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  • #31
    Originally posted by TigerLily View Post
    Trying to navigate through this ridiculous health insurance maze. Srsly, what would somebody who had cancer, a brain injury, or was older and a bit demented, or just plain not too smart to begin with and paperwork averse do? I've just spent FOUR hours this morning filling out claim forms... which my insurance company will go out of their way to find the smallest reason to deny. JUST REIMBURSE ME ALREADY! I'm exhausted, and my brain is like a marshmallow right now. Who can I marry in Canada and be rid of this joke of a U.S. for-profit insurance system?

    /rant

    thank you
    I process the accounts receivable for my local birth center. Best denial ever, for the fees associated with childbirth: "No medical justification for this procedure". Trying telling THAT to a 9 month-pregnant mom!

    We can clearly see that the insurance companies deny things at certain times, presumably to push payments into the next quarter. And they reimburse random amounts. I think they really do have monkeys at keyboards.

    Oh and best check ever....for 1 cent!!!! That one has been pinned to the wall in the midwives' bathroom.
    Liz.

    Zone diet on and off for several years....worked, but too much focus on exact meal composition
    Primal since July 2010...skinniest I've ever been and the least stressed about food

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    • #32
      Originally posted by lizch View Post
      I process the accounts receivable for my local birth center. Best denial ever, for the fees associated with childbirth: "No medical justification for this procedure". Trying telling THAT to a 9 month-pregnant mom!
      .
      I fought a "standby" fee of +$300 for 18 months when my twins were born. It seems since a pediatrician is required during a C-section, if it's not your pediatrician, a standly fee can be charged. Not for the first baby, but for the second. I still cant believe that man got $300 to wait 2 minutes until Baby B came into the world.

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      • #33
        Root canal TWICE same tooth

        Gripe of the year: So I had a root canal three years ago. Last summer the tooth started hurting, turns out by November, I had an abscess in that supposedly dead tooth. Had second painful root canal on that tooth. Insurance paid $200, and I'm expected to pay $1000. I'm girding my loins this morning to call the endodontist and give them what for. Also going on line and rating this guy and all the other ones, good or bad. Public be warned, is my new motto.
        This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson

        Any given day you are surrounded by 10,000 idiots.
        Lao Tsu, founder of Taoism

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        • #34
          My Gripe today: an Amazon seller who doesn't want to play nice about a defective product. I buy $$$$ on Amazon, and never had a problrm until dealing with this TipTop company. So beware, TipTop is NOT!
          This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson

          Any given day you are surrounded by 10,000 idiots.
          Lao Tsu, founder of Taoism

          Comment


          • #35
            My gripe...because I'm Canadian and an Albertan...is always about the weather. Always.
            Anything is is a half-assed at best.
            Calm the f**k down.

            Comment


            • #36
              Metismomma: Your signature is appropos of watching Precious Puss (an all white neighbor's cat) stalking, then catching, then toying with her afternoon vole snack.
              This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson

              Any given day you are surrounded by 10,000 idiots.
              Lao Tsu, founder of Taoism

              Comment


              • #37
                This thread is such a good idea.

                OK. My gripe of the day is people who don't train their animals to be polite. I have a big gash on my left index finger because my friend's dog (a mini Boston terrier) tried to take my finger off along with the treat I was giving. My dog sits politely and waits to be given something, he doesn't snap for it.

                I know it's not the dog's fault and I suppose it not even my friend's fault. She rescued this poor creature from being a kennel breeder dog who was just forced to have litter after litter of puppies and never got to outside or socialize. That kind of "puppy mill" breeding is repugnant. I guess that is my real gripe of the day.

                My finger hurts and puppy factories are cruel.

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                • #38
                  Originally posted by DaisyEater View Post
                  One of the scary things is that we're not even saving money. The US government already spends more per capita on health care than most other nations that have national health. That is aside from what we are paying as consumers and employers. It's a big giveaway to the insurance companies. They have all the younger people paying into the private system and when we reach our most expensive years, then we become the state's problem. Plus big pharma likes it since they don't have to deal with an 800 lb gorilla negotiating drugs pricing the way they do in other countries. We pay so much more for the same medications than our neighbors to the north and south. I know many people fear the government running health insurance, but I'd frankly rather have my life in their hands than a company with a profit motive and a fiduciary responsibility to their shareholders to provide me with as little care as they can possibly get away with.
                  my fear is that i will be forced to pay other people's health care costs for a bloated and ineffective system. we basically live paycheck to paycheck, so this extra $300 or so per month will be effectively cutting my monthly grocery allotment in half. i'm already paying for a public school system WHICH I DON'T USE because it's inefficient and ineffective, why would i want to pay for a health care system THAT I DON'T USE which has the same problems? as it stands, i'm not required to pay for insurance (and we don't, the monthly premiums are more than we pay IN A YEAR on healthcare).
                  my primal journal:
                  http://www.marksdailyapple.com/forum...Primal-Journal

                  Comment


                  • #39
                    Originally posted by Saoirse View Post
                    , i'm not required to pay for insurance
                    You have 2 years before that one kicks in.

                    Comment


                    • #40
                      oh good, the wee one will be old enough so that i can stick him in daycare in order to pay for someone else's health mistakes (and his daycare costs).
                      my primal journal:
                      http://www.marksdailyapple.com/forum...Primal-Journal

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                      • #41
                        oh good, the wee one will be old enough so that i can stick him in daycare in order to pay for someone else's health problems (and his daycare costs). the older two are "free" as i'm already paying for the public schools.
                        my primal journal:
                        http://www.marksdailyapple.com/forum...Primal-Journal

                        Comment


                        • #42
                          My taxes pay for lots of things I don't use or get direct benefit from, but still ought to be there. My biggest gripe is paying the salaries and lifetime retirement of congressmen/women who don't really do much for the "general welfare" we are told government is all about. Why should I pay for their health insurance when I know a lovely young family who have been bankrupted because of having no insurance when their baby developed a serious illness and the company canceled them immediately. This used to be a compassionate country.
                          This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson

                          Any given day you are surrounded by 10,000 idiots.
                          Lao Tsu, founder of Taoism

                          Comment


                          • #43
                            Originally posted by Saoirse View Post
                            oh good, the wee one will be old enough so that i can stick him in daycare in order to pay for someone else's health mistakes (and his daycare costs).
                            Way to look at the bright side.

                            The health care "overhaul" was such an emergency measure that it took 4 years to impliment....

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                            • #44
                              digby- i agree with you. i'm happy to pay for social welfare IF i have to money for it after paying for the needs of my own family, and IF the money i'm paying is actually having an impact on others. i'm not 100% opposed to the idea of using taxes to benefit people down on their luck. however, i don't think switching the costs of health care to tax payers is going to get to the root of inflated health care costs and ineffective medicine.

                              btw, jspradley, would you please edit your comment which quoted me? i changed "mistake" to "problem" because i recognize that not all health issues are preventable. it's not my intent to upset or offend someone. you quoted me before i had a chance to do my usual "oh shit, i said that?!?" edit. thx.
                              Last edited by Saoirse; 03-05-2011, 02:15 PM.
                              my primal journal:
                              http://www.marksdailyapple.com/forum...Primal-Journal

                              Comment


                              • #45
                                Gripe of the year: So I had a root canal three years ago. Last summer the tooth started hurting, turns out by November, I had an abscess in that supposedly dead tooth. Had second painful root canal on that tooth. Insurance paid $200, and I'm expected to pay $1000. I'm girding my loins this morning to call the endodontist and give them what for. Also going on line and rating this guy and all the other ones, good or bad. Public be warned, is my new motto.
                                SUCCESS! Yesterday I got a letter in response to the one I sent telling him I felt it was an unreasonable burden to have to pay to have two root canals on same tooth, and he dismissed the $1042 bill.
                                This time, like all times, is a very good one, if we but know what to do with it. Ralph Waldo Emerson

                                Any given day you are surrounded by 10,000 idiots.
                                Lao Tsu, founder of Taoism

                                Comment

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