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Started By
Message

Do any of y’all have sympathy for this reddit poster?
Posted on 8/28/19 at 7:34 pm
Posted on 8/28/19 at 7:34 pm
quote:
Before you shite all over this plan, here's my story... tl;dr lost my doctors due to an insurance change 4 weeks in to a 6 week open heart surgery recovery...
Last year, my company was in the process of being sold. No big deal, above my paygrade, nothing for me to worry about.
Then I got sick right after Thanksgiving. Really bad heartburn that lasted 5 days. It wasn't heartburn. I had a heart attack. 12/3 I had open heart surgery, single bypass, and that started a 6 week recovery clock.
On 1/1, the sale of my company closed and we officially had new owners. I also officially lost all of my doctors because the new employers don't do Kaiser in Oregon. They do it in WA and CA, but each state has to be negotiated and they never had presence here.
1/2 I start working with Aetna to find doctors, hospitals, etc. Beyond the cardiologist I need a new pharmacist, podiatrist, diabetes care and a general "doctor" doctor.
Fortunately, my new employer is a big enough fish, they have their own concierge at Aetna and she gets me into the Legacy system.
On 1/3 I start developing complications, but I don't know it at the time. It starts with a cough. All the time. Then, when I try to lay down, like to sleep, I'm drowning, literally choking and gagging.
The concierge and I try to get an appointment, we're told 2-3 months. For a dude still recovering from open heart surgery? Best they could do is 2 weeks. 1/14.
I can't lay down to sleep so I buy a travel neck pillow and sleep sitting up.
I get to see the new doctor at the "official" end of the 6 week recovery. He doesn't know me or my history so he wants to run tests.
I'm sitting at home playing video games and waiting on test results when the call comes... Congestive heart failure. Report to the ER immediately.
My heart developed an irregular heart beat, which caused fluid build up in my chest. They admitted me and were getting ready to pull fluid off me.
"What happened to your foot?"
"I dunno, what happened to my foot? I can't feel my feet."
Remember when I said I was sitting around playing video games, waiting for test results? Yeah, my foot was touching a radiator and I didn't know it. 3rd degree burns, first four toes. Pinkie was spared.
So I'm in the hospital a week. I lose 4 liters of water per day. 50 lbs. of water. No wonder I was drowning. Regular bandage changes.
So now I'm facing two procedures. Electrocardio version to fix my heart, skin grafts to fix my toes.
This whole time the new insurance covers 80% until I reach the out of pocket maximum of $6,500. Then it will cover 100%.
The old insurance? ER visit for heart attack, hospital admission, 8 days in the hospital, open heart bypass... $250.
So we hit the out of pocket maximum almost immediately. My wife had a problem with her foot running through the Seattle airport. The doctor who did her toe amputation was decided to be out of network so that was another $1,100.
I was never unemployed through all this. I had enough vacation and sick time banked to cover it. Cobra didn't apply. Buying my old insurance wasn't an option, it was far too expensive without employer backing. Income is too high for assistance (thank god) and I took steps to max out my HSA account, which is good because we drained it twice.
Three 1 week hospital stays (2 for me, 1 for my wife), multiple ER visits, two more major medical procedures... That would be enough to break most people even with good insurance.
So if you read any of that, let me ask you something... Why does the quality of my health care and my quality of life have to depend on who I work for and what insurance companies they choose to work with?
LINK
This post was edited on 8/28/19 at 8:19 pm
Posted on 8/28/19 at 7:36 pm to Dire Wolf
Yes, I feel sympathy for him. That sounds like a shitty ordeal.
Posted on 8/28/19 at 7:36 pm to Dire Wolf
quote:nah
So if you read any of that
Posted on 8/28/19 at 7:36 pm to Dire Wolf
I would have to read it first.
Posted on 8/28/19 at 7:37 pm to Pecker
It takes all of 60-90 seconds. Y'all are some lazy fricks when it comes to reading.
Posted on 8/28/19 at 7:37 pm to Dire Wolf
quote:
So if you read any of that, let me ask you something... Why does the quality of my health care and my quality of life have to depend on who I work for and what insurance companies they choose to work with?
Because said employer pays for a good part of the insurance and said insurance company pays for your medical bills.
This guy sounds like an unlucky moron. Probably just needs to off himself.
Posted on 8/28/19 at 7:39 pm to Dire Wolf
Diabetes and toe amputations!?
Sounds fat
Sounds fat
Posted on 8/28/19 at 7:39 pm to HempHead
quote:
Yes, I feel sympathy for him. That sounds like a shitty ordeal
I should say, is this really an argument for universal health care? Given that he clearly paid zero attention to his body
Timing of the whole thing sucks
I mean
quote:
So I'm in the hospital a week. I lose 4 liters of water per day. 50 lbs. of water. No wonder I was drowning. Regular bandage changes.
This post was edited on 8/28/19 at 7:43 pm
Posted on 8/28/19 at 7:39 pm to Dire Wolf
quote:
The doctor who did her toe amputation was decided to be out of network so that was another $1,100
For some reason, this seems like a reasonable price to get a toe amputated
Posted on 8/28/19 at 7:39 pm to Dire Wolf
Please devour everything in your medicine cabinet, all at once.
Posted on 8/28/19 at 7:41 pm to Dire Wolf
quote:
Why does the quality of my health care and my quality of life have to depend on who I work for and what insurance companies they choose to work with?
quote:
Buying my old insurance wasn't an option, it was far too expensive without employer backing.
that's why
Posted on 8/28/19 at 7:41 pm to Dire Wolf
quote:
I should say, is this really an argument for universal health care
No
quote:
Given that he clearly paid zero attention to his body
Yeah, what kind of idiot has his foot on a radiator and doesn't feel it?
Posted on 8/28/19 at 7:41 pm to Dire Wolf
I do feel badly for him, and I detest that it's possible to change insurances every year by your employer, and terrible for him having all his health issues at the end of the season and getting caught in that change.
It's a fear I have. We have changed insurances 2 of the last 3 years, and honestly, it's very stressful.
It's a fear I have. We have changed insurances 2 of the last 3 years, and honestly, it's very stressful.
Posted on 8/28/19 at 7:42 pm to Dire Wolf
quote:
Timing of the whole thing sucks
oh yeah the timing and bad luck (assuming it's true) is utterly horrible
Posted on 8/28/19 at 7:42 pm to Dire Wolf
quote:
I should say, is this really an argument for universal health care? Given that he clearly paid zero attention to his body
In that case, no.
I feel sorry for the dude but an anecdote doesn't really make me change my entire opinion.
Posted on 8/28/19 at 7:42 pm to HempHead
quote:
It takes all of 60-90 seconds. Y'all are some lazy fricks when it comes to reading
Right. Not all long posts are OweO threads. Sometimes writing has a point
Posted on 8/28/19 at 7:43 pm to Dire Wolf
It shouldn’t matter who I work for Yada yada yada we should have universal healthcare yada yada yada it’s a basic human right.
Sucks for him and I feel for him but that isn’t normal situation.
Sucks for him and I feel for him but that isn’t normal situation.
Posted on 8/28/19 at 7:43 pm to SlowFlowPro
Yeah it's really just inconvenient timing. He was covered throughout, but his network changed.
Posted on 8/28/19 at 7:45 pm to TH03
There was a dude on there today who was complaining that no one would remove a tumor on his spine because he had no insurance and showed no symptoms.
Had a billion upvotes
Had a billion upvotes
This post was edited on 8/28/19 at 7:45 pm
Posted on 8/28/19 at 7:45 pm to Dire Wolf
Yeah...how do you have such a lack of awareness that you burn your foot on a radiator while playing video games (are you too fat to see your foot? Don’t know where the radiator is? Not smell or hear your flesh cooking?)
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