Uncoverage
I knew that it wasn't a good idea to skip a physical exam for five or six years. But it turns out that's not because it was irresponsible to my well-being or my gig as a husband and new parent. No, obviously I'm not supposed to go at all because an annual checkup is no longer covered by my health insurance plan. WTF? Isn't that something everyone is supposed to do?
Yesterday I called Blue Cross to find out why I received a bill, and it turns out that preventative coverage has been taken away from my coverage since the last time I had a checkup. If I want one, I have to go to a clinic that is dedicated to that sort of thing--and not my primary care physician. That makes no sense at all (just dollars). I was about to go off on the help-desk person, but stopped to tell her that I know it's not her fault and that I don't blame her. But I get mad just thinking about it, am pissed off about having to play $250 to get felt up, and definitely worry about Eloise's health care since she's on my account.
The state of health care in the U.S. is so fucked up. Even if you pay your premiums and think you're covered, you probably aren't.
posted by gr at
11:16 AM
I had the same experience. I ended up calling Blue Cross, and then the Dr. and had them "re-diagnose" my visit so it could be resubmitted and then re-imbursed.
Told Blue Cross that I'm better off going to a Free Clinic from here on out.
I think Kaiser is the only plan that promotes preventative care. Everyone else would rather deal with you when you're sick.
I have something similar under Blue Cross where I'm supposed to go to a "Healthy Check" center for preventative care which turned out to be at a low cost clinic. My guess is they contract with them at a cheaper price.
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