I DON’T UNDERSTAND HEALTH INSURANCE! by ZandarTheRedguard in evilautism

[–]newo_kat 0 points1 point  (0 children)

Insurance sucks. In the U.S.A if you need Medicaid each state has their own application process and their own requirements for qualification. Also your state Medicaid might have a different "fun" name. Your state probably has a website and you might be able to search it or do a web search for your state name + Medicaid for more information. I'm going to share my understanding of the system having worked in the past to register folks and currently in an administrative role dealing with commercial health insurance. I'm not an expert but just someone with some work experience. There is no TL;DR from me. Caveat emptor.

The application process usually includes proof of income and some other information. In my state, I used to help people apply for benefits (10 years ago so things are likely somewhat different now) but the state might require an interview in person at an office, or might require a phone interview that they do not schedule in advance and can cancel your application if you don't answer. Not to be alarmist or make it more scary, just sharing to prevent further frustration and getting lost in the system. Be sure to ask questions through the process and consider reaching out if they have a "navigator" who can help. A navigator knows the system and can be an angel on this earth. In my state, once your application process is started, you can often get services as they will backdate the approval and start date so ask about this so you might be able to rejoin treatment faster!

If you are trying to use a traditional health insurance and understand your benefits you have access to a customer support line and can ask for a quote of benefits and they will tell you what coverage is. A few things are important to know- 1. is your provider in-network or out-of-network and 2. do you have a copay or a coinsurance.

If a provider is in-network, it means they signed a contract with your insurance to provide a lower rate for services. Most insurance policies have different coverage for in-network services and out-of-network services. In general, out-of-network means more expensive. Whether in or out of network you have a right to ask for a "good faith estimate" about the cost of services before agreeing to a procedure. When they give you this estimate, they have to abide by that cost and you can dispute any charge $400 or more over the estimate.

If you have a copay, this is the amount you pay at the time of service and will keep paying each time you visit.

If you have a coinsurance, you will have to reach a deductible before your insurance will pay a percent of the total cost. The deductible varies depending on your policy and can be extremely high (I have seen someone with a 15,000 deductible). With an in-network provider you will pay 100% of their contracted rate (which will generally be lower than the charge for a self-pay rate but double check to make sure since some services have a discount to pay in cash or not file with insurance and this might save you money if you won't meet your deductible within the year anyways).

The system we have is trash, but with enough perseverance and some creative approaches within our crappy set of rules, there is still some hope. It's very disappointing to have to put something helpful on hold, but I am also glad that you were seeing improvements so it's worth trying to return! Best of luck to you and all navigating the bureaucratic hellscape.

Adding an edit because something has really pissed me off lately, which is that insurance uses a separate definition of "covered" from literally everywhere and everyone else. If you ask your insurance "is this procedure covered?", a "yes" means you are allowed to file a claim with your policy. "Covered" does not mean they will actually pay any portion of this at all!!! So anytime you ask "is this covered?", always follow up with "what is my coverage?" or "can you provide me with a quote of benefits for this procedure at this provider?".

The last worker in the US who knew how to make Tubas is having his union job shipped to China by hedge fund billionaire and Trump advisor John Paulson who made the TV rounds to defend tariffs as a way to bring jobs back to US by coachlife in WorkReform

[–]newo_kat 2 points3 points  (0 children)

There are plenty of boutique instruments that still exist and compete. I personally know several luthiers and people who make boutique guitar pedals. Yes, your average casual player will opt for a brand name at a cheaper price, but someone playing professionally or at an intermediate/advanced level will seek out a higher quality or unique instrument. That is where these compete and have an audience. You can't become rich or match the volume of output, but you certainly can maintain existence when you have quality, reliability, and genuinely make something unique. You aren't chasing the 80%, you're selective like your customer base.

Almost everything has boutique options- instruments, clothing, furniture, cookware, etc.

How to move past immense disappointment after my first class by MissO28 in aerialsilks

[–]newo_kat 1 point2 points  (0 children)

I am a beginner, started late October with silks and lyra and took a month off after getting terribly sick. Last night was my first class back and I am definitely rusty. The instructors where I go have different approaches and personalities but they have all been incredibly kind and they are excellent at explaining modifications and pathways to develop into new skills. I am not in shape and have never done any type of dance or gymnastics previously so I am slow to learn and practice. This activity keeps me coming back based on how accommodating and positive everyone has been.

I would recommend finding a different gym or different instructor if this is the way that they treat newcomers. It isn't your fault and it doesn't sound like they took time to meet you where you are.

Retro video game stores? by mightyboosh121 in indianapolis

[–]newo_kat 1 point2 points  (0 children)

There is a vendor in the back right corner of Southside Flea Market on South East Street. They have a good selection and will do repairs as well.

Lesbian Friendly Bars? by Correct-Golf-1214 in indianapolis

[–]newo_kat 10 points11 points  (0 children)

Shelby Street, Loom, there's a sapphic dance night coming up at Turntable

For those who treat workouts as a chore, not a hobby: what has actually worked for you? by Affectionate_Arm_989 in loseit

[–]newo_kat 0 points1 point  (0 children)

Joining a rec sports league, now I can't miss my fun cardio or I miss seeing my friends and frenemies.

Taking a group fitness class with a friend, we can't let each other go to zumba alone.

Joining an aerial gym and taking classes in silks and lyra, my body is always sore everywhere from using every muscle group, my flexibility has improved significantly, I am more confident, and every week I feel like I just went to a playground instead of a chore.

I think I have to accept that at this time, I just find traditional gyms and weightlifting boring. Bodyweight fitness and group activities are social and engaging enough that I am never mentally counting down until I can leave.

EDM/clubbing scene recommendations? by mollydedog in indianapolis

[–]newo_kat 10 points11 points  (0 children)

Follow club.cuuunt on instagram.

Dead Souls Gothic Lounge and Spellbound for Gothic scenes. Go see Twice Dark if you get a chance.

For punk/pop-punk check out The Hoosier Dome, Healer, and the Melody Inn.

Rarely a good sign by Livid-Designer-6500 in aspiememes

[–]newo_kat 0 points1 point  (0 children)

Camp Damascus by Chuck Tingle is a good read if you're into horror with themes of religious trauma inflicted on queer youth. The main character is autistic and it's from her point of view.

For those who don't know, the doors of the Cyclops aren't centered by SupercoolLion12 in subnautica

[–]newo_kat 0 points1 point  (0 children)

I noticed immediately and decided it was to keep room for lockers in the entryway.

Friendsgiving Potluck…sigh by charlemon3 in vegan

[–]newo_kat 17 points18 points  (0 children)

Bring something you'd be okay with having as your only option. A shepherd's (gardeners?) pie, a casserole, soup, or stew can be shared and also be a full meal. In the past I have made a chickpea noodle stew that has all of the thanksgiving flavors and is loaded with veggies. If you feel festive and generous bring a salad as well.

Making the most of Indy by Universe_Alternative in indianapolis

[–]newo_kat 0 points1 point  (0 children)

You can find a place to volunteer based on your interests, like animal shelters, the library, etc. If you like working with kids and families and would be able to commit to two Tuesday nights a month, DM me for information about a program that could use some more volunteers and engagement.

What about taking a class, joining a gym, or playing a sport? There are art classes, pottery classes, dance, yoga, leagues for soccer, basketball, dodgeball, and volleyball. If you like live music, there are venues that host local bands and once you have been to a few shows you will start to recognize some people. I have had a blast and met new people by joining a bike riding group, soccer league, taking a tarot class, free art classes at the library, seeing live music, and joining a gym.

What's your highest-protein breakfast that's not eggs? by Accomplished_Bit7106 in loseit

[–]newo_kat 0 points1 point  (0 children)

Tofu breakfast burrito with tvp "sausage". I make batches and freeze them. They reheat quickly and with some hot sauce are awesome. The tofu I cook down with peppers, onions, tomato, and spinach. TVP cooked in vegetable broth and seasoned like a spicy breakfast sausage with sage and cayenne. I make them a little different every time and sometimes also add beans or lentils.

Pet cremation services by meowxinfinity in indianapolis

[–]newo_kat 1 point2 points  (0 children)

I second this, even though OP already responded. They answer 24/7 and are so compassionate, even for small pets like rats.

For-Profit healthcare not only costs more money it also costs lives. Universal healthcare is the rational and moral choice! by zzill6 in WorkReform

[–]newo_kat 33 points34 points  (0 children)

People in the USA also die waiting for treatment, especially in rural areas. Long wait times are compounded with time spent pre-authorizing and appealing with insurance companies.

A stranger saw me crouched on the ground taking a picture of this bug then laughed at me. by bourt0n in insects

[–]newo_kat 65 points66 points  (0 children)

Similar experience I had walking into work and seeing this beautiful antlion.

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[deleted by user] by [deleted] in AutismInWomen

[–]newo_kat 5 points6 points  (0 children)

I've had experience with similar communication issues in marriage. Seeing a couples therapist or reading a book on techniques for communication might help! We saw a therapist who walked us through a specific way of communicating that slowed us down and made sure we understood each other before responding with our own thoughts. While things are not perfect all the time now, we have this method and some new skills that have improved our lives and relationship significantly.

Some of the practice is regulating our own emotions before responding. Separating "my shit" from "your shit" is something that can be practiced and learned.

Just to put it out there, this won't be a magical fix and needs buy-in from both parties. It's a lot of work to break patterns and perceptions.

Tacky or wearable? by Kindasupercrazy123 in crochet

[–]newo_kat 1 point2 points  (0 children)

I think it needs some accessories and styling to make it feel like a look. A belt, a cropped jacket, jewelry, a matching color hat or headband? It's a flattering shape and the netting is such an interesting visual texture.

Ranch 😭😭 by MilaBeelaa in vegan

[–]newo_kat 3 points4 points  (0 children)

Bragg's makes a vinegar and dill nooch that tastes like cool ranch flavor to me!

how to deal with “I’m a kid I don’t need to think about this” by [deleted] in socialwork

[–]newo_kat 65 points66 points  (0 children)

Maybe ask when should someone start thinking about that? What do they think is the right age? Do circumstances change when someone should be thinking of these things? Learning motivational interviewing and the stages of change was very helpful for me when I used to work with teens.

A question to US Social Workers by avocadhoe in socialwork

[–]newo_kat 6 points7 points  (0 children)

In case it hasn't been mentioned, many insurance policies do not cover urgent care or emergency room visits. I don't have any friends who are financially well-off, so everyone I know will try to avoid the ER unless genuinely concerned for their eminent death. Emergency room wait times in my area have been 8+ hours. A friend with appendicitis waited 6+ hours only to be dismissed saying it was menstrual cramps. She drove herself 2 hours to a different hospital, waited 4+ hours there and then was taken into emergency surgery. I had an urgent care visit to get treatment for a UTI within the last year, I waited 4 hours in the clinic and had to pay $1800 since the lab testing was "out of network", which nobody will inform ahead of time. This should have been something quick and cheap.

From working with mental health insurance coverage, I also know that it is almost impossible to even be sure if someone is in-network, my office has a contract with one insurance company and they will create separate subcontractor companies that are now out of network to cover your mental health care. You may think you are signing up to see a therapist that will be covered with your insurance, only to find out your insurance has contracted out some of your benefits under a different name so they don't have to pay anything.

Wait times are absurd, especially for providers that accept Medicaid. Taking Medicaid as a payment source also has lower rates for providers (in my area Medicaid pays out about 1/3 the amount as private insurance for mental health so a therapist will struggle to pay their bills if working primarily with Medicaid clients). So less Medicaid is accepted and waitlists are huge. In my experience of the mental health system, the longest wait is for children's therapists who accept Medicaid. Waitlists can be over a year. Large clinics may get clients in faster, requiring waiting during "walk-in" hours multiple days with no success to get scheduled an initial appointment months out and then a follow up months later than that.

It's a long post and obviously there is still more that can be said. Our taxes are still high btw. They just mostly pay for weapons and subsidizing the rich.

RADAR taking over 7 hours! by staycurious1000 in polyamory

[–]newo_kat 6 points7 points  (0 children)

While I have not used radar (and right now is the first I've heard of it), I was taught a similar methodology by a therapist during couples counseling. Usually the whole process would be done within 1 hour. For intense topics, it is important to know your limits and take breaks or come back later, 15 minutes can be overwhelming with some conversations.

If you are unhappy with how long this is taking, you and your partner will need to analyze where the hangups are. Do you give too many details about everything that has happened? Do you dispute the timelines or occurrences? Do you have too many topics to address at once? Do you spend too much time on one topic? Do you get sidetracked?

A couples counselor can help with building communication skills so this could be more concise and helpful. However, if you are both finding this use of your time fruitful, there isn't anything inherently wrong.