it is about tomorrow trixie2 Sep 2019 #51
This is a Great Discussion ! ritapria Sep 2019 #52
Sorry this is not where we are headed. Joe941 Sep 2019 #53
There are 327 million people in this country. Act_of_Reparation Sep 2019 #61
Ham and cheese? question everything Sep 2019 #62
Peppermill turkey and vermont cheddar, actually. Act_of_Reparation Sep 2019 #63
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