Healthcare In America:
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Healthcare In America:
Doctor - I see that your gscsttigom isn't working as well as I'd like. I'd like to start you on pjehhdntpf instead.
Patient - Okay, do you know how much that's going to cost?
Doctor - Sorry I've got no idea.
Patient - What do you mean? Like give me a ballpark. Is this a $20/month? $100/month? $500/month? Refinance my house for a month's supply?
Doctor - Well, it's probably not "refinance your house" level.
Patient - Umm ... Okay ... That leaves a lot of room in there still.
Doctor - You'll just have to talk to your insurance.
Patient - ... Okay
Later
Patient - Hey insurance, my doc wants me to start taking pjehhdntpf, can you tell me how much it is going to cost?
Insurance - Sorry, I have no idea.
Patient - What do you mean no idea?
Insurance - well, we won't pay anything until your doctor gets a pre-authorization. And then how much we cover is based on the diagnosis codes, your deductible, the specifics of your plan, whether you get it from an in-network pharmacy or not ...
Patient - fine, so give me a best case
Insurance - free if it's approved and in network and you've hit your out of pocket maximum of $100,000
Patient - ... Really not helping here. So assume it gets approved and I've hit my deductable
Insurance - which pharmacy?
Patient - idk ... Umm the CVS down the street
Insurance - Okay that's going to be $5000/month
Patient - ... Wait, WHAT?
Insurance - turns out it's on our exclusions list so we don't cover it unless you get it waved onto the formulary upon appeal
Patient - but.... I have insurance. Why aren't you helping me pay for my medicine?
Insurance - we don't allow that medicine on your employers' plan. You should use gscsttigom instead.
Patient - I'm on that one right now. It doesn't work.
Insurance - well you'll have to appeal it, but you can't do that until after you get a formal denial.
Patient - and how long does that take?
Insurance - well, if your doctor does the preauth paperwork, they'll make a decision about it within 14 business days, unless they need to come back to your doctor for more information. Then they'll mail you the decision within another 7 business days from (insert the location farthest possible away from you in the continental US). Depending on the decision you can appeal the decision, which the appeals process can take a maximum of 180 days, after which you can appeal it again which takes a maximum of 365 days.
Patient - and if I need to start taking the medicine now?
Insurance - well you're free to do that out of pocket and file for reimbursement later.
Patient - at $5000/month?
Insurance - no it'd have to be at the out of pocket price. For that CVS, it looks like it'd be $15000/month
Patient furiously googling "how to move to a civilized country"
Googles "pjehhdntpf price in Mexico" - $12.50 for a 90 day supply.
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Healthcare In America:
Doctor - I see that your gscsttigom isn't working as well as I'd like. I'd like to start you on pjehhdntpf instead.
Patient - Okay, do you know how much that's going to cost?
Doctor - Sorry I've got no idea.
Patient - What do you mean? Like give me a ballpark. Is this a $20/month? $100/month? $500/month? Refinance my house for a month's supply?
Doctor - Well, it's probably not "refinance your house" level.
Patient - Umm ... Okay ... That leaves a lot of room in there still.
Doctor - You'll just have to talk to your insurance.
Patient - ... Okay
Later
Patient - Hey insurance, my doc wants me to start taking pjehhdntpf, can you tell me how much it is going to cost?
Insurance - Sorry, I have no idea.
Patient - What do you mean no idea?
Insurance - well, we won't pay anything until your doctor gets a pre-authorization. And then how much we cover is based on the diagnosis codes, your deductible, the specifics of your plan, whether you get it from an in-network pharmacy or not ...
Patient - fine, so give me a best case
Insurance - free if it's approved and in network and you've hit your out of pocket maximum of $100,000
Patient - ... Really not helping here. So assume it gets approved and I've hit my deductable
Insurance - which pharmacy?
Patient - idk ... Umm the CVS down the street
Insurance - Okay that's going to be $5000/month
Patient - ... Wait, WHAT?
Insurance - turns out it's on our exclusions list so we don't cover it unless you get it waved onto the formulary upon appeal
Patient - but.... I have insurance. Why aren't you helping me pay for my medicine?
Insurance - we don't allow that medicine on your employers' plan. You should use gscsttigom instead.
Patient - I'm on that one right now. It doesn't work.
Insurance - well you'll have to appeal it, but you can't do that until after you get a formal denial.
Patient - and how long does that take?
Insurance - well, if your doctor does the preauth paperwork, they'll make a decision about it within 14 business days, unless they need to come back to your doctor for more information. Then they'll mail you the decision within another 7 business days from (insert the location farthest possible away from you in the continental US). Depending on the decision you can appeal the decision, which the appeals process can take a maximum of 180 days, after which you can appeal it again which takes a maximum of 365 days.
Patient - and if I need to start taking the medicine now?
Insurance - well you're free to do that out of pocket and file for reimbursement later.
Patient - at $5000/month?
Insurance - no it'd have to be at the out of pocket price. For that CVS, it looks like it'd be $15000/month
Patient furiously googling "how to move to a civilized country"
Googles "pjehhdntpf price in Mexico" - $12.50 for a 90 day supply.
@JessTheUnstill US healthcare sounds barbaric.
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Gli ultimi otto messaggi ricevuti dalla Federazione
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@nuintari thank you!
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@stefano Full disclaimer, and the rule sucks at making this point clear. My issues with Huawei predate their entrance to the phone market (and the existence of a smart phone market entirely), and the bulk of the backdoors claims. When they got started, they made their coin by cloning Cisco hardware and software. They had such perfect copies of Cisco's stuff, they were replicating hardware bugs. I dislike Huawei because that kind of behavior is unacceptable to me.
Now, the allegations of backdoors? I have no reason to believe they are not true, as it is right inline with the PRC's playbook. I've helped rip out a fair share of Huwei gear in the past few years, but I wasn't on the forensics side. So if a backdoor was active, I wasn't told about it.
And on the phone side of things. Android phones are already privacy violation machines, the OS is built for that bullshit. Adding a bit more? Hardly a challenge.
So no, just what I've heard.
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Aggiungerei che c'è una quantità di pubblicità ridicola (ovviamente esistono modi per evitarla per sé, ma rimane che poi la stessa pubblicità sarà presente per chi è meno scafatə. E la maggior parte dei video suggeriti hanno titolo e thumbnail clickbait
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Giovanni Lindo Ferretti ha rotto il cazzo. E anche Tiziano Ferro.
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@freezr no. Ma non ho sporcato le piastrelle. E con un colpo di spugna vengono perfette comunque.
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@mkj more or less 😂 it's surely a work of dust 😂
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Nina (@nina-75.bsky.social)
https://bsky.app/profile/nina-75.bsky.social/post/3m5iz3i6cnc2f
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