Medfet's Weblog

Medical Fetish Fun and Fantasy

Health insurance is only as good as what it will actually cover…

I usually limit my blogs and posts to funny things or quirky things or just comments and photos in general that just are meant to poke a sleeping bear and spark some conversation.  I’m going to take a little different approach for this post and do a little ranting.  For those of you that know me very well I’ve been researching and contemplating weight loss surgery off and on for a good 5 years now.  I’ve recently started down the path of moving forward and getting the ball rolling.  It’s not an easy path, or a fun one, or even one that lets you feel any kind of emotional relief anywhere before or soon after any surgery.  But it’s one that has to be done for who are in my category of morbid obesity.

The biggest hurdle I thought would be just the mental barrier of making that first step and getting things going.  Little did I know it was going to be the health insurance that I carry.  I have a policy that was offered by my previous employer.  Like anyone else my costs went up while I was in that plan, services went down, and interaction with the provider got more and more different.  I had looked into what my coverage was for weight-related issues in general last week and found that pretty much everything is excluded, specifically weight loss surgery.  Funny thing is I bet they’ll cover stuff like Viagra and certain cosmetic procedures.  I didn’t let that stop me too much since it was just a cursory quick check with the insurance and I hadn’t even been to talk to the surgical group that would be doing the surgery yet.  I figured when I went to meet with them for the first time I’d get the specifics on how to request that kind of coverage, who to ask for, etc….

I attended one of the small seminars the surgical practice offers to familiarize potential patients with the specifics of the various procedures as well as all of the things you need to take care of for the benefit of the insurance providers.  I even was approached by the administrator of the practice that traditionally they have difficulties with United Healthcare.  I took this into account today when I sat down to call my insurance provider again.  This time I was armed with billing and diagnosis codes as well as knowing to ask for a specific case manager and not just the first representative that answers the phone.  I dialed the number, again pleased by how fast I got through to someone.  After doing the typical song and dance to verify who I am I get right to the point.  Knowing they said they don’t cover it wasn’t really deterring me perhaps the way it should have.  I felt somewhat optimistic that, having armed myself with the right information and the right procedure, I’d get somewhere.  Well, in short… I GOT NOWHERE.

So where does that leave all of this?  Well, no farther along than where I started I suppose.  I can’t even comprehend going on such an epic journey without the support of friends and family and especially those people that I’ve been faithfully paying bills to for several years now.  But that doesn’t change the fact that I’m here, with no one interested in even knowing what this is all about or discussing it, and with an insurance provider that won’t pay the bills.  Not even part of them!  So, pay with cash perhaps?  I’m sure that’s a possibility but I can’t even begin to imagine what kind of questions that brings up or what kind of unforeseen situations it might breed.

Thanks for listening to my rant.  It’s rare that I ask for someone to understand how something makes me feel but generally I feel like why bother if no one asks ahead of time.  Comment if you will.

March 4, 2011 Posted by | Life, Rants | , , , , , , , , , , , | Leave a comment

Think about it…

Read this slowly. Let it sink in. Quietly we go. Sheep to slaughter.

Absolutely The Funniest Joke Ever!  . . . ON US

Does anybody out there have any memory of the reason given
for the establishment of the DEPARTMENT OF ENERGY during the
Carter Administration?   Anybody?   Anything?   No?
Didn’t think so.

Bottom line . . we’ve spent several hundred billion
dollars in support of an agency the reason for which not one
person who reads this can remember.
Ready?   It was very simple, and at the time everybody
thought it very appropriate.

The Department of Energy was instituted 8-04-1977 TO LESSEN


Ah yes, good ole bureaucracy. And now we are going to turn the Banking system over to them? God Help us.

November 11, 2008 Posted by | Rants | Leave a comment

People Who Piss Me Off

People Who Piss Me Off…

My rant for today is people who piss me off.  And, I’ve got them broken down into a few categories here that I am sure a lot of you can recognize and appreciate.
1. People who piss me off by adding me to their buddy list and then NEVER talk – If you are the one who requests that I add you then SAY SOMETHING.  Even if it’s just once.
2. People who piss me off by not responding to messages – If we’re on each other’s buddy lists, and you NEVER respond even when I try to give the friendly “hello” then take me off your list.  And, while you’re at it be human enough to at least say you’re not interested in talking any more.
3. People who piss me off by lying through their teeth – OK, so we’ve all said something on here that wasn’t true before.  But when its a story soooooo obviously out of whack that it doesn’t even remotely sound true then don’t get offended when I keep asking you questions to make yourself trip up.  And when I do catch you…at least admit defeat instead of crying and running to the next innocent person.
4. People that piss me off by using someone else’s photo – Hate to tell ya people…there’s a LOT of information that can get recorded in a simple picture file.  WHen ya tell me that you’re showing me a photo that was just taken, and I look and it’s from 1996, well umm yeah..sorry.  I think I’ve said enough on that one.

So ok people, we’re human beings out there and some of us, hell a lot of us are just downright horrible people.  The sad thing is most of the people who DON’T read this are probably the ones that would get offended if they did.  And to those of you that DO read this, I’m guessing you’re the ones I talk to on a regular basis anyway.
Ok, that’s it…my rant for the day.

September 19, 2008 Posted by | Rants | Leave a comment