I am soooooo MAD

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MEG25801
Regular Member


Date Joined Jun 2008
Total Posts : 204
   Posted 5/11/2009 2:35 PM (GMT -7)   
My rhummy's office called today.  I was supposed to have an appointment tomorrow.  She says are you planning on keeping the appointment?  I say yes I will be there.  Well she tells me that because I have not met my dedutible on my insurance(which my company has upped to 1500 dolars) that i will have to pay up front for the whole appointment...which is $150 for him to talk to me for 5 mins.  Plus I would have to pay the $150 from last appoinment because they applied all of that to my deductible.  She told me I would not be able to be seen at all till that is paid.  I was going to see if he was going to up the Lyrica back to 100 mg bid .  She wouldnt even let me talk to the nurse to see if he would.  I was so mad and upset because I will NEVER meet that deductible so every time I go the doc I will have to pay all that.  What is the point in having insurance????I don't know what i am going to do because my reg doc doesnt know anything about fibro so I dont know if he will up the Lyrica or not.  I was so stressed I had to take a klonopin.
 
 
Thanks for letting me vent
 
Missy
Diagnosed with Panic Disorder(16 yrs ago)-GERD(12 years ago)-GAD(16 yrs ago)-IBS(12 years ago)-DDD(6 years ago)-Arthritis(since teenager)-Controled HBP(2 years ago)-Diagnosed with fibromyalgia 9-29-08.
Meds: Cardizem CD~Prilosec~Klonopin(prn)~Daily Vitamin~Tylenol~Lyrica


Sherrine
Forum Moderator


Date Joined Apr 2005
Total Posts : 17101
   Posted 5/11/2009 2:47 PM (GMT -7)   

Missy, that is maddening.  You may have gotten a rude receptionist.  Does your doctor's nurse have an extention number you could dial in and get her?  Mine does so if I want something special from my doctor I can reach him through his nurse.  That's the only thing I can think of doing.

Sherrine


Forum Moderator/ Fibromyalgia
***********************
Fibromyalgia, Crohn's Disease, Ostomy, Diabetes, Autoimmune Inner Ear Disease, Osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
God does not give us a spirit of fear, but of power and of love and of a sound mind.    2 Timothy 1:7


MT Lady
Veteran Member


Date Joined Jul 2008
Total Posts : 955
   Posted 5/11/2009 2:54 PM (GMT -7)   
Missy, the other thing you can do is leave a message for the doctor, or nurse to call you. That should NOT cost you a penny, and ask him over the phone about the Lyrica. I don't blame you for being so upset. My rheumy sees me for about the same time, around 5 minutes, maybe 7 minutes and charges $320 !!! I have a $50 copay, so I always have to pay $50, so I know how you feel, to some degree. I would try to call back and leave a message to have the doctor or nurse call you and if the receptionist wants to know what the call is about, tell her "it's personal" and leave it at that,
best of luck
Miriam

Fibromyalgia, Osteoarthritis, scoliosis, back problems, hypothyroidism.


getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40588
   Posted 5/11/2009 3:07 PM (GMT -7)   
Hi Missy,

This is unbelievable. That is such bad business. They know that you need to see your rhuemy and that it will get paid. They should make payment plans for you. Your insurance pays a lot I am sure. But that deductable stinks. But the doctor's office should let you pay your deductable in payments. This makes me so mad, that I can't even think straight. I hope that you get to talk to the nurse or the doctor. You need some answers.

Best wishes to you sweetie.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


MEG25801
Regular Member


Date Joined Jun 2008
Total Posts : 204
   Posted 5/11/2009 3:40 PM (GMT -7)   
Thanks guys...I don't know what I am going ot do yet.  I may even try to find another doc.  I also may go on my hubby's insurance because his is on 500.00 dedutible.  So we'll see.  I go to my reg do next week and I will see if if will call me in the 10mg Lyrica.  Thanks again for letting me vent
 
Missy
Diagnosed with Panic Disorder(16 yrs ago)-GERD(12 years ago)-GAD(16 yrs ago)-IBS(12 years ago)-DDD(6 years ago)-Arthritis(since teenager)-Controled HBP(2 years ago)-Diagnosed with fibromyalgia 9-29-08.
Meds: Cardizem CD~Prilosec~Klonopin(prn)~Daily Vitamin~Tylenol~Lyrica


vestabula
Veteran Member


Date Joined Nov 2008
Total Posts : 2855
   Posted 5/11/2009 3:49 PM (GMT -7)   

Hi Missy...I don't have any insurance so I know how hard it is to come up with that kind of money whenever there is a necessary appointment. My Rheumy doesn't even take credit/debit cards so it has to be cash or a check.  But I had something similar happen when I had a root canal last year.  I showed up at this giant megaplex with the fountains, rock gardens and a 52" tv on the wall.  After filling out about five sheets of paperwork, the receptionist says to me, "Before you go into a room, we will need $1500."  This is before the endodontist has even seen the tooth or taken an x-ray, as I was refered by my regular dentist.  I go to get my purse to pay, and before I could get my credit card, a dental assistant called me into a room.  This receptionist actually came into the room where I was all prepped and ready to be x-rayed and made me get up, go back out to the waiting room and pay.  Very rudely she says "I told you, no treatment before paying."  Like I was going to get all shot up with novacaine, sit through that painful nightmare for an hour then slither out of the door on my belly when I was done.

Your so called receptionist and mine are probably related.

Huggies

Donna

 


fibro, menieres disease, RLS, anxiety disorder, disc compression, scoliosis, spinal stenosis TMJ  Meds: Lexapro and valium


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 5/11/2009 4:25 PM (GMT -7)   
Oh, that's so wrong...
Co-Moderator Crohn's Forum.

New meds thread


K9
Regular Member


Date Joined Nov 2008
Total Posts : 263
   Posted 5/11/2009 5:48 PM (GMT -7)   
omg that's terrible. I'd be mad too. I'm so glad I live in Canada and can go to any doctor in the whole country that I choose and pay nothing.

Hopefully your new president can do something to reform the health care situation down there. Geesh!
I have Fibromyalgia, and nothing else!
I take Lyrica 225 mg/day and Tramadol (150mg time-released) and amytriptilene 7.5mg


doodie
Regular Member


Date Joined Apr 2009
Total Posts : 67
   Posted 5/11/2009 8:48 PM (GMT -7)   
yeah k9, you just have to wait two years to see them.

donnaeil
Veteran Member


Date Joined Jun 2006
Total Posts : 1156
   Posted 5/11/2009 10:10 PM (GMT -7)   
k9,

I do not think that is the truth.

Donnaeil

tyno3
Veteran Member


Date Joined May 2008
Total Posts : 1081
   Posted 5/12/2009 4:21 AM (GMT -7)   
I live in Canada. As a matter of fact, I lived in Florida until 05, when I became sicker than I was able to afford, and although I had an excellent doctor (GP) there, whom I miss like all get out, as well as the sunshine and the sand, I had to move back (Born Canadian, Landed Immigrant - US), to Canada because as my health deteriorated, I couldn't work enough to pay for my medical. So here I am in the frozen North, where I can get into my GP within 48 hours, usually. We do have a serious shortage of specialists, so one can wait 18 months for a Mental Health Consult, apparently less for a Rheumy as I discovered, as I moved house, I missed notification of my appointment which was within 6 weeks of the referral, my GP was PO'd at me. However, the lack of specialists is due to Medicare's low remuneration rates. The specialists train here and then move to US where they can make a lot of money. Any remaining specialists are either sub par, or may have other reasons (like family) for remaining. However, the GP's extend themselves beyond what they would do in the US. For example when I requested a Pain Mngt. Specialist, my GP said "they can't do more than I am doing for you", and as time went by, and I read some horror stories about specialists on this forum, I realized, he's right. I will do my best to work with him and my pdoc whom I see every 3 months, who originally I thought was a quack but now feel he's bang on, just that he said some things I didn't want to hear. So, really, although in some cases, especially in rural areas, the doctors can be down right dangerous, as I discovered when a doc prescribed a heavy duty amphetamine to me referring to it as a "muscle relaxer", and it made me very ill, there for two weeks. I drive to the city to see a GP. 60 miles. Have to. Next time I have to go to emerg. I will go to one in a metropolitan area. All, in all, I could not survive, in my present physical condition within the US medical system. I remember having a fever of 104, had been 105 one time, was referred to an internist and was stopped at the reception desk to pay cash, as you say 150.00, before I even had my temperature taken. This would not happen in Canada. I learned a little secret (for those Canadians on site,) as Docs are basically Civil Servants, paid by the Gov't. and having to operate within the political climate, they tend to be extra grumpy on Mondays, Tuesdays, and sometimes Wednesdays. However, go on a Friday, in the AM, your doc will be an entirely different person. I try to engineer things this way, however, sometimes ya gotta go, when ya gotta go. I always come out feeling like a great imposition on him, when I go early in the week. Thursday and Friday, I always come out feeling like we've collaborated and made progress. 

Hypothyroidism, Fibromyalgia, Facet Joint Syndrome, High Blood Pressure, menopause, Migraines, Chest Pain, Anxiety and Depression/BiPolar II
Synthyroid .075mg., estradiol.5 mgs., Amyltriptilene, 100mgs, bedtime, Tylenol 3 PRN (six-eight, daily), Valium 7.5mgs. daily prn. Flexeril, prn (not so helpful), Zoloft,150mgs., Zomig approx. 12 per month, prn., Meds for High Blood Pressure, vary.


vestabula
Veteran Member


Date Joined Nov 2008
Total Posts : 2855
   Posted 5/12/2009 6:07 AM (GMT -7)   

I hope this isn't too political for the forum, but I don't have health insurance and even I am against socialized medicine in this country.  We have two friends, a gyno and an orthopedist that are already in the process of leaving their practice and going into research.  If the govenment tells you how much you are going to earn no matter how many patients you see a day...what are you going to do...see three or fifty?  Hense a year long waiting list. I have mentioned this before in a post...I live one hour from the Canadian border and the hospital and doctors offices parking lots are filled with Ontario license plates.

My aunt fell in front of a restaurant in Kingston Ontario and broke her ankle.  It was on a Sunday, and the ER had no radiologist until 'Tuesday'.  She had to drive to Watertown to have it x-rayed and treated.

As maddening as the medical system in this country can be, I will take if over socialized medicine any day.  Do you honestly think the government will label Fibro as a disorder that needs immediate attention?  NOT!

That's just my two cents.

Donna


fibro, menieres disease, RLS, anxiety disorder, disc compression, scoliosis, spinal stenosis TMJ  Meds: Lexapro and valium


Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 5/12/2009 7:20 AM (GMT -7)   
Geez, makes you feel good when the doc is more concerned about getting the money up front than helping you doesn't it???
 
I am very fortunate when it comes to my GP cause his father founded the practice back in the 50s and had 11 children which most of them are doctors and now the third generation of doctors is coming along too. They practice medicine as they were taught by their father back in the good old days. Our doc was my mother's doc, my sister and BILs doc and my two oldest grandchildren that live here doc. He is the one that confirmed my GD's pregnancy. He knows our family and we know his family. So when we do have to go outside to DH's cardiologist or I go to my rheumy it's a whole different world than we are use to.
 
So there are doctors out there that really care about their patience as a person, not just what part of their body they are treating.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
 
Co Q 10, Super B Complex, Extra B12, Multi vitamin


tyno3
Veteran Member


Date Joined May 2008
Total Posts : 1081
   Posted 5/13/2009 3:06 PM (GMT -7)   
I need to clear up a misunderstanding about Medicare, here in Nova Scotia. The doctors are associations of family practictioners; not civil servants in the sense of being paid "x" ammt. of dollars, nevermind how many patients they see. The doctors choose days and hours of work, for the most part. The only standard set, is the ammount a GP will get paid for either a certain period of time worked, ie, 15.00 for a six minute bloc of time, or sometimes, a set ammt. for a set procedure. They are essentially entrepreneurs. Work more, earn more. Pay their own overhead. Like a small business. So really, the debate boils down to one of small business folk vs. hugh conglomerates run by CEO's who know Nothing about medicine, or people, just lot's about dollars and the bottom line. I think it is very important to make this distinction. It's like a snowball rolling downhill, the further the bill has to roll, the bigger it gets. Every hand it passes through has a bite. So in total, by the time the CEO's of the HMO's get their yearly 2.5 million bonus's, the bill you recieve for a visit to the hospital, gosh forbid, having to stay overnight, or two, or five or fifty. Guess what. Really? Can anybody deal with a 2 million dollar hospital bill? Except the CEO's of the HMO's, with their bonus's. I have lived on the streets. There is a choice being made right now, by 1 in every 4 Americans, pay you insurance premiums and lose your home. There are actually street people that choose a chance to get treatment when sick, over evry other necessity of life. Lived there, been there, burned the shirt. I am not back in Canada for the weather, trust me on that.
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