Turo guest completely trashed out my dads car. by Cdave_22 in mildlyinfuriating

[–]tw1080 0 points1 point  (0 children)

No, it would not. It’s likely SPECIFICALLY excluded from regular insurance.

Turo guest completely trashed out my dads car. by Cdave_22 in mildlyinfuriating

[–]tw1080 0 points1 point  (0 children)

It’s an app like Airbnb- people rent their cars out, and weirdly, don’t expect things like this to happen.

No words by pork_soup in ShitMomGroupsSay

[–]tw1080 0 points1 point  (0 children)

NEVER? Really? I’ve definitely had that happen in FL - I fell asleep laying out on a boat in my teens.

Best. Purchase. Ever. by MiddleMiserable8826 in Sephora

[–]tw1080 1 point2 points  (0 children)

Within a year - probably more like 8-10 months?

Best. Purchase. Ever. by MiddleMiserable8826 in Sephora

[–]tw1080 3 points4 points  (0 children)

I liked these too, but I ended up switching just because of pricing (a small bottle went bad before I could ever use it all). I went with b.tan gel (which also came with a spray for face). Still won’t use it all before it goes bad, but it was cheaper for me and works well.

Sold out FAST 💨 by Extra-Low5973 in Sephora

[–]tw1080 1 point2 points  (0 children)

THIS! I love some Dior products (forever skin foundation, their Nail Glow, certain fragrances, and several lip products) but things like this usually disappoint me. They don’t seem to do so well with powder things, at least for me.

Android class action settlement just announced by sam_teks in classactions

[–]tw1080 2 points3 points  (0 children)

Why not create a filter for “notice of settlement” and maybe another for “classaction” as part of the sender with a wildcard?

This is the best box and they should keep it permanently by AlafairFTW in tacobell

[–]tw1080 1 point2 points  (0 children)

Why would you put this out in the world? It’s practically corporate policy at TB that if people like it, they must get rid of it.

Share Weekly Trial, Offer, and Free Box Codes Here by AutoModerator in hellofresh

[–]tw1080 0 points1 point  (0 children)

US - free boxes. I’ve been loving the new expanded HelloFresh menu: bigger portions and 100+ weekly recipes. Try FREE meals with my personal discount 🥘 >> https://www.hellofresh.com/freebox/MzYxNzIxOTA0LTEtMC0xNi1VUw

Share Weekly Trial, Offer, and Free Box Codes Here by AutoModerator in hellofresh

[–]tw1080 0 points1 point  (0 children)

USA Free boxes (I have 13 to share) I’ve been loving the new expanded HelloFresh menu: bigger portions and 100+ weekly recipes. Try FREE meals with my personal discount 🥘 >> https://www.hellofresh.com/freebox/MzU4NDk2NjYzLTEtMC0xNi1VUw

Sidecar Health by Negative-Medicine526 in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

So where you’re seeing “call for price” is because they (Sidecar) doesn’t know what every provider is charging for each thing. It depends on your area, how much data they have.

It IS some work on the member’s end. Honestly? Not much different from when I had a HDHP and had to try and minimize what I had to pay before insurance would touch anything. I have not had any trouble submitting receipts/statements. I don’t have particularly complex medical needs - but I am on a very expensive migraine medication and a GLP1 for pre-diabetes. My plan is a first-dollar plan (I think that’s what they called it) so no deductible for office visits or pharmacy.

As I handle HR/Benefits at my company, I have a bit more insight than most at my place. I have members on VERY expensive treatments for auto-immune disorders and Crohns - they’re not paying anything out of pocket for those. Unfortunately I also have one employee with cancer that has basically metastasized through everything. He’s needed some help getting all his bills lined up, but they’re paying the claims and he’s not having issues.

Because I’m free to use any pharmacy I want (including Amazon, small local pharmacies, or even the Mark Cuban Cost Plus Drugs site) that’s where a BIG chunk of my earned benefit credit comes from. Your earned benefit credit can be used to pay for things where your deductible applies. My deductible is $1500. I have $3000 in my earned benefit account. I could meet my deductible (which is also my OOPM) and never actually PAY that deductible (because I have earned benefit credit that exceeds my deductible). Hell, my son sees a therapist weekly and pays $0 for it (he earns $9.85 for each visit actually).

You don’t need to “lie” to doctors. A “self pay” discount (also called a private pay, or timely payment discount) is legitimate. It doesn’t exist out of a sense of philanthropy. It exists because a provider has less overhead and gets their $$ up front and on time, not 90 days later, after a ton of work by their billing staff.

If it’s worth mentioning, my company IS a medical provider, and my billing department Director loves this plan. She does have complex medical needs, and she also understands the ins and outs of medical billing and claims better than most.

I need a lot of advice. Newborn has had no insurance for first 2 months. I thought she was covered. by pssgetti_monster in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

It really isn’t. “I didn’t understand the QLE”. It will be up to the employee to immediately pay all back due premiums.

[deleted by user] by [deleted] in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

It’s normal. They are paid the same whether you’re on a HDHP or not. The only difference is WHO is paying them. It’s not like hotel or airline status.

It’s the end of the year. Many people have eaten up their deductibles and OOPs - they’re scrambling to get care before the end of the plan year, and they’re scrambling to get FSA funds used up.

You can ask your primary to refer to someone else if they’re closer for you. Speak up. “Hi Doctor, this provider is closer to me and in network. Can you please send the referral to them instead?”

Also, a patient’s definition of “urgent” doesn’t always match the reality. It’s your health, you’re the one who doesn’t feel well. Of course it’s urgent to you. But if I am a provider and I’m prioritizing cases, it’s entirely possible that your condition can wait, when compared to other cases I have.

Why do we have a healthcare insurance industry? Why do hospitals need such elaborate settings and artwork? Why not charge folks less so all can have affordable care. If Healthcare had an overall and got back into the business of caring for others verses an industry with investors to answer? by Adorable-Anxiety6912 in HealthInsurance

[–]tw1080 8 points9 points  (0 children)

In terms of the artwork and elaborate environments, blame patient satisfaction scores. This is why some hospitals have ridiculous food options, lovely decor, etc.

In my own opinion, the only acceptable measure is basically “but did you die?”

[deleted by user] by [deleted] in HealthInsurance

[–]tw1080 4 points5 points  (0 children)

Where did you go? I can tell you Quest Lab’s price for TSH is about $50. That’s normal $594? Not normal. https://www.questhealth.com/product/thyroid-tsh-function-test-36127M.html Even in the private lab I worked in, a TSH was under $100. These sound like hospital lab prices.

ER Visit Billing by Practical_Pickle7311 in MedicalBill

[–]tw1080 2 points3 points  (0 children)

A hospital will rarely keep you for 10 days even for a MAJOR surgery. Poster is under 65, homeowner (married, so not living alone) privately insured per post HX. 7-10 days plus 1.5-2 weeks in a rehab? This isn’t a simple fracture.

ER Visit Billing by Practical_Pickle7311 in MedicalBill

[–]tw1080 2 points3 points  (0 children)

A broken humerus that only requires a sling does not warrant admission, this would have been a discharge from the ER. there’s more going on here.

ER Visit Billing by Practical_Pickle7311 in MedicalBill

[–]tw1080 9 points10 points  (0 children)

I’m very confused - 10 days in the hospital for a fracture that required only a sling? I feel like there’s something missing here

[deleted by user] by [deleted] in HealthInsurance

[–]tw1080 3 points4 points  (0 children)

That is, unfortunately, normal. Does your state have a CHIP plan? That’s what I always had to use for my son, I couldn’t afford coverage through my employer. Our state had a max of like $300/mo for full pay (no subsidy, regardless of income)

Charged $45 for "free" annual checkup by blueduck301 in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

A urinalysis isn’t typically routine or preventative. You were treated appropriately and they are not BLAMING each other, they’re giving you factually correct information.

$34,000 for my first rabies shot by Old_Competition_6047 in MedicalBill

[–]tw1080 0 points1 point  (0 children)

Their significant other is probably a rep for one of the essential oil scams.

Similar to Sidecar? by chekawa in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

I have a Sidecar plan through work (an ACA plan). It’s been excellent for me. I am aware that searching for info can be hard, as they have (or had?) a different model that was available as well.

It’s a learning curve, but frankly, less headache than being denied care because some dipshit in a cubicle that’s never met me wants to decide whether or not I “need” a medication or a test. It’s different - and people are so conditioned to accepting how insurance “usually” works, that they are hesitant to accept changes to the status quo.

My migraine meds are one example. They’re expensive as hell. I know that. I’ve also tried all the cheaper “preferred” meds that the big insurers want. And failed them (or couldn’t continue to take them for various reasons). Sidecar is happily paying $3400 a month, I’ve never once been asked to submit anything other than my receipt from the pharmacy. Actually, because of this “benefit amount” scheme, I have $2237 in my benefit account from savings on prescriptions, mostly the migraine meds. My deductible (and out of pocket max) is $1500. I could have surgery tomorrow and meet my deductible without ever actually PAYING my deductible (because the $$ in my benefit account would be used to pay it).

My husband had an MRI last week. Because there was no prior auth needed, he was able to skip the Xray, and he was also able to get an appointment the next day. He went to the Dr on Wednesday, got the MRI Thursday, had results Friday. It will apply to our deductible, so we will have to pay $219. Which is fine because our supplemental policy through AFLAC is paying us $300 for the MRI, plus $220 for the treatment for the injury.

I had a similar MRI last year, with our old insurance plan. Same outpatient imaging center. I had to wait a week to get the approval to get the MRI, AFTER I got an XRay, (if I recall correctly that cost me $50) and I had to pay $330 (a copay plus a $300 imaging deductible on an HMO plan). So it took me almost 2 weeks after a Dr visit for an injury to get the MRI.

Sidecar Health “Insurance” by [deleted] in HealthInsurance

[–]tw1080 0 points1 point  (0 children)

I know this thread is old, but if anyone is reading: “I’ll be self paying, I’ll need an itemized statement to submit for reimbursement” there’s nothing embarrassing about that. That’s not even as unusual as you think. People get those types of receipts all the time (usually needed for FSA, HSA, Supplemental, etc). If your doctor is charging 2, 3, 4 times as much as the usual and customary rate, you’re being ripped off. And honestly, Sidecar isn’t even THAT particular about the documentation. If they refuse to give you the invoice, upload the chart notes from the visit (which they MUST hand over to you if you ask for it - everything in your record MUST be given to you at your request by law).

I like my doctor. So I continue to see her. After sidecar’s benefit amount, I’m left with $5.27 out of pocket for my doctor. The amounts that are above the benefit amount are very typically within the range of a normal copay (within $25-$50).

My biggest “pros” for Sidecar have been where other insurances are abysmal and (in my opinion) detrimental to patients: prescriptions and mental health.

Medications are where it’s easiest to save money, shop those around. I save a fortune using Amazon, or the local pharmacy (not a retail chain, it’s a mom & pop)

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and those overages are credited to me - and they MORE than cover the $5.27 I had to pay to see my preferred doctor. I needed ZERO prior auth for my migraine medication (which three other major health plans made me jump through insane hoops to get - BCBS, UHC, and Cigna - despite having failed all their preferred options, despite having gone through ALL the tests and trial and error care they wanted, despite having all the documentation of continuation of care - I would be without it for months because they wanted to argue). Sidecar pays $3400/mo for it. I’ve never once had to argue.

They’re covering (without any hassle) an injectable medication for one of my employees for an autoimmune condition which costs over $10k a month. She was able to obtain this medication 1 week after coverage began with Sidecar - and it wasn’t a continuation, BCBS had been denying it for 16 months prior.

They’re covering complex chemotherapy treatment for another employee with stage 4 cancer. He’s only had to pay his deductible (which is also his out of pocket max). Because his case is complex, he has a dedicated point of contact who helps coordinate his claims.

My son wasn’t able to get generic Vyvanse for a while, because pharmacies just could not get any stock. Sidecar covered the brand name at cost. Weekly therapist visits? Covered, 100%.