Angry with Health Insurance- PCP who can't take it
@InsuranceAnger
PCP practicing multi-generational medicine, patient advocate, with frustrating stories dealing with health insurance companies. #medtwitter#healthcareisbroken
@mary_lebone This is so ridiculous! Thank goodness your patient knew to ask for this exception, otherwise there would have been problems post-delivery.
@DGlaucomflecken is an expert at knowing about doctors who are out of network.
In the end, #insurance companies are only in it for ๐ฐ
People in America don't want #UniversalHealthCare, they are afraid of rationing of care.
#Insurance controls what we do, hence rationing care.
I see people all the time who don't want to pay for care (office visits, meds, etc.) or who can't
Seems like there should be a better way
@GallaherCaren The insurance companies. It's obvious. It's all about the money and paying their CEOs and/or shareholders more money. Control what the physicians can/can't do. Own the physicians. Make more money. That's where we are in ๐บ๐ธ, the patients are the ones who lose
I was notified today, that my patient who has an undiagnosed cardiac murmur, was approved for an echocardiogram, AFTER REVIEW BY THE INSURANCE company.
The #insurance co. pays someone to review my order for an echo for murmur.
Can anyone explain this?
What other possible test?
It's January! Time to start the #insurance shuffle.
Signed order for briefs & underpads (DME) for disabled patient in late December.
Signed 2nd order the following day. Same requested items, new form.
Yesterday, "We need a signed letter stating medical necessity"
For diapers
Why do we do this? Because #insurance companies control what medications get paid for and even if you take a medication regularly, and your disease is well controlled on this medication, the insurance can decide not to cover it any longer because of ๐ฐ.
End of story
In two days, it will be January 1, 2022.
Many people will have new insurance.
Those of us in #medtwitter will spend the next 3 months (or longer), doing prior auths, changing medications, & arguing with insurance just to get our patients medications that they already take.
*sigh*
Elderly patient needs new walker.
Order written & sent in
Office note addended to state patient needs a walker.
3 weeks later
Can we get another order?
Can you addend the note?
Why is it so difficult to get insurance to cover DME?
#DisabilityTwitter#medtwitter#insurance
@ratten_matthias @DGlaucomflecken This is so true. Every day I fight.
Just received 3 different letters, each 6-8 pages long, to FINALLY approve the levalbuterol for my patient who has been using it for over a decade and can't use albuterol due to side effects.
#asthma#InsuranceSucks#Insurance
Patient: The ortho doctor says that I need to get a CT, but the insurance says you need to order it
Me, the PCP: Looks for ortho note, it's not been sent to me
Why can't the ortho just order the CT? I don't even know what test they want ordered or why!
#Insurance#PrimaryCare