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  • Showing only topics with the tag "insurance". Back to normal view
    1. Tips on getting an op-ed published?

      My wife and I are having a baby just 1.5 months from now (hooray!). And our insurance provider, Anthem Blue Cross, is cutting coverage to our local hospital network and maternity services in 10...

      My wife and I are having a baby just 1.5 months from now (hooray!). And our insurance provider, Anthem Blue Cross, is cutting coverage to our local hospital network and maternity services in 10 days (boooo!). The entire process of finding out about this (via the news, not our insurance or the hospital) and getting continued coverage has been an absolute nightmare. We jumped the hoops, sent in all the required paperwork, and even got the billing department at the hospital involved. We're still only covered if we happen to be lucky enough that the doctor who is named on the continued coverage agreement happens to be on call at the time of delivery, otherwise it'll be out of pocket to the tune of $10,000 of dollars. At this point it feels like we're betting it all on red.

      The response to the United Healthcare shooting illustrated just how frustrated people of the US are in their healthcare system and I'd like to do my part to continue to keep that topic front of mind in the American psyche. I've written up a little op-ed on our experience and I was wonder if any Tilderinos have managed to get one published before. Any insight would be very welcome.

      25 votes
    2. Do you have American healthcare? Do you pay for a gym membership? Perhaps you can pay less and get more!

      After deciding to get back into the gym after a long hiatus, I was shopping around my area and trying to decide between Crunch or LA Fitness, each for about $40/mo, plus steep initiation fees and...

      After deciding to get back into the gym after a long hiatus, I was shopping around my area and trying to decide between Crunch or LA Fitness, each for about $40/mo, plus steep initiation fees and annual fees. Searching for a way to get a discounted rate, I stumbled across One Pass Select, offered by my health insurer, United Healthcare. While I was fully prepared to dunk on United, because of how often Dr. Glaucomflecken does, this particular member benefit turned out to be pretty great.

      One Pass Select essentially functions as a gym aggregator, offering multiple memberships for one flat rate. So rather than paying Crunch or LA Fitness $40/mo and being subjected to their terms/conditions, I pay One Pass Select $36/mo and get access to:

      • Crunch
      • LA Fitness
      • Anytime Fitness
      • Workout Anytime

      And a handful of other gyms I haven't signed up for, because they're not convenient to me. Four gym memberships for $36/mo is pretty cool. Plus if I ever want to cancel, I just cancel my One Pass Select membership from their website, instead of having to sacrifice a squirrel on the 8th day of the sabbath under a blood moon while chanting gregorian monk (the level of difficulty it felt like the last time I wanted to cancel a gym membership).

      A quick Google indicates that other insurers offer similar programs:

      • UHC has One Pass Select
      • Cigna/BCBS/Kaiser have Active&Fit Direct
      • BCBS also has Fitness Your Way
      • Aetna has GlobalFit

      This was a great find for me, that I'd never even heard of before. Sharing it to hopefully benefit someone else, as well!

      22 votes
    3. Experiences with united healthcare

      I am hopefully starting a new job soon, and their health and vision insurance is UHC. We can also choose a regional plan (UPMC for anyone in the western PA area) through my wife's job. All my...

      I am hopefully starting a new job soon, and their health and vision insurance is UHC. We can also choose a regional plan (UPMC for anyone in the western PA area) through my wife's job.

      All my previous employers have been local, so we've always had UPMC coverage. This is my first time dealing with a national insurance company.

      Likely my new plan will be be less expensive and have lower deductibles than my wife's.

      Pittsburgh is split between UPMC (a hospital system that grew an insurance arm) and AHN (an insurance provider who grew a hospital system). Ironically, UHC may offer me more options since they seem to have most of the UPMC and AHN providers in their network.

      I've checked all my doctors and the major hospitals, and they are all listed as in-network. I'm already getting my maintenance medications through CostPlus, so I'm not that worried about prescriptions.

      My wife and I are in our 40s and relatively healthy, but I know we are reaching the point where (statistically, and looking at friends the same age) we're likely to have some big health events in the next five years.

      Outside the very obvious news story that comes to mind when thinking about UHC, what are your experiences with them? Things to watch out for? Things you wish you knew going in?

      Edit: thanks everyone for your input. This largely confirms my expectations, but I appreciate people taking the time to share.

      33 votes
    4. Idle complaints of indebtedness and isolation

      Comment box Scope: information, explanation of psychological state Tone: neutral, bummed, defeated Opinion: yes Sarcasm/humor: none Hello. I usually talk about trains, except today, I just want to...
      Comment box
      • Scope: information, explanation of psychological state
      • Tone: neutral, bummed, defeated
      • Opinion: yes
      • Sarcasm/humor: none

      Hello. I usually talk about trains, except today, I just want to vent on my finances and my wishes for a less expensive world.

      I have found myself in financial straits,as I had amassed debt last year, lost work for months and amassed more debt. It’s in the low tens of thousands. of course I also lost my healthcare because I live in a rich country run by morally destitute anti-intellectuals.

      On paper, I will pay off the debt in 18-24 months, if god allows. I have work now.

      This city’s transit system has been hobbled in bad faith and will be destroyed come January….Fares have already risen, service cut. My train to work will be cut because the state refuses to provide services for its most productive citizens. It is twice as long by bus, suicide by bicycle on roads built for tanks, so I will have to sacrifice time or life.

      It seems the price of electricity has increased. I would generate my own, but it is impractical.

      Sadly my possessions are breaking too. This is the way of things, it’s just miserable timing, and each discovery of a failing mechanism or dilapidated object piles onto the defeat. The window frame has rotted and the glass fallen -- the house is frozen. Not a single plant survives. (The landlord will fix it, but not hurriedly…..) Bulbs burnt out, rooms dark. My bicycle needs new brakes, a new chain, my helmet has been destroyed and should be replaced, but for now I have been riding without. The computer has broken after 14 years, admittedly about time…. An expensive thing to replace, so now I only have my phone, whose battery has degraded quite a lot and will not be usable for too much longer, and a small laptop on death’s door too. I had worn my single pair of walking shoes for 5 years until, yesterday, the sole fell off. (Thankfully, I have one more, but it is formal and uncomfortable) A new pair is more costly than I remember… I know a cheap one will disintegrate in a season and do nothing for the snow, and a quality one is beyond financial prudence. My jacket is worn and torn by years and embers, beyond my ability to sew, and I must darn and darn and darn all the socks and gloves with holes, which I hate to do, and i am not good at. The denim jeans are ripped, in a place difficult to patch, and the pockets torn. I cannot bear the cold the same anymore, so I also need an overcoat, which I cannot afford. The fitted sheets are inexplicably torn by some punitive act of god, probably irreparably. The pillows are compressed, worthless, and causing me pain. Even the tent, which I might use to regain some sanity in the woods, has had its elastic poles dried solid and is basically unusable. At least I have a few books.

      My lifestyle is structurally cheap. Affordable city, relatively low rent, multiple housemates, no car, only occasional commute, no dog, no wife, no children. Not too much to pay for. I eat simply. I am content with it.

      Yet somehow I find myself with hundreds of dollars of credit card purchases this month, more than an entire paycheck, and last was also more. Qualifying for a healthcare plan has reduced my medical costs, but the difference is withheld, and I’m realizing that often it costs more than it would cost out of pocket, so at best it makes no difference. The dental and vision are exorbitant, so I just hope I don’t get a cavity.

      I suspect I need glasses, or will soon. I can tell my eyesight is beginning to worsen. But it’ll have to wait a couple years.

      The fear of a worse medical emergency persists. The deductible is rather high for a plan that offers no HSA and the co-pay is unremarkable, the coverage limited. Perhaps the least useful healthcare plan I’ve ever had.

      I do not gamble. I like to drink beer but have abstained recently. My hobbies are inspecting train and street infrastructure, studying the Holy Bible, moralizing on the internet and persuading the government to institute a better society. I lapse sometimes and make impulsive purchases, but not frequently. I have not even gone to see a game in two years.

      It’s a great pain to review your statements and recognize that almost none of the purchases were wasteful, only a few technically unnecessary. There were just too many overall.

      What upsets me most is the social distance I have gained from my condition of functional poverty. the agony of refusing visits, trips, games, concerts, shows, dinners, coffees, drinks grinds on me daily. Yes it is still nice to say hello, it is just not the same. The pity, or disgust, the symbolic offers of charity received. Mostly the confusion—the awkwardness, the unsolicited advice (which I don’t normally mind, but it gets old). I prefer to socialize with bourgeois progressives, academics and professionals who care about engineering and mathematics and government policy and theory. It’s what I care about. I do not really resent them, but everything they do costs more money than I possess, so it is difficult to see friends and I cannot hope to keep up with colleagues after work.

      I don’t object to work but I resent the fact that I must pay for my own healthcare. I also resent that my government neglects my transportation and my safety. I resent the pollution of the air, the NIMBYism driving up rents and leaving the addicted even more hopeless. I acknowledge the mistakes I’ve made that have led me here. I can’t undo the past, but Congress could socialize all medicine in the next budget if it wanted to…. repeatedly chooses not to.

      That’s all. I just wanted to complain. You can give me advice if you want. I’m relatively financially literate, just poor and human.

      51 votes
    5. Rental company charged me for clogged toilet repair -> replacement

      So a my building charged me for a clogged toilet repair that turned into a total replacement. Its listed as a plumbing damage charge, I don't believe they have a basis to charge for that. What...

      So a my building charged me for a clogged toilet repair that turned into a total replacement.

      Its listed as a plumbing damage charge, I don't believe they have a basis to charge for that. What should I do?

      Also my insurance company interestingly didnt renew my tenant insurance policy ive had fot years with no change.

      Should I ask them to provide the documented charge and consider filing a claim with my insurance seeing as they're dropping me anyway? Should I ensure I have a new policy before I file that claim

      Not proud but proudly not ashamed

      11 votes
    6. Is it possible to get short term health insurance in California?

      I was recently removed from medi-cal due to “potential fraud”. Long story short, I didn’t commit fraud. I have had zero income in over a year, have something like $1500 total, and receive no other...

      I was recently removed from medi-cal due to “potential fraud”. Long story short, I didn’t commit fraud. I have had zero income in over a year, have something like $1500 total, and receive no other benefits.

      However, I’m currently dealing with bureaucratic confusion as the trail of who is responsible has dead ended and no one seems to be clear on what happened or why.

      The medi-cal coordinator at the county social services office thinks it’s best if I just reapply but while I wait for my new application to be processed I am uninsured. Of course, if it goes through then I should have coverage dating back to the 1st of April.

      Yet, given that there’s no good reason for it to have been canceled in the first place I’m wary of placing all my eggs in that basket. And would prefer to have some sort of catastrophe insurance if at all possible.

      Is this even possible in California? It seems like short term health insurance might be banned here? Any ideas would be welcome. The whole situation is frustrating to say the least.

      18 votes
    7. When is pet insurance worth it?

      My fiancee and I are considering adopting a dog, most likely in the age range of 6 months to 2 years. I've read before that pet insurance is only worth it if you get the dog as a puppy, but I'm...

      My fiancee and I are considering adopting a dog, most likely in the age range of 6 months to 2 years. I've read before that pet insurance is only worth it if you get the dog as a puppy, but I'm wondering what real people think, particularly for a dog that's 2-3 years old. Does anyone else have a pet insurance policy? Who is it with? How's it working out for you? Would you do it again?

      27 votes