She literally called me at the time of the appointment to tell me she can’t see me. She was so apologetic, but was like “I absolutely can treat you, but I’m not allowed by your insurance”. Fuck this country.

Update: I went to urgent care. Before leaving home, I called to be sure they would accept my insurance (Aetna). They said yes… After arriving for my appointment, they told me they do not accept my insurance. I will simply leave without paying.

Final Update: I can understand that that differences in physical biology demand different attention. That’s not what I’m complaining about. It’s the way it’s set up. I was told that at my appointment. Why not just refer me to a specialist? The website could’ve even just referred me to urgent care (yes, my insurance requires a primary care physician’s referral for urgent care, according to the urgent care facility). But, no, their goal is to obfuscate and irritate until the patient gives you and pays out-of-pocket.

I was able to receive care at a cost I could not afford. I won’t discuss what I had to do to “find” the money to pay for care and prescriptions. That being said, the condition I was diagnosed with was more serious than a simple infection, and I’m glad that I saw a doctor. I need further treatment and just hope I can get insurance to cover any of it.

If you’re an American reading this, please consider ways to get involved in organizing in support of Medicare For All in your community. Here is one resource I have found. We don’t need to live like this. We deserve better. Stay safe and healthy, friends.

  • guyman@lemmy.world
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    2 years ago

    Sounds like discrimination based on sex. A clear violation of the Civil Rights act of 1964.

    • Landrin201@lemmy.ml
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      2 years ago

      Car insurance companies are literally allowed to discriminate by sex and will openly tell you that they do so, why would health insurance be different?

      • UniquesNotUseful@lemmy.world
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        2 years ago

        Civil Rights Act of 1964 prohibits different treatment of insured persons on the basis of their sex in connection with pension funds. This was a supreme court ruling, so kind of linked but not quite.

        https://www.jstor.org/stable/253100

        Interestingly, in UK and EU it became illegal to discriminate by sex for car insurance from about 2012, without very careful use of data - which doesn’t happen. It is allowed to be linked on things like jobs though.

        • STUPIDVIPGUY@lemmy.world
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          2 years ago

          newsflash: US never cared about civil rights and despite it being “law” it gets regularly ignored on an institutional scale

    • dangblingus@lemmy.world
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      If you think that’s discrimination, don’t look at the marketing industry.

      Discrimination based on biological factors is literally what insurance companies do.

    • average650@lemmy.world
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      2 years ago

      It might be, but some health related coverage is legitimately divided along sex lines. I don’t know what the answer is, but it might not be so simple.

      Stupid either way though.

        • salt@lemmy.world
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          2 years ago

          a few people have mentioned it’s because of anatomy and how it makes male UTIs more complicated + require more complex care. it’s not a case of insurance not covering it, op just needs to go somewhere else

  • axtualdave@lemmy.world
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    2 years ago

    My friend, you need to do two things –

    One, get treated. It seems you’ve visited urgent care. They are “real” doctors and, assuming the hospital or clinic the urgent care is associated with is well-staffed and stocked, should be able to get your sorted today. Be sure to get any prescriptions you need filled on-site, if possible, before you leave.

    Two, review your healthcare plan. While the Affordable Care Act mandated certain minimum coverages several things happened since that allow people to purchase plans that do not conform to the ACA mandates. On those so-called “catastrophic” plans, insurers can deny or decline to cover all sorts of things. Patients often simply shop by monthly premium cost and don’t check coverages. Make sure your health plan is ACA-compliant, and, if not, look into a way to get covered by a compliant plan.

    If it IS ACA-compliant, then treating a UTI, even in a male, is covered. You may be selecting providers that are not in-network, or do not have the proper staffing to treat this fairly rare condition, though. It may be worth a visit to your primary care provider if you can’t get something like CVS or another “Doc in a Box” to treat it.

  • Uriel-238@lemmy.fmhy.ml
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    2 years ago

    I can’t help but wonder what happens to girls 15 and under when they get UTIs. Insurance company says sucks to be a girl?

    • FlashMobOfOne@lemmy.world
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      2 years ago

      Probably.

      We knowingly vote for this shitty health care system every two years, so why would they ever change?

      • Uriel-238@lemmy.fmhy.ml
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        2 years ago

        At the federal and state levels, we knowingly vote against King Heron so he doesn’t eat all the frogs. (That is, we vote against Republicans who are actively working to neuter democracy).

        Getting social safety net stuff, justice reform or even election reform will require grassroots pressure bigger than yhe George Floyd / BLM protests.

        And without those things, instead were going to get genocide politics and civil war.

        • FlashMobOfOne@lemmy.world
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          I think we convince ourselves we’re voting the way we do for good reasons, but since Reagan, our votes have resulted in conservative outcomes no matter who we elect. Obama even had a supermajority for six months of his presidency, and we still had to hear the usual excuses people make in order to deflect from criticism of Democrats.

          I say this as someone who voted Biden fully expecting him to govern as a conservative because I thought we needed a cultural victory against the resurgence of fascism. And, even with the 1/6 domestic terrorist event, we haven’t seen any real movement to stop those elements. If anything, they’ve grown stronger.

          I agree with your main point though, meaningful change is impossible now. It would take an existential threat greater than COVID for it to happen, and in a country where 40,000,000 people can’t afford to miss a day of work, it’s just impossible.

  • justhach@lemmy.world
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    2 years ago

    The entirely of modern America could be summarized with “Mildly Infiruating”, tbh.

    It is utterly baffling to me how the US has not figured out nationalized healthcare. Literally every other developped nation in the western hemisphere has at this point.

    Its crazy that a politician could come out and say “my number one priority is to ensure that every American has access to healthcare, paid for by the state”, and would instantly be villified by like half the country.

    • throwaway38575061@lemmy.worldOP
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      A handful of bastards at the top are making unfathomable amounts of wealth at the cost of the lives and future of the country. A majority of the country is in support of nationalizing health care. I’ve even met conservatives who agree. It’s these sick fucking parasites who won’t allow us to have it.

      All the fuckers writing the laws have socialized healthcare. It’s the untouchables who don’t.

    • Sunrosa@lemmy.world
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      Because the healthcare industry makes money. A shitload of money. Why would they “fix” that? The problem is the fact that it is an industry.

    • golamas1999@lemmy.world
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      The covid national emergency is declared over. Potentially up to 15 million people will lose Medicaid expansion. Florida already kicked off 600,000 people. An 87 year old who had a daily care taker lost access even though they were qualified after the cut. A 7 year old boy will now die because they took access to his leukemia treatment. About half the people still qualify but they are making everyone reapply.

      My dad some how affords stupidly expensive healthcare. Premiums are $4,000 a month. ER copay is $1000. ER deductible is $18,400 per family. My mom is now on a medication that costs $1400 a day. With other meds her medication is $15,800 a month for the rest of her life (she is 59). With insurance it goes down to $28 She has had $100,000 in medical bills. She has some super rare condition. Our insurance said one of the out of network doctors was covered. My mom verified multiple times. Now they don’t want to cover that doctor so we are stuck with a $25,000 medical bill. My mom says she will put it on the lowest amount a month for the rest of her life.

      In other words if my dad couldn’t afford this insurance she probably would be dead now or in a few months.

      Crazy is that we are all Canadian and if we lived there we could go on OHIP plus extra insurance for a few hundred bucks a month. For those who say Canadian’s have wait times, so do we. The difference is you will be seen and will not go medically bankrupt or denied care because you are too poor.

      The excuse is that Canadians come to America for better doctors with lower wait times. They do. But when you realize they come to the States they don’t have long term insurance. Meaning they pay out of pocket. So it’s wealthy Canadians that can afford insanely high prices.

      All my family in Canada says my father is pissing away money. He is.

      God Bless American Healthcare! /s

      TLDR Doug Ford can sod off and go to hell.

    • Invalid@kbin.social
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      It’s… complicated. The US is more like the EU. Every state is practically its own country. Every state has its own health department. State wealth varies greatly and each state has their own opinion on what level of trust should be placed on federal government. The one example we have of federal health care (VA for military veterans) is shit.

      Maybe things will change based on the current trajectory… corporate buy outs have been rampant and experienced doctors are retiring to cash in before they can’t afford to run their own practice. It takes weeks to get appointments and most corporate doctors just want to stick to the treatment script they are provided. In other words, corporations are doing exactly what most people fear the feds would do.

  • bumbly@readit.buzz
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    2 years ago

    This is why mens’ rights activists exist. Unfortunately, just like the feminist movement, they were invaded by psychopaths.

  • Sans_outside@lemmy.world
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    2 years ago

    Should have just said that you identify as a woman, probably solved. /S

    But in all seriousness that’s just terrible. Everyone no matter if your a man or woman should be treated equally.

  • riodoro1@lemmy.world
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    2 years ago

    The most developed country in the world ladies and gentlemen.

    I hope they don’t catch you op.

  • Jo@readit.buzz
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    I’m not USian but I’d be astonished if that was legal, even in the barbaric hellhole that is the US healthcare system.

    Ask her to put it in writing and then challenge the insurance company.

  • BurnTheRight@kbin.social
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    There is a cause and there is a solution for our disgusting system.

    Conservatives (including neo-liberals) serve corporations, not citizens. If we can marginalize conservatives (including neo-liberals), then we can have nice things like the other 31 developed nations on earth.

    This cannot improve while conservatives (including neo-liberals) have power in our nation’s government. Period.

  • salt@lemmy.world
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    2 years ago

    Are you sure this isn’t just a CVS thing? It says the same thing for me and I know my insurance covers UTIs for everyone. Maybe try an urgent care?

    • DRx@lemmy.world
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      2 years ago

      This is correct… there is 2 things to remember here

      1. CVS only has nurse practitioners, nurses, or pharmacists that are doing the screening, and must refer for certain cases
      2. There are 2 types of UTIs….
      • complicated and uncomplicated
      • Men ALWAYS have a complicated uti due to the anatomy of where the uti is located
      • women can have either, these NPs are only allowed to treat UNCOMPLICATED UTIS and must refer all complicated cases to a physician.

      FYI it has nothing to do with insurance