this post was submitted on 25 Jun 2023
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Mildly Infuriating

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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.

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[–] [email protected] 2 points 1 year ago (1 children)

Yea it will. Just not at a minute clinic. You need to go to an actual urgent care or primary care doctor.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (3 children)

Just want to throw my 2c in. I'm a physician and from our perspective male UTIs are rare and warrant a much more thorough medical evaluation by a professional, compared to female UTIs which are extremely common and don't require a thorough (or even in-person) evaluation in most cases. If I had a male patient with a UTI and no other know medical history I would insist they are seen by a physician for a complete evaluation. From other comments here it seems that CVS does not employ physicians in their clinic.

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[–] [email protected] 2 points 1 year ago

The extreme profit oriented business culture of the US combined with the human nature of bandwagons make these sort of disgusting practices possible.

Corporations are justified, by default, in anything they can do to increase profit, and will do so until there's enough public backlash to negate the amount of profit that practice makes.

The public backlash is tied to the social momentum the idea has. Because profitability is the default idea to be promoted, you can't say something like "don't do this obviously profitable thing because it's bad for people" unless there's enough people around you who'll get on the bandwagon. If suddenly some influential person or a critical number of schmucks say the opposite, then everyone is defending the corporation's, not only the right, but the duty to be profitable.

It's an unpleasant way to live, really, but people are creatures of habit and won't easily go against the culture they grow up in.

[–] [email protected] 2 points 1 year ago

Mildly infuriating?

[–] [email protected] 2 points 1 year ago

This country is f****** crazy. I remember like 8 years ago I was trying to get into rehab to kick opiates which I eventually did in 2015. When I got into a free bed for a detox, they wouldn't let me in because it said my insurance wasn't accepted. The irony was I didn't have insurance anymore, they still had me listed as being insured with some s***** Blue Cross program at my old job.

I actually had to get proof that I wasn't insured so the state would cover my bed.

Any other OECD Nation pretty much and you get treated like anyone else. And the sick part is both political parties are okay with this, and militantly fight any serious ever for a public health care system with one single risk pool where everybody is automatically opted in.

[–] [email protected] 2 points 1 year ago (1 children)

I had one a while back and it was literally just a round of antibiotics. It's not some invasive, complicated procedure that only affects women. That insurance is stupid.

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[–] [email protected] 1 points 1 year ago (1 children)

That's so fucked up! I'm sorry OP.

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[–] [email protected] 1 points 1 year ago

It's a good thing we have private insurance in the US. You have the freedom of choice! (/s)

Can you visit a general practitioner for treatment? It'll take a lot longer... but I would imagine they can give a prescription - even if it's not covered.

[–] [email protected] 1 points 1 year ago

So wtf, they want you to let it get worse until that infection spreads to kidneys or something and then pay 100x the amount to an emergency room? How does that make sense for their profits anyway?

Treatment is just a test to confirm and some antibiotics I think. Hope you can find some other way to get treated.

[–] [email protected] 1 points 1 year ago* (last edited 1 year ago)
[–] [email protected] 1 points 1 year ago

This country is ripe for a revolution.

[–] [email protected] 1 points 1 year ago

Have you try other online services (no insurance need) like GoodRX care? I don’t see you need 16 or older for UTI in their options.

[–] [email protected] 1 points 1 year ago (1 children)

That's disgusting if you ask me.

Also, you have to be 18+ for getting a contraception appointment. I guess teens in the US are also having sex like teens in other parts of the world and would very much need access to contraceptives, right?

[–] [email protected] 1 points 1 year ago (2 children)

Correct, they sure are. And abortion rights are under attack. Those teens won't even have a chance.

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[–] [email protected] 1 points 1 year ago* (last edited 1 year ago) (2 children)

This is mildly infuriating, I can give you a little more context though if you're interested. I don't know exactly about contracts between insurance companies and CVS so I can't speak to that definitely. Probably something related to how much insurance is willing to pay minute clinic for such a short visit, and what things are feasible to address in such a short visit (hence CVS only allowing certain complaints).

I think this is something to do with the concept of "uncomplicated" vs "complicated" uti. Complicated utis are when there's an increased danger of serious complications from a uti or increased likelihood of failing a typical antibiotic therapy. Utis in men are much much rarer than women, and are considered to be an automatic "complicated" uti by many. The greater length of the urethra in men helps prevent bacteria from being able to travel up to the bladder, whereas in women the short distance allows for this to happen much more frequently. So when a male has a UTI there is a much greater chance there will be complicating factors like prostate issues, structural problems, kidney stones, kidney infection, catheter use, atypical bacteria, etc. If you look more into their info on utis, they also state if they suspect any of those things, even in women, they won't treat it and will just refer you to someone else, probably the Ed or a real urgent care clinic. Since the odds of that are much greater in men, they probably aren't allowed to have longer appointments in minute clinic based on what insurance will pay for what they're providing, they just decided to not see that at all in minute clinic. Looks like they do see men for sexually transmitted infections though, which are actually the most common cause of utis in young men, so if that's a concern looks like they would be able to see people for that.

But I totally agree with you, fuck insurance companies in general.

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[–] [email protected] 1 points 1 year ago

BREAKING: Men do, in fact, pee

[–] [email protected] 1 points 1 year ago

What exactly is a UTI for males?

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