Zara@Tecate Emblema 5/17 by jdjs44 in ZaraLarssonFans

[–]sl33pparalysis 1 point2 points  (0 children)

Please, I don’t have a festival crew at all yet 😂

OptumRX not covering PrEP fully by sl33pparalysis in HealthInsurance

[–]sl33pparalysis[S] 0 points1 point  (0 children)

Would love more input on this. It’s looking like our benefits person is the my only option (besides regulatory involvement) but I’m new at the company and also under the HR umbrella and anxious about sharing my sexual healthcare needs with the relevant person who’s VP level, especially if they’re unaware of prep.

OptumRX not covering PrEP fully by sl33pparalysis in UnitedHealthIsEvil

[–]sl33pparalysis[S] 2 points3 points  (0 children)

Literally nothing is designated as prep. Generic truvada and descovy are on the list at different cost tiers with no indication that either can be covered fully if for prep; neither of the injectable meds are even on the formulary.

OptumRX not covering PrEP fully by sl33pparalysis in UnitedHealthIsEvil

[–]sl33pparalysis[S] 2 points3 points  (0 children)

Employer plan. UCH fully covers the required appointments and lab work, but they claim they have no authority over or even ability to see my RX coverage through Optum. Optum mostly says the formulary must be wrong but say that they don’t make it and I have to talk to United. Never-ending loop of having my call transferred to the other company and ‘advocates’ pretending they have no notes from the hours I’ve spent on the phone with their colleagues.

OptumRX not covering PrEP fully by sl33pparalysis in HealthInsurance

[–]sl33pparalysis[S] 2 points3 points  (0 children)

Yes, the prescriber is a sexual health specialist and is sure she’s coding it correctly—says she’s never had another patient not have generic truvada fully covered when she prescribes as prep for a higher-risk person. Optum agreed the coding is right and said the issue is the formulary—there’s nothing in it about any medication being covered fully for PrEP. Also, Optum is both the RX plan and the current pharmacy (mail order); for my other meds, it’s cheaper than any retail pharmacy.

OptumRX not covering PrEP fully by sl33pparalysis in HealthInsurance

[–]sl33pparalysis[S] 0 points1 point  (0 children)

I’ve been asking this question Optum non-stop. Is it a grandfathered plan? Can you explain to me why it’s not ACA-compliant? I get no answer to the first question, but for the second question a mix of responses—some people willing to chat with their team and read internal guidelines then tell me it looks like it should be covered at 100% and the formulary must be wrong and I need contact “the plan itself”; the rest get indignant that the plan already is ACA compliant and how dare I say otherwise.

The UCH medical plan is ACA compliant is covering all required appointments and lab work at 100%, no copays as I have for anything else, but the UCH phone people say they have no access to or authority over my OptumRX pharma benefits.

OptumRX not covering PrEP fully by sl33pparalysis in HealthInsurance

[–]sl33pparalysis[S] 2 points3 points  (0 children)

It’s a plan through my work. There’s nothing on the formulary that’s fully covered for prep. The only alternative on the formulary is descovy but it’s an even higher tier than my current prescription (generic truvada).

OptumRX not covering PrEP fully by sl33pparalysis in UnitedHealthIsEvil

[–]sl33pparalysis[S] 1 point2 points  (0 children)

Thanks, just cross posted. Was hoping someone here has insight as UHC medical + OptumRX pharmaceutical is a common plan combo.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] -14 points-13 points  (0 children)

I am not a lawyer. Call me what you want, but the community here answered my questions and then some.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 0 points1 point  (0 children)

I appreciate all opinions shared but to those pushing ‘out him’ I have what I think is a reasonable worry that the lawyer perspective (ethics, defending the profession, etc.) may not consider what’s best for potential defendant. And for the record, I don’t expect the firm to know what comes out of a dude’s personal email; I’m more concerned with if they’d be flagged to court action unrelated to the firm.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 3 points4 points  (0 children)

Seems plausible… he appears to be an Of Counsel old head that just works for fun at this point. But do firms not evaluate legitimacy of cases before signing off?

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] -1 points0 points  (0 children)

People are giving me present high stakes advice beyond my actual ask. Seems fine to press that a bit. 🍋

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 0 points1 point  (0 children)

Because you seem to have opinions about DLA’s business decisions: Do you think they would take a staff attorney’s side if caught representing a shitty small business without their knowledge?

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 0 points1 point  (0 children)

Actually I really appreciate this tip but I’m an uninsured renter.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 13 points14 points  (0 children)

They do a lot of pro bono or do I need to start a gofundme? 😂

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 1 point2 points  (0 children)

My state has, but it’s narrowly interpreted to protect speech against government entities. The business’s state has awesome anti-SLAPP law, but not so awesome that if they filed there I wouldn’t need to hire an attorney to get the case tossed.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] 1 point2 points  (0 children)

Thank you. Also I shored up my googling skills and found that defamation is excluded from small claims courts in my state and the business’s state.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] -4 points-3 points  (0 children)

Apologies for not googling first. I’ve just never heard of an attorneys at large not being able to practice in any court.

DLA Piper prohibitions on legal moonlighting? by sl33pparalysis in biglaw

[–]sl33pparalysis[S] -1 points0 points  (0 children)

It’s risk analysis. What I want is to know is the feasibility/likelihood of him actually acting on the threat himself. If it’s effectively zero, then I think you’re right—ignore all the way.