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If you look at your policy Sareitha Sedai Send a noteboard - 10/02/2010 03:27:15 PM
I wouldn't have thought to ask here if not for Macharius, but it seems like there are some people who know what they're talking about.

Anyway, my body has been doing some distressing things for a couple of months now. It's not the kind of thing you can just imagine, either.:P At first I hoped it would go away, but now I'm kind of getting scared (thanks, google).

I do have insurance, and good insurance (Blue Cross Blue Shield), but I'm still nervous about what it might cost me to get a diagnosis. If I told a doctor about what's going on, he'd almost certainly do a couple of somewhat involved tests... and that's not something I've handled before. What if you ultimately don't get diagnosed with anything? Does insurance still cover it? And even if it does - with most of the boring things I use it for, I end up paying a $20 copay, but I have no idea if how it would work with fancier treatment.

I also don't know how to find a doctor in my town, so any help with that would be appreciated as well. Almost everyone accepts BCBS; that's not the problem - it's just finding a good doctor. I called one guy and asked if he was accepting new patients, but never got a return call. I'm also wondering if I should even be looking for a GP. My issues are internal, and like I said, would involve tests, so maybe I should go to a hospital instead? Do hospitals do that? I've only ever been to the ER. :P

Any advice would be appreciated. I should possibly talk to my parents, but I really don't want to... my mom always thinks (or just says) everything is going to cost 10x as much as it does and won't give me honest answers about insurance stuff. Also, I would have to tell them what's going on, which would be embarrassing and maybe cause undue stress as well. I'd rather just handle it, find out if anything's wrong, and then tell them if it turns out to be something.


You might have 2 different cost structures for what's considered "preventative" care and other medical care. This would not fall under the preventative section I wouldn't think, so make sure you're looking at the right set of numbers. You might have a different copay (and then again, you may not), and you might have to pay a percentage of what you're having done (typically 10-20%, depending on what type of policy you have). No matter how high the costs of what you need done, you should only have to pay up to the limit of your deductible for any covered procedures.

In general, procedures are either covered or they're not...if your doctor decides they are medically necessary AND they are typically covered by your insurance, then insurance will pay their portion regardless of what the tests show. The one area that's greyer is in seeking emergency care for non-emergency situations. Don't do that ;) Try to make sure your doctor/his staff is familiar enough with your insurance to have a sense of what is and is not coverable. BUT don't take their word for it. Find out what tests are going to be recommended for you and then look in your insurance booklet/online information to see if you need pre-approval or anything like that, or speak to someone in customer service at the insurance company if you're not sure. If they are telling you something's covered and you don't see it in your booklet/online explanation, try to get it in writing before doing the procedures. So for example, for someone of my age, preventative mammograms are not covered, but if my doctor had a medical reason to request one, my insurance pays for it.

Don't go to a hospital. Your best bet is to find a good GP that can refer you out to specialists as needed. Do you know anyone locally that you trust enough to ask them if they have a doctor they recommend? You could also ask your counselor/therapist for a referral.

Good luck. I'm coming at this from the perspective of someone with control-freak tendencies who has been in a similarly-financially-strapped situation, so the things I'm recommending may very well be overkill. But it helped me to know in advance what the limit of my financial liability was going to be, and to have that in writing in case there was a denial or the story changed after I had the stuff done ;) That never happened to me BTW but I had heard too many horror stories to take that chance.
If you are from Betelgeuse, please have one of your Earth friends read what I've written before you respond. Or try concentrating harder.

"The trophy problem has become extreme."
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I have a medical costs question too... - 10/02/2010 03:08:14 PM 788 Views
If you look at your policy - 10/02/2010 03:27:15 PM 446 Views
I'm all for being a control freak when I can. - 11/02/2010 03:07:37 PM 404 Views
One other thing you should be aware of - 11/02/2010 03:25:07 PM 412 Views
Yes... that's very useful information. - 11/02/2010 03:46:17 PM 243 Views
I was afraid of that - 11/02/2010 03:52:49 PM 368 Views
You might want to call your insurer and talk to them about who to see. - 10/02/2010 03:34:53 PM 370 Views
Do you think an actual person would have better referrals than the website? - 11/02/2010 03:14:01 PM 417 Views
I do, and sorry for the delay. - 15/02/2010 02:11:55 PM 405 Views
I don't think we'll be able to do you much good. - 10/02/2010 03:36:57 PM 389 Views
For CU, that list seems to be really outdated. - 11/02/2010 12:13:06 AM 352 Views
I didn't read all the replies before I posted mine.Woops. *NM* - 11/02/2010 01:54:59 AM 205 Views
and as far as the frustrating part... - 11/02/2010 01:58:39 AM 234 Views
Hmmm. - 11/02/2010 03:17:50 PM 227 Views
Most doctor's offices - 11/02/2010 03:32:55 PM 396 Views
But it's embarrassing. <whine> - 11/02/2010 03:50:40 PM 352 Views
I'm sure - 11/02/2010 03:58:29 PM 351 Views
Sareitha pretty much covered it! - 11/02/2010 04:53:25 PM 397 Views
Mine was a little as well. - 11/02/2010 12:46:45 PM 379 Views
I just know a worried person should not pay a damn cent... - 10/02/2010 03:53:19 PM 421 Views
This is frustrating. (Meant as reply to main thread/everyone.) - 10/02/2010 04:05:57 PM 374 Views
Oops, I replied in the wrong place. - 10/02/2010 04:07:15 PM 251 Views
Well - 10/02/2010 04:10:12 PM 352 Views
Re: Well - 11/02/2010 02:13:08 AM 221 Views
Why? Should I not have to think about how to pay for my dinner tonight? - 10/02/2010 04:23:31 PM 363 Views
The Dole or hardship funds should help people who can't afford food - 10/02/2010 04:28:49 PM 268 Views
I agree, the needy should be helped. - 10/02/2010 04:32:45 PM 351 Views
I don't agree with your characterization of commonly proposed healthcare solutions. - 10/02/2010 04:42:06 PM 399 Views
I don't think he's mischaracterizing anything so much as responding to Jens' point directly. - 10/02/2010 04:54:55 PM 458 Views
<3 - 10/02/2010 05:06:29 PM 268 Views
As a response to Jens' point, it works, but he used very general language. - 10/02/2010 07:37:20 PM 231 Views
Furnace? Health? Erm... - 10/02/2010 08:04:03 PM 254 Views
no - 10/02/2010 08:40:12 PM 243 Views
I didn't like the example - 10/02/2010 08:46:24 PM 360 Views
that's why I pay for health insurance *NM* - 10/02/2010 08:58:06 PM 105 Views
So do we? *NM* - 10/02/2010 09:13:28 PM 197 Views
exactly - 10/02/2010 09:22:14 PM 291 Views
Precisely - 10/02/2010 08:00:39 PM 229 Views
There are several good reasons for that. - 10/02/2010 04:48:59 PM 385 Views
I understand you're not being serious, but... - 10/02/2010 04:37:12 PM 253 Views
Have you never looked at the boatloads of information that your insurer has surely sent to you? *NM* - 10/02/2010 04:19:09 PM 102 Views
I've never been sent a thing from them... - 10/02/2010 04:28:57 PM 386 Views
Do you or your parents hold the policy? - 10/02/2010 04:35:00 PM 237 Views
My parents do. - 10/02/2010 04:44:29 PM 420 Views
policy info.... - 10/02/2010 04:52:29 PM 347 Views
Thank you! - 11/02/2010 03:25:42 PM 223 Views
In my case... - 11/02/2010 01:53:32 AM 253 Views
*nods* - 11/02/2010 03:32:44 PM 339 Views
Your doctor's office should be able to answer most questions for you - 11/02/2010 02:36:10 PM 219 Views
Once I get one. - 11/02/2010 03:36:19 PM 233 Views
Well that should be your first step - 11/02/2010 04:49:00 PM 282 Views

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