HMOs, a love/ hate relationship

Discussion in 'onTopic' started by Kita, 20 Nov 2014.

  1. Kita

    Kita Should Update Title

    HMOs are great for people like me who rarely see a doctor. I get sick, I call them, they squeeze me in with someone in their big megacomplex and I get medicine within 48 hours. They offer inexpensive comprehensive care. Emergencies from accidents cost almost nothing after I get out of the hospital. I have heard HMOs really are the way to go... until something weird happens.

    Something weird has happened.

    I call them to get an appointment asap to look at something on my head that has all the signs of a melanoma. I am very concerned, it was very sudden. Literally overnight. I get a call back with an appointment THREE WEEKS out. Pimply faced kids who need some Proactiv are of the same priority as me.

    BULLSHIT.

    I called back and begged for something sooner, expressing my extreme concern for the sudden cancer-like growth. Nothing they can do. I have to cross my fingers and hope the doctor approves something out of the network to get anything sooner. Their in-network megacomplex appointment books are just too packed to get me in between all the itchy desert skin suffers and pimply kids. Nothing can be done.

    Now, wouldn't it be in their best interest to do everything in their power to CATCH CANCER EARLY?!

    IT SURE AS FUCK IS IN MY BEST INTEREST. I couldn't imagine a worse cancer for myself than fucking BRAIN CANCER that came from a fucking skin melanoma my fucking HMO couldn't be bothered to look at in a timely manner.


    Ok, freakout rant over for the moment. I am pretty effin upset and worried right now.

    :(
     
    • Hug Hug x 3
  2. Govi

    Govi Ça va chier.
    Bitchy

    It's been a while, so I don't know if this kind of thing would still work. My old HMO had an urgent care facility -- not an Emergency Room. You can go there without an appointment and wait or phone to make an appointment for the same day. Get a doctor there to look at it for you. It worked all the time for my kids; kids get sicker than the sickest dog suddenly and frighten the heck out of their parents.

    The urgent care doctor can also give you a referral that usually will get you into the doctor -- oncologist or dermatologist? -- you want to see sooner.
     
    Last edited: 20 Nov 2014
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  3. Bunnie

    Bunnie Everybody loves the sunshine.
    Baked

  4. Lain

    Lain End of line. #resist
    Sneaky

    • Like Like x 1
  5. Saffs

    Saffs Accredited batshit buster
    Probing

    I dont know much about the US health system but i wonder how much it would cost for a one off private consultation? Surely if it is as you fear you would then get bumped up the queue as an emergency. Or is there some way you could get into the ER system?
     
  6. nina

    nina still prettier than you
    Nerdy

    how disgusting. its times like this that i realise how fortunate i am to live in a country with 'socialist healthcare'.
     
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  7. Bunnie

    Bunnie Everybody loves the sunshine.
    Baked

    Hundreds of dollars at least, Saffs.
     
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  8. Bunnie

    Bunnie Everybody loves the sunshine.
    Baked

    Kita, I hope you are smoking weed right now. I am convinced I did not have pancreatic cancer because of the Marijuana. Spark up, little lady.
     
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    • Hug Hug x 1
  9. Kita

    Kita Should Update Title

    The call back said the process for out of network would take LONGER to get in to see a doctor than to wait for my appointment.

    The nurse also suggested if I am very concerned to go to Urgent Care, and ER, or get an appointment with a regular doctor, which only takes 24 hours-ish to get.

    It's sore today, but seems to have stopped growing... I am still freaked out... I am too busy and poor to deal with this shit! I give 30% of my paycheck to my healthcare already, I don't have anything left to give them! :( ER is asinine unless I am admitted, which I wouldn't get. I may pop into an urgent care or make an appointment with the primary. I really don't think either would speed the process up, since they would just look at it, charge me money, then send me to the same specialist I am already going to with the same amount of wait period.

    I am super anxious over this...
     
    • Hug Hug x 2
  10. Govi

    Govi Ça va chier.
    Bitchy

    General practitioners are more than competent to evaluate possible skin cancers and can perform the necessary biopsy. There's really no need to wait. I had a suspicious lesion on my leg, went to my GP, she biopsied it, results from pathologist 2 days later (yes, cancer), into surgery the next day. For the surgeon, I used a plastic surgeon who'd done work on a friend, paid the whole cost myself for the surgery, but it was only $400, then another $200 for the pathologist to make sure that there were clear margins all around -- no cancer cells left behind in other words. If I'd gone to a dermatologist, it would have been like your situation -- anxiously wait for 3-4 weeks.
     
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  11. Saffs

    Saffs Accredited batshit buster
    Probing

    " Melanoma has one of the highest survival rates compared to all cancers at 90% because most melanomas are found at an early stage."
    Since yours appeared overnight you can't get much earlier than that. Understandable you want something down, like now, but don't panic.
     

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