this post was submitted on 25 Jun 2023
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Mildly Infuriating

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She literally called me at the time of the appointment to tell me she can't see me. She was so apologetic, but was like "I absolutely can treat you, but I'm not allowed by your insurance". Fuck this country.

Update: I went to urgent care. Before leaving home, I called to be sure they would accept my insurance (Aetna). They said yes.. After arriving for my appointment, they told me they do not accept my insurance. I will simply leave without paying.

Final Update: I can understand that that differences in physical biology demand different attention. That's not what I'm complaining about. It's the way it's set up. I was told that at my appointment. Why not just refer me to a specialist? The website could've even just referred me to urgent care (yes, my insurance requires a primary care physician's referral for urgent care, according to the urgent care facility). But, no, their goal is to obfuscate and irritate until the patient gives you and pays out-of-pocket.

I was able to receive care at a cost I could not afford. I won't discuss what I had to do to "find" the money to pay for care and prescriptions. That being said, the condition I was diagnosed with was more serious than a simple infection, and I'm glad that I saw a doctor. I need further treatment and just hope I can get insurance to cover any of it.

If you're an American reading this, please consider ways to get involved in organizing in support of Medicare For All in your community. Here is one resource I have found. We don't need to live like this. We deserve better. Stay safe and healthy, friends.

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[–] [email protected] 6 points 2 years ago* (last edited 2 years ago) (7 children)

This is mildly infuriating, I can give you a little more context though if you're interested. I don't know exactly about contracts between insurance companies and CVS so I can't speak to that definitely. Probably something related to how much insurance is willing to pay minute clinic for such a short visit, and what things are feasible to address in such a short visit (hence CVS only allowing certain complaints).

I think this is something to do with the concept of "uncomplicated" vs "complicated" uti. Complicated utis are when there's an increased danger of serious complications from a uti or increased likelihood of failing a typical antibiotic therapy. Utis in men are much much rarer than women, and are considered to be an automatic "complicated" uti by many. The greater length of the urethra in men helps prevent bacteria from being able to travel up to the bladder, whereas in women the short distance allows for this to happen much more frequently. So when a male has a UTI there is a much greater chance there will be complicating factors like prostate issues, structural problems, kidney stones, kidney infection, catheter use, atypical bacteria, etc. If you look more into their info on utis, they also state if they suspect any of those things, even in women, they won't treat it and will just refer you to someone else, probably the Ed or a real urgent care clinic. Since the odds of that are much greater in men, they probably aren't allowed to have longer appointments in minute clinic based on what insurance will pay for what they're providing, they just decided to not see that at all in minute clinic. Looks like they do see men for sexually transmitted infections though, which are actually the most common cause of utis in young men, so if that's a concern looks like they would be able to see people for that.

But I totally agree with you, fuck insurance companies in general.

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[–] [email protected] 6 points 2 years ago

BREAKING: Men do, in fact, pee

[–] [email protected] 5 points 2 years ago (5 children)

Are the people in the comments bots or real people? It's too good to be true that so many people have switched to Lemmy!!

[–] [email protected] 5 points 2 years ago

I checked and am definitely a robot.

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[–] [email protected] 5 points 2 years ago

This country is f****** crazy. I remember like 8 years ago I was trying to get into rehab to kick opiates which I eventually did in 2015. When I got into a free bed for a detox, they wouldn't let me in because it said my insurance wasn't accepted. The irony was I didn't have insurance anymore, they still had me listed as being insured with some s***** Blue Cross program at my old job.

I actually had to get proof that I wasn't insured so the state would cover my bed.

Any other OECD Nation pretty much and you get treated like anyone else. And the sick part is both political parties are okay with this, and militantly fight any serious ever for a public health care system with one single risk pool where everybody is automatically opted in.

[–] [email protected] 5 points 2 years ago

I'm not USian but I'd be astonished if that was legal, even in the barbaric hellhole that is the US healthcare system.

Ask her to put it in writing and then challenge the insurance company.

[–] [email protected] 4 points 2 years ago

This is why mens' rights activists exist. Unfortunately, just like the feminist movement, they were invaded by psychopaths.

[–] [email protected] 4 points 2 years ago (1 children)

do get it treated OP, however one does that in that joke of a country you're unfortunate enough to live in. Do know that unlike female UTIs which are relatively common and often uncomplicated if treated, male UTIs are not common and CAN herald some other underlying pathologies (such as urinary stones, blockages, anatomical problems etc) which should be properly investigated. So do go see a doctor if you're able to.

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[–] [email protected] 4 points 2 years ago (1 children)
[–] [email protected] 4 points 2 years ago

urinary tract infection

[–] BlackSkinnedJew 3 points 2 years ago

What exactly is a UTI for males?

[–] [email protected] 3 points 2 years ago

Man that is bad. And I must say there are more countries moving that way. You can get cheaper insurance but then you need to go to the connected health institutes and otherwise they won't pay. Fuck that, I want to choose where I get my care. I don't want health insurance providers to have a say in how my doctor treats me (but they do, unfortunately).

[–] [email protected] 3 points 2 years ago

It's a good thing we have private insurance in the US. You have the freedom of choice! (/s)

Can you visit a general practitioner for treatment? It'll take a lot longer... but I would imagine they can give a prescription - even if it's not covered.

[–] [email protected] 3 points 2 years ago (1 children)

I am sorry this is happening to you. I cannot even phantom why this is the case, anyone could please explain to me why UTIs are not covered for men?

[–] [email protected] 3 points 2 years ago

There is a documented thing insurance companies have started doing where they deny claims until you appeal them. AI was being used somehow to determine which cases.

[–] [email protected] 2 points 2 years ago

Mildly infuriating?

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