Rep Retirement Lodge 200 - End of Season

[The Rube]

Re: Rep Retirement Lodge 200 - End of Season

That is bad medicine. It should be more than that.
Why tiered? Do they pay you less at work if the thing you are doing weighs less? No. You are spending time doing it. I used to have people complain when they had to pay for a recheck of something. If it was OK they didn't think they should pay. Time is time.

And my stance is that 2 minutes is the same as a 30 minute physical? Or a 15 minute (or whatever it is) MRI? At work, no matter how much it weighs, it takes me (x) amount of time to do it.

This is quite literally how it goes:
Doc: Everything going good?
Me: Yep. No symptoms, no anything. I'm good. No side effects, either.
Doc: No this or that or other?
Me: Nope.
Doc: Ok, you're good to go.

For the record, it's Stelara for psoriasis, self-injected shot.

 

[leswp1]

Re: Rep Retirement Lodge 200 - End of Season

And my stance is that 2 minutes is the same as a 30 minute physical? Or a 15 minute (or whatever it is) MRI? At work, no matter how much it weighs, it takes me (x) amount of time to do it.

This is quite literally how it goes:
Doc: Everything going good?
Me: Yep. No symptoms, no anything. I'm good. No side effects, either.
Doc: No this or that or other?
Me: Nope.
Doc: Ok, you're good to go.

For the record, it's Stelara for psoriasis, self-injected shot.

It isn't coded the same. your co-payment is probably the same but the visit is probably coded lower for insurance. One could argue that he needs to ask the this that the other and then interpret what the answers are. If you were to answer positive does that mean he gets more $? The thought process is the same only your answers differ.

I am being a pi55ant. If we had a real medical system instead of a business model, driven by profit and insurance, then this would be a non-issue. Any other developed country you would just come in, do your thing, leave and that would be it. Just back from yet another conference where they say "this is best medical practice. Look at all the evidence and how it improves outcomes..... but it probably won't be covered so here is what you need to do to get the best result you can." So. Freaking. Disgusting. Didn't used to be that way. It makes me feel cranky and cynical.

 

[The Rube]

Re: Rep Retirement Lodge 200 - End of Season

It isn't coded the same. your co-payment is probably the same but the visit is probably coded lower for insurance. One could argue that he needs to ask the this that the other and then interpret what the answers are. If you were to answer positive does that mean he gets more $? The thought process is the same only your answers differ.

I am being a pi55ant. If we had a real medical system instead of a business model, driven by profit and insurance, then this would be a non-issue. Any other developed country you would just come in, do your thing, leave and that would be it. Just back from yet another conference where they say "this is best medical practice. Look at all the evidence and how it improves outcomes..... but it probably won't be covered so here is what you need to do to get the best result you can." So. Freaking. Disgusting. Didn't used to be that way. It makes me feel cranky and cynical.

I just watched the Mayo Clinic show by Ken Burns....the Mayo family understood it. IIRC, the last visit I had (and I have GOOD insurance) cost me about 150 for that convo. I don't even PAY for my meds at this point (directly....insurance and all). Not even kidding. Have pretty low insurance, too. I personally think that's BS. You're charging me for that? And it's not much different elsewhere, I looked around.

Edit: if I required more, sure, I'll pay it. I get that part.

 

[FadeToBlack&Gold]

Re: Rep Retirement Lodge 200 - End of Season

Wait, visiting the doctor costs you $150 out-of-pocket? If so, that's terrible insurance.

 

[The Rube]

Re: Rep Retirement Lodge 200 - End of Season

Wait, visiting the doctor costs you $150 out-of-pocket? If so, that's terrible insurance.

I also don't pay one cent for Stelera, which is $3000/shot, 4 times a year. And Urgent Care (the 2-3 times I've had to use that?): $25.

 

[mookie1995]

Wait, visiting the doctor costs you $150 out-of-pocket? If so, that's terrible insurance.

Coverage. Terrible coverage.

Nothing is “insurance”

And dr can bite it when they schedule twentyteen people at the same time. My appointment is for 2p, and it is 205, .....gone.

 

[Ralph Baer]

Re: Rep Retirement Lodge 200 - End of Season

Good Morning Lodge!

 

[MarkEagleUSA]

Re: Rep Retirement Lodge 200 - End of Season

Good morning Ralph!

Good morning to the rest of tLodge!

 

[West Texas Wolverine]

Re: Rep Retirement Lodge 200 - End of Season

Good morning, all!

 

[dxmnkd316]

Re: Rep Retirement Lodge 200 - End of Season

Wait, visiting the doctor costs you $150 out-of-pocket? If so, that's terrible insurance.

Not if you’re on a high deductible plan with an HSA.

I have six-month med checks and have been doing that since fourth grade. I like them and think they’re a good idea. You need to be sure the meds are still effective and there aren’t any side effects or changes in your health. Plus, there may be new developments or warnings.

I also like them because it gives me a chance to get in and ask other questions as well. Ours is more like a 15-20 minute conversation. I’m going to ask for an apnea test this time. I blew through my deductible in February so everything is 80% off now.

 

[St. Clown]

Re: Rep Retirement Lodge 200 - End of Season

Sleep apnea sucks, but so does using a CPAP. If you end up having a sleep test done, and they don't find any oxygen level issues in your blood, see if you can find another solution than a CPAP. It took me a long time to get used to using it, even had to change from sleeping on my sides and stomach to always being on my back. And the tubes providing the air pressure will sometimes be tangled in something, or caught between the bed and the wall or headboard.

 

[bigblue_dl]

Re: Rep Retirement Lodge 200 - End of Season

Not if you’re on a high deductible plan with an HSA.

I have six-month med checks and have been doing that since fourth grade. I like them and think they’re a good idea. You need to be sure the meds are still effective and there aren’t any side effects or changes in your health. Plus, there may be new developments or warnings.

I also like them because it gives me a chance to get in and ask other questions as well. Ours is more like a 15-20 minute conversation. I’m going to ask for an apnea test this time. I blew through my deductible in February so everything is 80% off now.

Exactly. I see the doctor maybe 1 time per year. Last year was more, due to getting an ear infection and needing antibiotics, then slicing open my hand with a piece of rusty garden equipment, and again needing antibiotics. But, usually I'm good for 0-1 trips a year. If I can pay for those with tax free HSA money, and maintain a cheap premium, I have no problem with $150 per trip in.

Of course, this has changed now that the baby is on my insurance. Still have a high deductible HSA plan though. But I increased my HSA contributions. Not worried though, I have built up 3x my out of pocket maximum in my HSA.

I have good insurance. My parents have awful insurance. They have 1 option, all of the others choices went away a few years ago. $3000/month premium. $20,000 deductible, $50,000 out of pocket maximum. Just another way agriculture gets screwed.

 

[leswp1]

Re: Rep Retirement Lodge 200 - End of Season

I also don't pay one cent for Stelera, which is $3000/shot, 4 times a year. And Urgent Care (the 2-3 times I've had to use that?): $25.

That is stupid. It encourages you to not get care if it is cheaper to wait until it is urgent rather than follow up or check in.

Coverage. Terrible coverage.

Nothing is “insurance”

And dr can bite it when they schedule twentyteen people at the same time. My appointment is for 2p, and it is 205, .....gone.

If you want Burger King then that is realistic. Otherwise BS. We had one Provider who was always on time in each of the practices I worked at. They both sucked. They were on time but did an awful job because hey, you know, if you don't ask questions and you blow people off then you can be on time. Otherwise there is no way in hell you will be on time, all the time. When things got bad enough they would see one of the other providers who would have to fix the train wreck and spend waaaaay more time than the appt to work out all the mess that had been ignored when they were seen for their 15 min. They don't reimburse primary care enough to be able to decrease the amt of people needing to be seen and half the time the insurance requires you to fill in so many blanks the time is up before the pt gets to talk about what they want.Had more than one conversation with the pt complaining I was behind. Told them they could chose- me doing a good job which sometimes meant I was behind or I would refer them to another practice and they could take their chances. No one ever left because then they would say 'but no one will spend the time with me like you'. (and the time turners in Harry Potter are not for sale.) I. do. not. miss. that. at. all.

And stop and think for just one minute- why are we such a great country that people can have such disparate levels of care for disparate levels of billing? That is just plain ef fed up. People shouldn't need to have conversations comparing about paying ridiculous amts of money to take care of their health. And when they can't afford it we spend ridiculous amts of $ when they need more care because they waited....

 

[mookie1995]

Re: Rep Retirement Lodge 200 - End of Season

s'upp y'all

If you want Burger King then that is realistic. Otherwise BS. We had one Provider who was always on time in each of the practices I worked at. They both sucked. They were on time but did an awful job because hey, you know, if you don't ask questions and you blow people off then you can be on time. Otherwise there is no way in hell you will be on time, all the time. When things got bad enough they would see one of the other providers who would have to fix the train wreck and spend waaaaay more time than the appt to work out all the mess that had been ignored when they were seen for their 15 min. They don't reimburse primary care enough to be able to decrease the amt of people needing to be seen and half the time the insurance requires you to fill in so many blanks the time is up before the pt gets to talk about what they want.Had more than one conversation with the pt complaining I was behind. Told them they could chose- me doing a good job which sometimes meant I was behind or I would refer them to another practice and they could take their chances. No one ever left because then they would say 'but no one will spend the time with me like you'. (and the time turners in Harry Potter are not for sale.) I. do. not. miss. that. at. all.

And stop and think for just one minute- why are we such a great country that people can have such disparate levels of care for disparate levels of billing? That is just plain ef fed up. People shouldn't need to have conversations comparing about paying ridiculous amts of money to take care of their health. And when they can't afford it we spend ridiculous amts of $ when they need more care because they waited....

if you want to be professional, be on time.

perhaps the "if you want something else it must be cheaper" attitude is part of it

didn't mookie read usa doctors make 6x denmark or finland of some place with great medicine?!? taking away the overbooking my be a step in that direction

 

[MarkEagleUSA]

Re: Rep Retirement Lodge 200 - End of Season

Good morning to tLodge!

 

[Ralph Baer]

Re: Rep Retirement Lodge 200 - End of Season

Good Morning, MEUSA!


Good Morning to the rest of tLodge!

 

[The Rube]

Re: Rep Retirement Lodge 200 - End of Season

Morning, Lodge!

Just got back from Rochester, and a brewery release down there, which started at 9am this morning. I was 18th in line at 2pm yesterday. Given the line this morning, which was 4-5 blocks long...some people were not going to get their bottles. That would have sucked, to spend all night and get nothing.

And it's Derby Day!

 

[MarkEagleUSA]

Re: Rep Retirement Lodge 200 - End of Season

May the 4th be with you!



Someone had to say it...

 

[Ralph Baer]

Re: Rep Retirement Lodge 200 - End of Season

Morning, Lodge!

Just got back from Rochester, and a brewery release down there, which started at 9am this morning. I was 18th in line at 2pm yesterday. Given the line this morning, which was 4-5 blocks long...some people were not going to get their bottles. That would have sucked, to spend all night and get nothing.

And it's Derby Day!

When will Minnesotans learn that we easterners think NY when Rochester is mentioned. (I also think that I followed the Austin Bruins for a year before I realized that they were not in Texas. )

BTW, besides for being Derby Day, it's the Running of the Chihuahuas here in DC. https://www.wharfdc.com/upcoming-events/2019-05-04-running-of-the-chihuahuas/ It's only a few blocks from where I live, but I will pass again.

 

[duper]

Re: Rep Retirement Lodge 200 - End of Season

When will Minnesotans learn that we easterners think NY when Rochester is mentioned. (I also think that I followed the Austin Bruins for a year before I realized that they were not in Texas. )

BTW, besides for being Derby Day, it's the Running of the Chihuahuas here in DC. https://www.wharfdc.com/upcoming-events/2019-05-04-running-of-the-chihuahuas/ It's only a few blocks from where I live, but I will pass again.

I was about 18 when I realized that sometimes, when people refer to "The Sox," they are referring to a team that plays in Maine or Massachusetts or somewhere.