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submitted 1 year ago* (last edited 1 year ago) by throwaway38575061@lemmy.world to c/mildlyinfuriating@lemmy.world

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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[-] mirror_slap@lemmy.world 2 points 1 year ago

Get D.Mannose and take like 2 grams a day till it's gone. Mileage may vary, but it cured my wife of recurrent UTIs after more than 20 infections.

[-] doink@lemmy.world 2 points 1 year ago

Have you since received treatment? Bad news, men don't really get UTIs.

When I had it, it was because of kidney stones.

[-] Navi1101@lemmy.world 2 points 1 year ago

Penis owners can absolutely get UTIs, but since the urethra is much longer, they're less likely to develop into bladder infections.

[-] Alpagu@lemmy.world 2 points 1 year ago

I'm living in Turkey. All health care is free.

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[-] iceycake@lemmy.ml 2 points 1 year ago

Have you try other online services (no insurance need) like GoodRX care? I don’t see you need 16 or older for UTI in their options.

[-] goldenbug@kbin.social 1 points 1 year ago

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?

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[-] LostCause@kbin.social 1 points 1 year ago

So wtf, they want you to let it get worse until that infection spreads to kidneys or something and then pay 100x the amount to an emergency room? How does that make sense for their profits anyway?

Treatment is just a test to confirm and some antibiotics I think. Hope you can find some other way to get treated.

[-] itsjustxan@kbin.social 1 points 1 year ago

This country is ripe for a revolution.

[-] Rhabuko@feddit.de 1 points 1 year ago

That's so fucked up! I'm sorry OP.

[-] throwaway38575061@lemmy.world 1 points 1 year ago

Thank you ❤️

[-] curiosityLynx@kbin.social 1 points 1 year ago

Mildly infuriating?

[-] Jo@readit.buzz 1 points 1 year 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.

[-] racer983@mander.xyz 1 points 1 year ago* (last edited 1 year ago)

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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[-] Froyn@kbin.social 1 points 1 year ago

This shouldn't be infuriating at all. As others have said a Nurse Practitioner is not a Medical Doctor. Go to the "clinic", whether its a hole in the wall $25 place or a local hospital with a clinic attached. A Medical Doctor can help and can even write prescriptions that include the words "medically necessary" which trumps most insurance denials.

[-] 4am@lemmy.world 1 points 1 year ago

There is no fucking shot she is correct. If your insurance won’t cover it then man just cancel it, they’d probably not even cover an ER visit, it should be cheaper to not have it.

Also, report them to your state’s DOI.

Is it because CVS is out of network? Have them bill, get denied, and then appeal it. Put that it would be cheaper than an ER visit for them.

[-] Guadin@k.fe.derate.me 1 points 1 year 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).

[-] Vex_Detrause@lemmy.ca 1 points 1 year ago

You need to prove that you have a urinary tract let alone the infection. Show them your urinary tract! /s

[-] markon@lemmy.world 1 points 1 year ago

This is so ridiculous! Our system is beyond broken. If you're sick you almost have to scrape by before Medicaid limit or pay out the ass and have excellent job with very good insurance. It's so fucked up. This is truly nutty.

[-] BlackSkinnedJew@lemmynsfw.com 1 points 1 year ago

What exactly is a UTI for males?

[-] Totonyus@lemmy.world 1 points 1 year ago

What does UTI means ?

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this post was submitted on 25 Jun 2023
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