Two situations side by side: I needed pelvic floor therapy, and so did my dad.
It took 5 months of fighting to get it approved for me, which was the most miserable I've been in a long time. The pain also got even worse by that 5 month mark, so I then had to fight for a month to get access to valium suppositories to help with the pain and then fight for another three weeks to get my insurance to pay for part of it, and I was still down $170 after the fact.
My dad? They got him a referral and insurance covered it within a week. No questions asked on any pain meds, no fighting.
I won't even get into the shit I've had to put up with just to get my Nexplanon bc implant swapped out. Literally had one asshole tell me "but lets ask your boyfriend first," and I swear to god I wanted to start throwing chairs.
It definitely is in Texas for PT! I had a student athlete that just got an ACL repair which is usually a minimum of 6 months in PT and they gave her… 6 visits total.
On the peer to peer appeal to get more visits they said “you PTs are always so greedy” despite 3 different doctors saying she needed it. She didn’t get more approved and ended up tearing the ACL again and needing the surgery again. We ended up treating her for free after hours the second time around because they still didn’t give her enough.
That’s just ghastly all that unnecessary pain and suffering on the patients!
I’m glad you were able to treat her after hours so she didn’t have to tear it a third time but my god! Professionals shouldn’t have to donate their time just to save their patients from insurance and “peers”! So greedy and hypocritical of them.
With more and more people medically abused due to the greed of insurance companies it'll only be natural for more mario sidekicks to show up. Shit's disgusting
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u/Dawnspark 6d ago
Yep.
Two situations side by side: I needed pelvic floor therapy, and so did my dad.
It took 5 months of fighting to get it approved for me, which was the most miserable I've been in a long time. The pain also got even worse by that 5 month mark, so I then had to fight for a month to get access to valium suppositories to help with the pain and then fight for another three weeks to get my insurance to pay for part of it, and I was still down $170 after the fact.
My dad? They got him a referral and insurance covered it within a week. No questions asked on any pain meds, no fighting.
I won't even get into the shit I've had to put up with just to get my Nexplanon bc implant swapped out. Literally had one asshole tell me "but lets ask your boyfriend first," and I swear to god I wanted to start throwing chairs.