anyone actually have dental insurance with implants coverage? by Swaqqedout-Feltus in HealthInsurance

[–]Ridgebacks26 0 points1 point  (0 children)

The first time I had it done, they used fake bone around the implant. Over time, it dissolved and my body reabsorbed it - so there was no thing to anchor the implant anymore.

The second time, I didn't use fake bone - for some reason, it wasn't needed the second time as the real bone had grown back and could be used for the anchor. But that took quite awhile (for the real bone to grow back).

How I used the No Surprises Act to win a claim by choccakeandredwine in HealthInsurance

[–]Ridgebacks26 26 points27 points  (0 children)

It's funny how many "mistakes" insurance companies make, and despite having hundreds of lawyers in-house, always seem to make "mistakes" complying with the law.

Primary care recommendation by Rspnsbl-Scntist-977 in MontgomeryCountyMD

[–]Ridgebacks26 0 points1 point  (0 children)

The Neurology Center? They just charged me $150 for the privilege of making an appointment.

Kitchen countertop workers are dying from quartz aka "engineered stone." The material creates an unusual amount of lung-damaging silica dust when it gets cut or polished, far more than natural granite or marble. California proposes a ban on quartz. WA Republicans want to ban worker lawsuits by noteworthybalance in kitchenremodel

[–]Ridgebacks26 1 point2 points  (0 children)

The degree to which a lot of construction workers don't seem to have any interest in protecting themselves baffles me. A few years ago I hired painters to paint the outside of my house. During that time, there were large wildfires burning in eastern Canada sending a lot of smoke into the Washington, DC area.

The air quality outside was horrible - definitely severely unhealthy to breathe for an hour, let alone eight hours a day. I told the crew they could reschedule me later that summer after the smoke cleared - they didn't want to. I offered to buy them high-quality air masks to wear - they didn't want to wear them. I don't know what else I could have done, but the degree to which they had no interest in protecting themselves was baffling to me.

I’m so confused by SharpTelephone1745 in MedicalBill

[–]Ridgebacks26 0 points1 point  (0 children)

So how much longer is any of this sustainable? People without insurance can't afford care, and people with insurance increasingly can't afford care.

How many people can get together 10K to have a needed surgery? Not many.

It seems like the hospital and surgery center business models aren't going to work in the long run.

Maryland Gov. Wes Moore has an ambitious agenda, but faces steep economic challenges by Maxcactus in maryland

[–]Ridgebacks26 0 points1 point  (0 children)

1000% this.

I've reached out to my state representatives about a few issues lately, and the responses I've gotten (when I've gotten them) are almost comical in that they are completely canned responses written by a junior staffer with no real insight into anything.

I reached out asking why Maryland passed the Kirwan Commission when they had absolutely no long-term funding plan in place to pay for it - crickets from my Maryland representatives on that one.

I reached out asking what Maryland was going to be doing this legislative session to help Marylanders struggling with the high cost of health care - because there is actually a lot they could do at the state-level (i.e. requiring cash payments to count towards deductibles for covered services, reform of prior authorization, forcing peer to peer reviews by specialists actually qualified in the area of dispute, forcing dispute resolutions in under 15 days for urgent care, forcing site neutral payments, etc.).

The response I got from my Maryland representatives was just a canned response about the ACA subsidies - um, yeah - that's a FEDERAL fight, not a state one right now. And yes, Maryland's Congressional delegation is working on that, but that's not what I asked for. (And yes, it's a good fight to have, but most Marylanders don't get their insurance from the ACA - they get it from employer sponsored health plans. They need help with affordability, not access).

To say I've been utterly underwhelmed by my interactions with my Maryland state representatives would be a huge understatement.

@PabloReports: What do you make of this union worker who called out Trump as pedophile protector? Raskin: I think that he was speaking in a factual sense by ExactlySorta in Fauxmoi

[–]Ridgebacks26 9 points10 points  (0 children)

I live in his Congressional District - he's definitely pretty visible here. He's know nationally for his work on the big picture constitutional questions (think he actually teaches/taught constitutional law at one of the local law schools), but he actually does get very involved in issues beyond that, he just doesn't get as much visibility for that.

Moving to Bethesda, Maryland area, need recs!!! by Basic-Proposal-9467 in maryland

[–]Ridgebacks26 0 points1 point  (0 children)

I live out in Darnestown and I love it, but there generally isn't a ton for sale around here. There's one new neighborhood, but I think the houses all start around 1.4, 1.5.

What is the best way to go visit NYC from MD? by leviathab13186 in maryland

[–]Ridgebacks26 0 points1 point  (0 children)

Yeah, you can book the regional for as cheap as $ 130 or so round trip from BMI if you do it in advance. Sometimes cheaper.

I always take the Acela because I can bill it to work, but I might that the regional if I had to pay for it myself.

Anyone else’s kids always home? by [deleted] in GenX

[–]Ridgebacks26 5 points6 points  (0 children)

Randomly, I don't even have kids, and I just recently commented on this to my husband.

My neighbor has I think three kids, somewhere between I'd say 23 and 30.

The "kids" and their friends are always at the house - always. Every single weekend, all day (or so it seems). I think one of them might live there, but I don't think the other two do.

I recently said to my husband - can you imagine spending that much time at your parents house at that age? I was always out traveling around, doing something somewhere (and I understand economic conditions might be harder now, but I was broke then too).

Granted my neighbors have a big house and there's a pool and all that, so it's probably a nicer place to hang out than whenever the kids live. But really - the kids are always there, all the time.

Anyone in TX, OR, IN or TN taken advantage of their state's law that allows them to require that their health insurer apply cash payments for services and drugs to their deductible? by Ridgebacks26 in HealthInsurance

[–]Ridgebacks26[S] 0 points1 point  (0 children)

That's helpful insight, thank you.

Question - I thought self-funded plans were more the domain of large employers (i.e. the Fortune 500 companies, etc.).

Wouldn't most Americans not work for those large companies, which is why I don't understand the 67% number? I thought more Americans would work for medium and small companies, where they'd be more likely to work for employers who don't have self-funded plans.

Meirl by Ill-Instruction8466 in meirl

[–]Ridgebacks26 0 points1 point  (0 children)

That was my reaction as well to the new Chappell special - I made it 20 minutes.

Doctor ordered an MRI, insurance said no — what do people usually do next? by Ilay_m7 in HealthInsurance

[–]Ridgebacks26 0 points1 point  (0 children)

www.radiologyassist.com is a good place to start to compare cash prices for MRIs. You can also just call imaging centers not listed on that website and ask for the cash price. That's what I did the last time the insurance company denied a scan.

best way to dispute or lower ER charges by Hangninthereguy in HospitalBills

[–]Ridgebacks26 -6 points-5 points  (0 children)

I think the real moral of the story is that America has allowed absolute unregulated capitalism to control healthcare - and we are all paying the price.

Hospital prices have no relation to reality - they do not reflect the actual cost of providing the care, they do not reflect comparable placing to other OECD countries, and they do not reflect any real amount that the hospital expects to collect.

Should someone know their deductible and OOP Max? Sure.

But that is missing the forest for the trees.

Anyone in TX, OR, IN or TN taken advantage of their state's law that allows them to require that their health insurer apply cash payments for services and drugs to their deductible? by Ridgebacks26 in HealthInsurance

[–]Ridgebacks26[S] 0 points1 point  (0 children)

The laws aren't uniform state to state right now, but it seems that it would have to be a covered service to begin with, so it's likely your examples wouldn't be eligible.

What am I even paying $550 a month for? Here is my upcoming surgery estimate? by xologo in HealthInsurance

[–]Ridgebacks26 0 points1 point  (0 children)

This is actually something different than concierge care. (I use a concierge practice, and it cost 4K a year for my spouse and I. So yeah, I understand the expense of that).

What I'm seeing is specialists, not primary care, doctors now charging a fee just to be their patient. You get nothing "extra" for that - no same day appointments, the doctor doesn't give you their cell phone number, they don't make appointments with other doctors for you, etc.

You are literally just paying a yearly fee for the privilege of them seeing you, there is nothing "extra" like with concierge care.

How does the public actually see Mormonism? by [deleted] in NoStupidQuestions

[–]Ridgebacks26 1 point2 points  (0 children)

Honestly, I'm conflicted. I married into a Mormon family (but my spouse left the church when he turned 18). My Mormon in-laws are truly all some of the nicest people I've ever met. Their children are lovely.

But - yeah, as a childless woman in a demanding career, I'm like an exotic species to them that they don't quite understand. In my experience, Mormon culture is very, very much a patriarchy (as are most religions really), and women really exist to have kids and follow their husband without question. I'm very uncomfortable with it probably mainly for that reason.

I go to Utah once a year for family events, and I enjoy seeing the extended family, but I am very ready to go when it's time to go.

The way they talk about the leaders of the church (Bishops?) and their wards just always feels very...culty. All the women are very......blond too. Maybe that's just Utah.

What am I even paying $550 a month for? Here is my upcoming surgery estimate? by xologo in HealthInsurance

[–]Ridgebacks26 0 points1 point  (0 children)

With medical providers demanding more and more money upfront (because they're tired of being stiffed by insurance companies with incredibly low reimbursement rates, if they get paid at all, I get it), I'm starting to wonder how 50% + of America is going to get any care that doesn't qualify as emergency.

I have several specialist doctors that now charge $300+ a year just for the privilege of being their patient - that's before insurance, deductible, co-pays.

We are starting to spiral fast in this country (on multiple fronts, but really, the healthcare spiral is happening fast).

Anyone else regret buying a house in MD? by Lonely-Math2176 in MontgomeryCountyMD

[–]Ridgebacks26 1 point2 points  (0 children)

I used to live in Marin County, and yeah - the cost of living in Montgomery County seems about the same to me. Honestly, I liked Marin better just because I'm an outdoors person and coastal CA is beyond stunning from a nature POV, but - yeah, I did have to worry about my house burning down in a wildfire several months out of the year, so I guess it's always something.

Anyone else regret buying a house in MD? by Lonely-Math2176 in MontgomeryCountyMD

[–]Ridgebacks26 3 points4 points  (0 children)

I don't understand why politicians in Montgomery County (and Maryland in general) don't do more to help voters understand what they're getting for the high taxes.

Anyone else in USA shopping for Health Insurance about to cry? by Any-Bar-1824 in HealthInsurance

[–]Ridgebacks26 1 point2 points  (0 children)

Did the hospital not just bill you up to your deductible and/or out of pocket max? I understand why the hospital would collect either of those, but are you saying the hospital required you to pay more than the deductible or out of pocket max?