Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Being politically correct sucks!



Recommended Posts

We are in our new open enrollment for our insurance. This is a copy of what I sent up the chain. We are a company of 15000+ employees, there is no reason why the company can't get better rates. Needless to say, I'm pissed.

2016-10-26%2019.38.02_zps6t4hmila.jpg

Share this post


Link to post
Share on other sites

Honestly I don't know how families survive these days. This sucks.

Share this post


Link to post
Share on other sites

There actually ARE reasons they can't get better rates, but that's a much different topic. I would just say that you're fortunate, looking at the numbers...my wife's teaching job doesn't even subsidize half of our health insurance costs and our out of pocket for Kaiser (Kaiser, mind you...not a PPO or something nice) is over $650/month. But it's a hell of a lot better than the "great deal" the exchanges gave me, which covered my family for $1,500/month after I got laid off, because my "income" was based on my previous year's tax returns and so I didn't qualify for anything better, while unemployed. Talk about a grueling 15 months or so, until she got work. I'm a freelancer, so I don't have options. Also couldn't switch to MediCal because my stepson is on regular medication for ADHD and it wouldn't have been covered. Also would have struggled to get any help when it came to CPAP re-supplies and crap like that, not to mention having the worst selection of doctors. I was up a creek without a paddle. But no, I'm THRILLED with the way healthcare is right now. (Not to politicize this politically correct thread.)

There's a reason people are flying to TJ to get surgeries.

Edited by PorkChopExpress

Share this post


Link to post
Share on other sites

Not sure what any of this has to do with being "politically correct".

"When all is said and done, usually more has been said than done. "

Share this post


Link to post
Share on other sites

This is what happens when health insurance is a for profit industry

Maybe someday the US will get on the board and go single payer or universal like the rest of the industrialized countries. But I'm not holding my breath.

Share this post


Link to post
Share on other sites

My husband switched jobs over the summer. I always check to see what ins coverage a new company has before he accepts an offer.

This time, we were screwed big time. The ins company was fine, a PPO, but the monthly contribution from his paycheck is $1400 a month for a family. And he works for an insurance company!!!! wtf????

His last position, we were paying $550 a month. This one is more than our mortgage.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Actually, these rates sound great. Have you tried getting insurance as someone who is self-employee lately?

Also, have you seen how much healthcare CEO's make lately? I don't know where you work but what does your CEO make? Those numbers have a lot more to do with what you pay than "political correctness" or whatever you are complaining about.

Employers had the chance to get out of the healthcare/insurance business if they would have supported single payer.

Share this post


Link to post
Share on other sites

My husband switched jobs over the summer. I always check to see what ins coverage a new company has before he accepts an offer.

This time, we were screwed big time. The ins company was fine, a PPO, but the monthly contribution from his paycheck is $1400 a month for a family. And he works for an insurance company!!!! wtf????

His last position, we were paying $550 a month. This one is more than our mortgage.

Sent from my iPhone using the BariatricPal App

Wow, that's almost the exact scenario I had when I switched jobs about a year ago. I was at $550/mo and went to $1250/mo. I will say that my new PPO is absolutely top notch though - my RNY surgery this year cost me a total of $20.

I could have gotten essentially the same $550/mo plan I used to have for $1050/mo, but went with the $1250/mo because it was so much better. My surgery alone would have cost me close to $8000 with the $1050/mo plan, so it was worth the extra premiums this year, and frankly, most years.

My family spends a lot on medical care. For me, it's better to pay a higher monthly premium and know that I'm fully covered than get a lower monthly premium and end up with a high deductible and a much bigger share of the cost.

Don't get me wrong, I was not delighted to pay an extra $8,400 a year, but that came with zero deductible and no cost sharing (other than standard $20 co pays).

Share this post


Link to post
Share on other sites

I don't know mine has been very good to me last year I had to complete knee replacement done one of them was for free because I met my deductible 500.00 and 1500.00 out of pocket. I easily met from my first knee then got the other one for free. this year getting a revision from band to bypass. BUT thank goodness I went on and did this because we are changing insurance companies I don't know why the premiums are higher and the deductibles are so ridiculous you would have to have a bad illness to meet it. And I work in a hospital. It is mainly the insurance companies greed that is putting a hurting on us and who we work for they want to pay the least in insurance coverage but we pay the price for it. For me this is it I wont have to go to specialist anymore just follow ups once or twice a year so I don't mind paying a higher copay next year that's why I went with the lower premium and higher copay.

Share this post


Link to post
Share on other sites

My husband switched jobs over the summer. I always check to see what ins coverage a new company has before he accepts an offer.

This time, we were screwed big time. The ins company was fine, a PPO, but the monthly contribution from his paycheck is $1400 a month for a family. And he works for an insurance company!!!! wtf????

His last position, we were paying $550 a month. This one is more than our mortgage.

Sent from my iPhone using the BariatricPal App

Wow, that's almost the exact scenario I had when I switched jobs about a year ago. I was at $550/mo and went to $1250/mo. I will say that my new PPO is absolutely top notch though - my RNY surgery this year cost me a total of $20.

I could have gotten essentially the same $550/mo plan I used to have for $1050/mo, but went with the $1250/mo because it was so much better. My surgery alone would have cost me close to $8000 with the $1050/mo plan, so it was worth the extra premiums this year, and frankly, most years.

My family spends a lot on medical care. For me, it's better to pay a higher monthly premium and know that I'm fully covered than get a lower monthly premium and end up with a high deductible and a much bigger share of the cost.

Don't get me wrong, I was not delighted to pay an extra $8,400 a year, but that came with zero deductible and no cost sharing (other than standard $20 co pays).

Must be a Sparty thing.

But for us, this ins is actually worse than the PPO BCBS il we had. Higher deductible, out of pocket, no pretax reimbursement on co-pays, tons of crap not covered.

Looking into other options now.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

But innersurfergirl is right it all about the money! But having one insurance company would be a big mistake like here in NC BC/BS is the big one here they got to big for there bridges that's why here they lost a lot of the big hospital accounts they are going to feel the burn for that. Competition is the key to this!

Share this post


Link to post
Share on other sites

But innersurfergirl is right it all about the money! But having one insurance company would be a big mistake like here in NC BC/BS is the big one here they got to big for there bridges that's why here they lost a lot of the big hospital accounts they are going to feel the burn for that. Competition is the key to this!

No, competition is not the key. Whether we live or die should NOT be a capitalistic venture. When that happens, people die because they can't afford to go to the doctor or can't afford insurance at all. Over 1 million people have died since 1993 because they were not insured or under insured.

It's time we as a nation took profit out of the equation of people's health and well being and offered universal healthcare, so every single person, rich, poor, or in between has a chance to live a happy, healthy life.

Share this post


Link to post
Share on other sites

My company is huge (over 200K people) and I pay over 130K, 24 times a month.

Not only that but the deductibles are increasing every year.

Starting next year I now have to SHOP around for the best rate whenever our Dr. requires an out of office test, else if I go somewhere that is not the lowest, I pay the difference.

I am so glad my WLS has stopped all the meds and health issues I have had.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×