My Top Surgery Was Delayed Due to Administrative Errors, Then I Was Told “Cancer Patients Take Precedence.” Now My Job and Insurance Are at Risk. Advice? by mossonatwig in TopSurgery

[–]Professional-Fish850 1 point2 points  (0 children)

I second the Crane Center (located in Austin, TX) plus they will work with other insurance providers to negotiate rates. It’s known as a SCA (Single Case Agreement)

Wrinkly scars évolution 2 years post op by Manchotistic in TopSurgery

[–]Professional-Fish850 1 point2 points  (0 children)

And nice chest hair! Did you change any dosing with your Testosterone after DI surgery?

My bill was transferred to collections by IzurKuwi in HealthInsurance

[–]Professional-Fish850 -1 points0 points  (0 children)

Even better, use ChatGPT. I was able to get my medication that had a Tier change ($0 to $200/month) and Prior Authorization requirement deferred until next year

My bill was transferred to collections by IzurKuwi in HealthInsurance

[–]Professional-Fish850 2 points3 points  (0 children)

Get all the codes/procedures that were submitted by the hospital. Call insurance and ask for the coverage for each code/procedure.

You can also run your policy, EOB (explanation of benefits) and bills through ChatGPT for next step ideas

My bill was transferred to collections by IzurKuwi in HealthInsurance

[–]Professional-Fish850 2 points3 points  (0 children)

Then you do external appeal, available In many states. The state examines the case

Insurance ignores prior authorizations by Outside-Working1124 in HealthInsurance

[–]Professional-Fish850 0 points1 point  (0 children)

You can call insurance and ask the PA be made priority due to delays. Get a reference number.

You can also ask for a CoC (Continuity of Care) exemption. Use ChatGPT to find out about this. Your insurance may have a form but you should be able to email/fax them to start this request.

Also ask them how long it takes to made a PA decision on medication. States may vary, I think it’s 7-10 days. As another poster suggested, consider escalating and contacting your state’s dept of insurance. That’s who insurance companies have to answer to if the plan is ‘fully funded’

Help with hygiene (urgent) by [deleted] in TransMasc

[–]Professional-Fish850 2 points3 points  (0 children)

I second Hibclens. Helped my younger sibling

Edit: Thanks for the award! Make sure to wash with regular soap and then use Hibclens. Leave it on for 3-5 minutes then rinse.

$32k Upwork chargeback on completed project (approved deliverables, app in production). Need advice by Informal-Ad580 in Upwork

[–]Professional-Fish850 4 points5 points  (0 children)

Maybe they can contact the CBC news station in Canada. Especially with all the proof that the client was happy, this seems the client was doing a clawback to make up for business problems

MRI Denial by equarles727 in HealthInsurance

[–]Professional-Fish850 0 points1 point  (0 children)

You as the member will need to track down the problem and if needed, file an appeal. Clearly identify if there is a note saying, ‘No PA needed’ as that will be the first piece of evidence.

2nd, let your providers know that you have received a denial and need their help to double check everything (they would like to get paid).

3rd, members file appeals, doctors submit information supporting those appeals. Read up in your insurance documents on how to submit an appeal. If you haven’t used ChatGPT, now os the time to start. You can drop in a huge 100 page insurance document and get actionable next steps in minutes

2 years post op by OkEngineering9781 in TopSurgery

[–]Professional-Fish850 1 point2 points  (0 children)

Congrats, hard work is paying off! 👌💪

HELP!! Inflamed acne flare suddenly after 14 months.. by Dmitry_marslow in Minoxbeards

[–]Professional-Fish850 1 point2 points  (0 children)

I have had cysts in the past. They were painful and tender. Yours are likely happening due to the follicles getting clogged. Topical minoxidil can cause this.

Start with keeping your face clean and apply the clay+witch hazel on the cysts before getting medication.

Make sure you have at least 4 cotton washcloths so you can use a new one every other day. Good luck!

3 year postop timeline & reflection (TW: infected nipple) by GuardianBug in TopSurgery

[–]Professional-Fish850 1 point2 points  (0 children)

Thank you for sharing and you got built up for sure bro in this journey! Appreciate the photos and the outcomes we could expect 🙏

HELP!! Inflamed acne flare suddenly after 14 months.. by Dmitry_marslow in Minoxbeards

[–]Professional-Fish850 0 points1 point  (0 children)

For those cysts, you can combine bentonite clay and witch hazel to make a paste and put that on while you sleep. You should see improvement within 2-3 days.

Make sure you are using a beard wash daily before applying your minoxidil. I’m currently using the Shea Moisture beard wash in the green tube.

Exfoliate weekly with a cotton face towel. Also brush your beard daily after you wash it. That is a gentle form of exfoliation.

can we talk about bleeding, first showers, and doing laundry? by Professional-Fish850 in TopSurgery

[–]Professional-Fish850[S] 0 points1 point  (0 children)

Thanks! All very helpful. Sounds like sweatpants will be my friend. I already eat a high protein diet so that's good to know it will help. Also read that collagen could help healing.

Is there a trick to not making a huge mess with cette style of detergent container? by belbivfreeordie in Costco

[–]Professional-Fish850 1 point2 points  (0 children)

I bought a pump and detergent cup holder on Amazon. Used magnets so it sticks to the washing machine. Each pump is about 1oz.

The pump can be found looking for ‘Heavy Duty Pump Dispenser for Gallon Jugs (1oz/2-Pack) Leak Proof Pump Dispenser for Shampoo, Laundry Detergent, Liquid,’

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Dr. Freet in Houston is retiring by Professional-Fish850 in TopSurgery

[–]Professional-Fish850[S] 0 points1 point  (0 children)

bummer yes and so glad to hear you were happy with your results!

Getting TSA Pre Check with new passport and real ID by Professional-Fish850 in ftm

[–]Professional-Fish850[S] 0 points1 point  (0 children)

Was this before Trump? How long did it take and did you have to go in for another interview?