And they probably took an hour out of their day

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Aug 18, 2022
3:54:43pm

cougarbart Intervention Needed

And they probably took an hour out of their day

To call and talk to a machine, then get put on hold, then talk to a secretary, then set aside a time they would be “available” then finally get a call from a doctor to do the peer to peer. And hopefully you have all the right “case numbers” available on the spot or you have to start from the beginning again

This message has been modified

Originally posted on Aug 18, 2022 at 3:54:43pm

Message modified by cougarbart on Aug 18, 2022 at 3:58:15pm

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cougarbart

Previous username: loserboard
Bio page: cougarbart
Joined: Oct 2, 2004
Last login: May 11, 2023
Total posts: 15,762 (128 FO)

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Messages

Author

Time

Without too many details so as not to violate hipaa I want to vent about how insurance companies kill people

Slim Intervention Needed

8/18/22 3:48pm

🤬

8/18/22 3:50pm

Humana, right?

bluecheese

8/18/22 3:51pm

Sounds like Kaiser

BYU Grounds

8/18/22 4:14pm

Not in Utah, but yes.

specsauce

8/18/22 4:23pm

<< Deleted >>

cougfanz

8/18/22 4:38pm

Didn’t understand at first as I was thinking…IHC doesn’t accept Kaiser PPO, but I reread and understand what you’re

specsauce

8/18/22 5:37pm

Are the peer-to-peers often difficult or are they a formality?

Tokolosh

8/18/22 3:52pm

They are very time consuming, and while the insurance doctor is making money

Zoobieman

8/18/22 3:54pm

And they probably took an hour out of their day

cougarbart

8/18/22 3:54pm

About 90% of the time they’re approved for me. But it’s phone trees and

cougfanz

8/18/22 4:05pm

Very difficult, time consuming, peer doctor often a straight up jerk

Slim

8/18/22 4:08pm

They are a time consuming formality.

5150man

8/18/22 4:10pm

Annoying, time consuming, and the doctor doing it is usually an idiot or a jerk

Medute

8/18/22 4:21pm

You can almost guarantee that any doctor working for an insurance company is a yes man/ woman

8/18/22 5:00pm

Or they hated private practice and want an easier job that pays well

8/18/22 5:10pm

Insurance companies can go to Hell.

byuluvr

8/18/22 3:52pm

High probability……

8/18/22 4:07pm

It’s funny because hospitals are trying to be insurance companies and now

cougfanz

8/18/22 4:09pm

Reminds me of when my nephew was vomiting multiple times a day, passing out, had

vagabonder

8/18/22 3:54pm

Sometimes I have to remind myself, Insurance = Contractual obligation to pay

Zoobieman

8/18/22 4:13pm

Amazing that companies selling a product we're mandated to have who charge us

vagabonder

8/18/22 4:20pm

It is very sad. . . I am seriously considering going into Direct Primary Care.

Zoobieman

8/18/22 4:35pm

So a clown was more helpful than the insurance company. Things need to change

Cougsanity

8/19/22 8:33am

Medical insurance is a cluster

kotacoug

8/18/22 4:06pm

Few things I hate more than insurance companies claiming observation status

cougfanz

8/18/22 4:07pm

Who cares what they say?! Patient is suffering. If there are negative

8/18/22 4:09pm

Or are there additional considerations that I wouldn’t know about or appreciate?

8/18/22 4:11pm

<< Deleted >>

cougfanz

8/18/22 4:11pm

Huh? I’m mad the insurance company wants me to either kill the patient (which I’m not going to do) or the patient will

Slim

8/18/22 4:13pm

Yeah thst sucks. At least we have bankruptcy.

EternalOptimism

8/18/22 4:48pm

The doctors will pretty much always do what’s right for the patient when it’s clear cut.

5150man

8/18/22 4:13pm

1 year ago I found out one of my best friends was experiencing kidney failure, and was maybe going to last a week or 2

jdub

8/18/22 4:13pm

I can’t get meds more than 30 days in advance because of insurance

8/18/22 4:15pm

Not sure if you've seen these or if it's even an available drug, but Mark Cuban

Blue Golfer

8/18/22 5:00pm

Do you know if HSA can be used? I think they allow supplements so I would

8/18/22 5:11pm

I just reviewed the FAQ page. FSA/HSA are accepted forms of payment. 👍🏻

Blue Golfer

8/18/22 5:14pm

I've said time and again to patients and colleagues alike, insurance companies

Blue Golfer

8/18/22 4:16pm

I had sudden deafness in my left ear a few years ago. The doctor said that in

Bambino

8/18/22 4:33pm

The most infuriating and stupid part about your experience is that the insurance

Blue Golfer

8/18/22 4:52pm

I agree. This is asinine. Medical necessity shows that not only should the patient be in the hospital, but basically

specsauce

8/18/22 4:23pm

This is a lesser claim but insurance companies are absolutely responsible for

Cabadapeste

8/18/22 4:25pm

Insurance and government kill innovation

8/18/22 5:13pm

Get government out of medical insurance. Offer insurance on free market

kotacoug

8/18/22 5:31pm

That’s an interesting thought to uncouple it from employers

8/18/22 7:46pm

I had almost the exact same story once in my career. The patient died the 4th night after the bleeding that we couldn't

doctorcoug

8/18/22 7:11pm

Have you done the "peer to peer"? I have several personal health issues where the insurance company denied at first...

Greg Kite's 'stache

8/19/22 7:58am

Simple and a few extra minutes don't describe peer to peer. Plus, imagine telling a doctor that they are an idiot for

doctorcoug

8/19/22 9:43am

Employers give physicians 15 minutes to see each patient. Within that window you

cougfanz

8/19/22 9:59am

Then people say we need socialized medicine without realizing you will have to

kotacoug

8/19/22 10:23am

Oh, I just wouldn't do it 🙂 To me, I'm basically already in that type of work

cougfanz

8/19/22 10:29am

A peer to peer requires significantly more time than 5 minutes and is universally a very painful experience. They are

Slim

8/19/22 12:21pm

All this while insurance company values keep increasing substantially. Dumb.

Bin01015

8/19/22 11:39am

My favorite recent one is a surgery I did on a patient was prior-authorized.

chrisoc13

8/19/22 12:16pm

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