Health policy. Brooklyn. 🌈. COVID Long hauler. Will travel for carbs.

New York, NY
Joined October 2018
Hey @AnthemBCBS and @Accredo - I’m having major problems getting my Rx covered. Each of you says the other are supposed to cover it. I’ve spent 2 weeks and many hours in the phone trying to resolve this without success. Can you help?
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Cool cool. My health insurance company is experiencing a ā€œtech glitchā€ and every single doctor in NY is coming up as out of network. Literally every single doctor.
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Can someone remind me where I can find the chart that shows healthcare costs rising faster than costs in other industries? I can’t remember who publishes this chart
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I tried to get info & came up short. wanted to know if the Customer network had a separate MOOP from other network providers. In the member portal, the SPD was outdated and didn’t mention this network and I couldn’t find the SBC. There was also no list of preferred providers.
I haven't seen that terminology before either. I have the same questions as Jenny, and would love to see more details about this plan.
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Insurance people: I know what In Network and Out of Network are. What the heck is this third category ā€œcustomer networkā€? If it matters, this is a United plan through an employer (not mine).
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I’m not sure there’s a more awkward conversation than the ā€œSorry, I love you but I can’t let you kill meā€ one that immunocompromised people are forced to keep having over and over and over and over and over.
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This experience was so outrageous that I overlooked one of the worst parts: this AmSurg center is billing facility fees! The whole benefit to patients of AmSurg centers is that they generally don’t bill facility fees and are lower cost
I cancelled my procedure. I used to run a health plan. I work for a large health system. I still can’t believe I almost got snookered into having an out of network procedure.
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I cancelled my procedure. I used to run a health plan. I work for a large health system. I still can’t believe I almost got snookered into having an out of network procedure.
Replying to @_SaraRothstein
I just learned that the AmSurg center, Upper West Side Endoscopy, a @MountSinaiNYC JV, is out of network ā€œbecause it’s new.ā€ They promise to only bill me for in network copays. But I can’t see the paperwork I’ll have to sign until I arrive for my appt.
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This is the second time I’ve had to cancel a colonoscopy to avoid a #surprisebill. Fortunately, this was a routine screening. The last time I was having an #ibd flare and I was so scared of getting an OON bill that I waited a whole year, until I was so sick that I had no choice
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The #nosurprises act makes progress in protecting consumers from #surprisebills but there are still so many opportunities to accidentally wind up with enormous bills
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Just another day navigating healthcare billing and insurance. I’m supposed to have my biannual colonoscopy on Friday. 🧵
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And no one can’t tell me how GI, Anesthesiology,Pathology will bill. I’ve made 10+ calls to @MountSinaiGI @mountsinaiIBD and others. If the facility were in network, I’d be protected by the Surprise Bill law. But bc the facility is OON, I have no protections from OON MD bills.
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The kicker is that I’ll probably have to cancel the procedure and reschedule to have it at the hospital, which is more expensive than procedure in ASCs.
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Hi @Avis - I’ve spoken to 5 different customer service reps and none can explain why I was recently charged more than $500 after returning a rental car. Can you help?
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What are the odds I make it home tonight given that there is bad weather in Boston and NYC, there are air traffic control equipment problems at BOS, and Amtrak is sold out for the rest of the day . . . 😣
Hey @AutoEurope_DE, how do i reach an English speaking representative? I was overcharged for a European car rental but cannot reach an English speaking customer service rep. Calls just get disconnected. I also tried emailing and did not get a response.
Sara Rothstein retweeted
14% of Americans have Long Covid – and that’s a conservative count. 4 out of 5 of them have symptoms that impact their daily activities. People can’t work or take care of their families. We need to put the pedal to the metal on researching treatment. usnews.com/news/health-news/…
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