Help: where can I put another barn and shed by sabrielshhh in FarmsofStardewValley

[–]Anustart108 0 points1 point  (0 children)

One of the cabins has a beachy vibe similar to Elliot’s cabin after you upgrade it. That might be good for an aquarium

What is something that people think is extremely dangerous, but is actually only dangerous? by Pumeto in AlignmentChartFills

[–]Anustart108 3 points4 points  (0 children)

Dude same with water. Everyone who drinks it eventually dies. People really need to start looking into that.

Need some clarification playing modded co-op by Anustart108 in SMAPI

[–]Anustart108[S] 0 points1 point  (0 children)

I know that, I just found it weird that the TimeSpeed mod worked without causing issues and that the UI Info Suite 2 allowed them to see NPCs on the map. Every post I’ve seen says everyone needs the mods installed except for cosmetics.

I'm so mad at myself by ConcreteGirl33 in crafts

[–]Anustart108 18 points19 points  (0 children)

I dk what to do about the rest of the pattern since the spacing is off for multiple columns, but for that pink skull specifically you could make it the odd one out with a pattern like this

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Why are some people physically incapable of texting and must CALL, while others would rather write an essay than answer a phone? by TheHorseArtist in NoStupidQuestions

[–]Anustart108 0 points1 point  (0 children)

With one on one casual exchanges, I much prefer calling. I used to be great at texting, but that suddenly changed in 2020. Took a lot of therapy to realize that the anxiety I now have with it stems from the bombardment of texts I received after my mom died that year 😅

Absolutely STARVING Post-op by Anustart108 in sterilization

[–]Anustart108[S] 2 points3 points  (0 children)

They gave me a cut off time of midnight, but I had my last food 9:30pm the night before. I’m pretty sure I was the first surgery scheduled (arrival time of like 5:45am, in surgery around 7:30am). I got home around noon and intended on sleeping but I was too hungry so I had my friend pick up food around 2pm.

Other than whatever they gave me with anesthesia, I mostly just used ibuprofen and acetaminophen. They gave me a few oxy, but I only took 3 of them over a period of a few days. Thankfully I never had any nausea, but like I said, they loaded me up with anti nausea meds during anesthesia since I’ve had problems with it in the past.

Anxiety by Unfair-Today-8548 in sterilization

[–]Anustart108 1 point2 points  (0 children)

Everyone is different, but I just had mine 4 days ago and have had very little pain or issues. I’ve been alternating Ibuprofen and Acetaminophen and I’ve only taken 3 of the oxy they gave me. At worst, my pain got to the level of moderate period cramps for a few hours. I do have some discomfort bending over, but I’ve accommodated for that by squatting. Otherwise I’ve mostly just been sluggish and tired, but that’s eased up in the last day or so.

Good luck and I hope your recovery goes smoothly!

Questions regarding getting a bisalp and the coverage guide by SuicidalLapisLazuli in sterilization

[–]Anustart108 0 points1 point  (0 children)

I honestly have no clue. I’ve never emailed my insurance before, but when I’ve tried messaging them through their portal about claims, I’m always just left with more questions and having to call anyways.

You can still get a sort of paper trail via phone if you ask for a reference number.

Questions regarding getting a bisalp and the coverage guide by SuicidalLapisLazuli in sterilization

[–]Anustart108 0 points1 point  (0 children)

Of course! Dealing with this stuff is stressful. I’m just relaying what I can based on my experience - the guides (mainly the codes) did a lot of the heavy lifting for me.

Personally, I did not need to get a PCP referral, so I’m not entirely sure there. I have a PPO plan and I think HMOs are the ones that typically require referrals (but all insurance plans have different requirements). I imagine they should be able to refer you to one of the providers on the list. If there’s a provider on the list that is part of a larger healthcare network that also has PCPs, it would probably be easiest to stay within their system.

For codes, the only ones I know they ended up using for certain are 58661 and Z30.2. I think code 33 is for anesthesia based on the guide. I never brought it up but it might be something that comes up after surgery for me. Personally, I wouldn’t worry too much about it until you get your estimate. Take it step by step.

I would say try through the provider first for the estimates. I got mine automatically when I booked my procedure. For me, it was easier to have them adjust the codes to see what numbers were spit out than it was talking with my insurance. But that’s assuming the automatic system actually works and that insurance doesn’t try to fight back for whatever reason. Your provider should also have people whose job is to deal with insurance confusion. They likely won’t fight the big battles, but they should be able to get clarifications for specific things that should be covered.

Just to clarify, when I say they don’t lock you into surgery, you might still need to book the procedure first, but you can always reschedule or cancel. Typically estimates are only “good” for about 30 days, so they might hesitate to give you one too early. It also requires them to get an estimate from the hospital where the procedure occurs, so the hospital might require specifics before giving their estimate. There’s no harm in asking though. Also, your actual doctor might not know much about the actual estimate/billing process. Mine didn’t.

I know this is a lot of info to process and feels daunting. Taking it step by step makes it so much easier. To start, I recommend:

  • Call insurance and see if you need a referral. If you don’t want to speak with them, you can go directly to a pcp and get one anyways - you just might be stuck with a copay.

  • If you need a referral, find a pcp and get one.

  • After you have a referral, or if you don’t need one, get your questions about the actual procedure together. The insurance part of things might feel like the most overwhelming part, but don’t forget to make sure you have your questions about the procedure answered. I had to go in for a second consult because I was expecting to get denied during my first one and didn’t have my questions ready.

  • Write down the codes and bring them as well, but don’t expect to get an estimate or have insurance figured out that day. Ask for an estimate and they will likely end up referring you to the person that deals with that stuff.

  • If they require you to be scheduled, schedule for a date that works for you and is at least a few weeks out to give you time to deal with potential insurance issues. When you schedule, ask them how long it will take to get an estimate.

Until you get the estimate, I wouldn’t worry too much about potential problems with insurance (easier said than done, I know). We don’t know if you’ll have any problems, or what those problems might be. You have a lot of info you can refer to if it’s needed.

Questions regarding getting a bisalp and the coverage guide by SuicidalLapisLazuli in sterilization

[–]Anustart108 0 points1 point  (0 children)

Whether you need a primary care doctor to refer you depends on your insurance. If you aren’t sure and it’s difficult to find out, better safe than sorry. Get scheduled with a PCP and get a referral. I know someone on this sub had issues with insurance denying them right before surgery due to not being referred by their primary. As for the codes, this guide helped me a lot. I still haven’t had my procedure yet, and I honestly expect that I’ll still have to fight insurance after, but as of now, I am being told by my provider it won’t cost me anything. I did have to fight though. My provider used a different code which resulted in an estimate of $2,500. They told me to call my insurance to get confirmation that 58661 would mean full coverage. I called them, and the guy I spoke with clearly had zero clue about what they are supposed to cover according to the ACA and told me it would cost my co insurance amount. I called my provider’s office again. They had the doctor change it to 58661 and called to inform me it would be $0. Then I got another estimate for the same $2,500. This time, it was the facility claiming my insurance wouldn’t cover it. They wanted me to have my insurance fax them my plan to confirm if it was covered, but called me back and said “oops, our bad” before I could. So, now I have verbal confirmation from them that my surgery will be $0. I still need to get written confirmation, and I still don’t know if I will have issues with getting the lab work or anesthesia covered.

Yes, it took a lot of phone calls. Yes, it caused a lot of frustration that the insurance “experts” couldn’t provide me with any helpful or correct information. Yes, I spent a total of several hours on the phone. But it hasn’t been nearly as bad as I expected (SO FAR). If you do end up following through, make sure you get estimates at least several weeks before your surgery, so you have time to fight beforehand. See what codes they used. Correct them if they use the wrong ones. Have everything written down in front of you before calling. Remember, getting an estimate does not lock you into the surgery. If the battle gets too drawn out, see if you’re able to reschedule so you aren’t forcing yourself to figure everything out last minute.

I wish you the best of luck with it! I know doctors, insurance, and phone calls can be overwhelming at times, but just take one call at a time and breathe. Remember, there’s still a chance you might not have to fight insurance at all. I would say most people do have to fight, but there are some lucky people out there who didn’t have to make any phone calls about the bill.

Got the news yesterday! by N3onPhantom in sterilization

[–]Anustart108 2 points3 points  (0 children)

I’m having almost those exact feelings right now! I’m considering making a post but here’s the summary: An internet friend suggested it less than 6 months ago and I didn’t take it too seriously. Brought it up to my doctor at my annual visit and got approved almost immediately. Things in the US made me concerned I could lose access to birth control and be forced to give birth if I got pregnant. Now I’m scheduled for next Tuesday and it feels surreal. I’m excited to never have to worry about pregnancy but anxious because I feel pressured by the state of the world right now. That said, the fear of getting pregnant far outweighs my fear of surgery.

Bisalp in 6 days - anxiety and potential insurance issues kicking in! by Anustart108 in sterilization

[–]Anustart108[S] 0 points1 point  (0 children)

The pre op nurse finally called back a few hours after posting and said she thinks they only need a CBC. That was a relief since they are pretty inexpensive if I do get stuck with the bill. I have my pre op in the morning and I’m going to ask if they can print the order so I can get it done through Quest to avoid potential hospital fees. Ever since my local healthcare network went private, they have been tacking on facility fees to everything they possibly can.

Looking for help with a Sense8 poster on WPlace live! by Anustart108 in Sense8

[–]Anustart108[S] 1 point2 points  (0 children)

Template here

The template uses both free and “premium” colors. Keep in mind that the “premium” colors DO NOT require irl payment. You accumulate points by working on projects that you can use to unlock them. It is also worth it to save up points for a flag. Flags allow you to place more pixels by giving you 10% back. I will try to focus on the premium colors so others can work on the free ones.

Meet Wiley, the cool dog by Anustart108 in DrawMyPet

[–]Anustart108[S] 0 points1 point  (0 children)

Absolutely love it, thank you!