Unnecessary Explainerorama: these posts are pics of things I saw and thought about this week. Close-up of definitions from my son’s insurance Explanation of Benefits form. Hi there, preexisting conditions! Illegal? Ha ha! Also just to point out the ridiculousness of that definition: “A condition, excluding genetic information or an existing pregnancy, that existed prior … More Pic of my Week 1
BOTOX FOR BABIES It’s really fun to call your insurance for preauth and explain why your kid is getting botox. You would think people wouldn’t make jokes, but they do! Ha ha! Baby leg wrinkles, am I right? Oh, fine, I guess it’s covered. Jeez, why would you want to get that for a kid … More The Kid’s EEG Results, Latest
It’s time for the medical healthcare tidbit roundup! This week I learned that: Every single one of E’s medical accounts requires three phone calls to make sure that they are running it through primary insurance AND secondary insurance. With each new phone call, I verify that they have both numbers. “Yep, we got them!” is the … More Odds and Ends of Life with Disability
So here’s what I’ve been up to for the past two weeks. Questcor Finds Profits, at $28,000 a Vial (from 2012) Nice sum up, NYT: The most important use of Acthar has been to treat infantile spasms, also known as West syndrome, a rare, sometimes fatal epileptic disorder that generally strikes before the age of 1. … More Anyone who says differently is selling something.
What things, you ask? Oh, just the term “getting the shaft” and insurance companies. From NPR: Insurance Choices Dwindle In Rural California As Blue Shield Pulls Back A quote: In addition to Anthem, Blue Shield of California used to sell policies to individuals in every county in the state…But by 2014’s open enrollment period, Blue … More These things tend to go hand-in-hand
(Incidentally, when I type “mofos” my autocorrect helpfully adjusts it to “moos”. I’m not sure which is better.) Pre-Existing Condition Bans: Are They Really Gone? But the mix up raised a broader question – What about the requirement of the Affordable Care Act that prohibited pretty much all pre-existing condition exclusions as of Jan. 1, 2014? Under … More Seriously, you mofos?
Thanks to this delightful video of Ralph Hudgens (as seen on Sullivan), it’s ranting-definition time at Jiggery-Pokery’s Soup of the Day! Pre-existing condition (according to insurance companies, from Investopedia): “any medical condition that existed prior to the date the patient signed up with a health insurance provider. Under the ‘objective standard’ definition, a pre-existing condition is … More If it’s cars we’re talking, I want an MG
Recently I got a memorable shipment from my mail-order pharmacy. Mail-order pharmacies are the best if you’ve got a chronic disease. For example: you need maintenance meds every day? They accept three-month prescriptions and do auto-renewals. Let me tell you now, there’s nothing better than getting a big bag of three month’s worth rattling medicine … More Can you take my pills?
COBRAAAAAAA Am having issues with COBRA, or rather, the company that manages it. COBRA, if you had not had the pleasure, stands for the Consolidated Omnibus Budget Reconciliation Act. What the act does, super basically, is allow people who lose or quit their jobs to continue their work insurance/healthcare plan with limited impunity for a set … More Healthcare woes party, my house
Ex-GOP Operative’s Cancer Struggles Make Him An Obamacare Supporter A bit: Murphy was diagnosed with testicular cancer in 2000 but, after four rounds of chemotherapy (covered by his insurance), it had gone into remission by 2004. He wasn’t in the clear quite though. Because his sleep apnea qualifies as a “pre-existing condition,” Murphy explained to … More Golly gee!