Backstory: I have hemochromatosis. My body doesn’t eliminate iron like most people’s. As a result I am at risk of getting iron deposition in my organs; most commonly the liver and kidneys are affected.
The simple treatment for hemochromatosis is therapeutic phlebotomy; bloodletting. When my ferretin (iron) count in my blood gets high I have to donate blood to get it lower. This wouldn’t be an issue except I need to do so weekly/bi-weekly and not the requisite waiting period blood donor centers require.
Because of this I have to get ‘therapeutic phlebotomies’ ordered by my hepatologist.I could not afford to pay my entire balance with the healthcare provider my doctor’s office is part of. Their system would not allow me to make a partial payment and would not allow me to check in for my appointment unless I paid the amount in full ($450+). Because of this I could not attend my doctor’s visit and because we did not have a visit they cannot prescribe the routine maintenance my condition requires.
TLDR: I have a genetic condition with one of the easiest treatment plans which is giving my blood away, something that saves lives, but I cannot receive treatment because I cannot pay my full balance with the healthcare provider.
I filled out a form wrong and didn’t have healthcare this entire year. I tried to fix it and my company told me sorry, the period for enrollment is over, wait until the end of the year to enroll for next year. Found out when I went to buy a prescription and they started asking me a bunch of question and then charged me 150% of the normal cost. Good thing I stayed (relatively) healthy this year!
I’m rawdogging life with pretty bad ADHD, depression, anxiety and probably autism because I have always been poor lol
I’m intersex and have both male and female anatomy. US healthcare “insurance” isn’t coded for people like me. It assumes a sex binary when the facts of reality show otherwise.
Back at my old job, I had full premium health insurance. However, they kept denying each and every claim, denying literally everything. They unofficially recognized my intersex condition and used it against me.
Whenever I filed a claim as female, they’d deny it and claim I was male and thus the claim was incorrectly filled out. When I filed as male, they’d pull the exact same stunt now claiming I’m female and thus the claim was incorrectly filled out. Whatever the claim, large or small, it was always the wrong sex on the paperwork.
It was a "heads I win, tails you lose" situation. I have a better job with the government and with a different insurance company, but they too are starting to pull the same stunt. I hate this country for allowing such corruption to thrive.
Dad was prescribed a medication that fixed his health issue. Changed jobs and insurance. New insurance says that medication isn’t for that issue and that he needed to take a different medication that his doctor had previously tried and didn’t work very well along with nasty side effects instead. They argued about it. Now he’s stuck with the worse medication.
My husband was diagnosed with ulcerative colitis in his early 40s. There was a medication that kept his symptoms more or less in control.
Then he lost his job. The meds ran out and it turns out they cost thousands of dollars without his work insurance plan. This was just before Obamacare, and there was no way we could afford unsubsidized insurance for him on my salary.
His colitis got exponentially worse, and was treated only spotadically when I could scrape together a few hundred dollars for the doctor visit, where he might be able to get enough free samples of the med or a round of steroids to reduce the gut inflammation.
One night as we were lying in bed winding down to sleep, I heard him drop his magazine on the floor and start what I now know was agonal breathing. I called 911 and did my best with CPR, but his heart had stopped and in all likelihood he was dead before the paramedics arrived. He was 53 years old.
I found out from his death certificate that he had severe ischemic heart disease. It was undiagnosed because he hadn’t had regular medical care for years because of the vicious circle of unmedicated symptoms/inability to work/no insurance.
That’s my horror story. There’s also my 4+year quest to be diagnosed with MS, being told by multiple doctors that if I lost weight I wouldn’t be so fatigued I could barely move, or have vertigo, or fall down for no reason, or whatever symptom I had at the time. But hey, at least that story eventually ended with diagnosis and treatment… as long as I have my job and insurance, anyway.
Went to a clinic to get birth control, had to convince them I wasn’t interested in using it to control whether or not I gave birth, when I finally got a prescription it turned out it would cost over $100 for the medication.
I work in healthcare, and the response from the workers in my hospital to the UHC CEO assassination has been… pretty much the same as the response here on Lemmy!
Couple morale-high-horse folks pearl clutching about no one deserves to die or some shit; but 99% of us are on team Luigi.
We fucking hate parts of this industry, with a strong emphasis on insurance bullshit.
My two cents from the inside.
First one:
About ten years ago my husband got a job and our health insurance changed providers (very common here). My second child needed a refill on his control inhaler for asthma. He’d been on the same one since he was initially diagnosed at 2 years old. Insurance denied covering that brand (which was older and therefore cheaper) until he tried expensive brand. Expensive brand was $80 out of pocket, and I am still livid that they fucked around with his health like that. The only way they’d consider covering the original one was if we tried expensive brand and it didn’t work. For a six year old. With asthma. Thankfully, it did work but it still pisses me off.
Second one:
Shit happened and my kids and I ended up on state Medicaid for almost a year. My state privatized it and they declined to cover every. single. visit. and now, years later, I’m still fighting for them to retroactively cover visits so I’m not on the hook for thousands of dollars.
I went to the ER once because my heart was acting weird. Turns out it was a benign issue, but they kept me over night to be safe. $10k copay. Insurance covered almost nothing. I paid $10 a month for 5 years and eventually they called me and said they would take $2000 if I paid it all right then.
Nothing totally outrageous as I’ve been pretty lucky to not need to request for a denial for anything major, but I had an issue with pain in a toe and went to a podiatrist who said they’d need an MRI to tell what was going on. UHC denied it and said that I should just do an ultrasound, which the podiatrist said would just be a waste of money as they wouldn’t be able to see anything there, but I wasted my money anyway and naturally he wasn’t able to see anything…
The pain eventually went away for a bit, but now it’s just an occasional reoccurring thing that I just deal with as opposed to wasting more money on copays for nothing.
A friend of mine was feeling ill, but didn’t go to the hospital because he couldn’t afford it. Once the leukemia started advancing though he only lasted a week.
Once upon a time there was a man who was very, very, very, very, very glad he never had to deal with the American healthcare system. He lived happily ever after.
Where’s the one guy who had “good” insurance but still almost died because his employer was being bought out when he got sick
European visiting the US, so it’s going to be pretty mild.
This was early January, 2021, so I needed a negative covid test before I could start the one month of work I had planned (my reason for being there).
Me: “Noted. I see there’s a clinic across the street from my hotel, I can have it done tomorrow morning.”
Shoreside rep: "Sorry, can’t do that here. It has to be this specific clinic with which we have an agreement.
Me: “How about my travel insurance, won’t they cover it anywhere?”
Rep: “We don’t know that until billing, and then you’d have to expense the copay, which management doesn’t like”That’s when I learned wtf “copay” is. I had loads to do the day after, but I spent most of the day in a car, back and forth, so that I could visit this one specific clinic for a test that took five minutes.
And if Houston city planners weren’t bribed by Big Concrete and Big Car Dealership, I’m sure the ride would have been significantly shorter as well. As a sidenote, I find it pervertedly fascinating that Houston is a city that somehow manages to be located surprisingly far from Houston itself.
Ah. COVID.
When the vaccine came out it was allocated in stages. Healthcare providers and the elderly were prioritized. As they should be. When it was finally available to the general public, the state released a website that helped you find the nearest pharmacy with doses. And it was guaranteed to be free.
I found one local pharmacy in a nearby village and we got our dose. They didn’t ask for a copay, but did write down our insurance info. Two weeks later, we got a bill from United Health because we unknowingly used an out of network pharmacy for our ‘free’ shots.
Minor thing, but it’s just an example of our garbage. I’ve never had a good experience with healthcare in the US. OK - scratch that. The time I needed stitches for a bad cut, the receptionist who was billing me whispered that “If you’re any kind of ‘medical professional,’ you can remove them yourself and avoid another visit.” Shit - I own stuff for sewing. That was good, although slightly painful advice.
Canada was wild, though. I visited a walk-in clinic for an abscess on my leg. No bill. I also visited the ER with chest pain. In both cases I felt like a criminal for leaving without giving them my credit card info.
Staged rollout here as well (I think that was pretty universal). Due to traveling a lot, I asked the people at my local Village clinic (yeah, I live in the middle of nowhere), if it was possible for them to make a note that if they happened to have any leftovers doses in the group before me (such as if someone didn’t want theirs for whatever reason), if I could have it.
I made it clear that I didn’t want to jump the queue ahead of anyone before me, as I’m reasonably healthy, but I could really use being at least first in my group.
And I’m glad I did, because they obliged, and a month later I found myself back in the US, and this time I caught covid. I’m sure the vaccines was what caused it to be extremely mild, bordering asymptomatic.
Come to think of it, I’ve caught covid twice, both times in the US.