Do you have adblock enabled?
If you can read this, either the style sheet didn't load or you have an older browser that doesn't support style sheets. Try clearing your browser cache and refreshing the page.

(AZ Family)   Aetna tells people they can shove their colonoscopies where the sun don't shine   (azfamily.com) divider line 162
    More: Asinine, Aetna, colonoscopy, refuses  
•       •       •

14402 clicks; posted to Main » on 10 Dec 2013 at 2:52 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



162 Comments   (+0 »)
   
View Voting Results: Smartest and Funniest

First | « | 1 | 2 | 3 | 4 | » | Last | Show all
 
2013-12-10 02:55:13 PM  
i42.tinypic.com
 
2013-12-10 02:55:17 PM  
Thanks obama
 
2013-12-10 02:56:01 PM  
Don't mess with her corporate health care!
 
2013-12-10 02:56:32 PM  
At least we'll all have ineffective and dangerous insurance now.
 
2013-12-10 02:57:27 PM  
That sucks. I'm almost due for one, too. I keep asking my Doctor, and he tells me I can put it off for a couple of years. When I think about it, I have a hard time believing I'm requesting a professional acquaintance to provide me with liquids that will cause uncontrollable diarrhea for a day, then put me into a drug-induced stupor and shove a camera up my ass. Some people apparently pay good money for stuff like that; just not Aetna.
 
2013-12-10 02:57:59 PM  
"Aetna: If you don't give a shiat, we won't, either."
 
2013-12-10 02:58:22 PM  
I wish someone would pay me $1,500 to stick a tube up someone's butt.
 
2013-12-10 02:58:48 PM  

buckler: That sucks. I'm almost due for one, too. I keep asking my Doctor, and he tells me I can put it off for a couple of years. When I think about it, I have a hard time believing I'm requesting a professional acquaintance to provide me with liquids that will cause uncontrollable diarrhea for a day, then put me into a drug-induced stupor and shove a camera up my ass. Some people apparently pay good money for stuff like that; just not Aetna.


If only the Roman Emperors had know about this
 
2013-12-10 02:59:08 PM  
people.virginia.edu  tag needed
 
2013-12-10 03:00:09 PM  
He's 43, it isn't suggested until 50.  Aetna is kind of in the right here.
 
2013-12-10 03:00:38 PM  
A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.
 
2013-12-10 03:01:42 PM  

gnosis301: I wish someone would pay me $1,500 to stick a tube up someone's butt.


If I RTFA correctly, that's just what she owes. Aetna already paid for a portion. Don't undersell your services, dude.
 
2013-12-10 03:01:45 PM  

Odd Bird: [people.virginia.edu image 54x11]  tag needed


But asinine works well here.
 
2013-12-10 03:02:41 PM  
Aetna did not say 'no, you cannot have'...they said "we will pay this at the same rate we pay any other medical procedure because per established insurance guidelines you are too young for this to be considered preventative".

And while I'm no fan of insurance companies, I don't see the issue.  This is what insurance rules are.  They are having to pay what they would if he broke his leg/had appendicitis/whatever.  About $1500 according to the article.  This has nothing to do with the ACA or anything for that matter, just some people wanting to whine about their insurance not changing the rules to suit them.  At least they have insurance and didn't have to go out of pocket.

Speaking as someone who just had a colonoscopy, you can look at about $12,300 start to finish, including the physician, anesthetist, nurses, procedure room, etc ad nauseum.

My cost?  ~$350, even though it IS a "100% covered" screening at my age.

Not biatching - they took out 3 polyps and I don't really want those hanging around.
 
2013-12-10 03:02:51 PM  
I'd bet if there were a pair of titties up in there, they'd cover it.
 
2013-12-10 03:02:55 PM  

stuhayes2010: He's 43, it isn't suggested until 50.  Aetna is kind of in the right here.


Except that her brother died at 43 from colon cancer, and her dad died from it as well--meaning, for her situation, it is definitely reasonable to say she needed to get one with the family history.
 
2013-12-10 03:03:33 PM  

Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.


According to TFA her portion was $1500. I would guess the coverage rate was more like 50%. This doesn't seem completely unreasonable IMHO. Americans apparently don't want socialized universal health care, so yeah, this is the sort of thing you get. Which again, is not completely unreasonable.

"But unfortunately, Disney is getting stuck with a big part of the bill. "They're totalling about $1,500," Disney said."
 
2013-12-10 03:03:52 PM  
"Ms. Disney's current plan states that a colonoscopy will be covered under the preventative services benefit for those at average risk and are 50 or older."

Doesn't it say, right there in TFA, that she is *not* at average risk?  She has had multiple relatives afflicted with, and die from, colon cancer.  How is that 'average risk'?
 
2013-12-10 03:04:32 PM  
Couple of questions:
1. Is their a known or believed family link for colon cancer?
2. Are excessive colonoscopies likely to lead to unnecessary costs/surgeries?
 
2013-12-10 03:05:10 PM  

Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.


Sounds right.

The real problem is not what her plan does or does not cover. The problem is that a relatively simple preventative screening procedure, applied in a reasonable situation, costs ten farking thousand dollars.
 
2013-12-10 03:05:20 PM  
FTA "In this statement, Aetna says: "Ms. Disney's current plan states that a colonoscopy will be covered under the preventative services benefit for those at average risk and are 50 or older. ""

Seeing as a sibling and a father have already passed away from Colon cancer before the age of 50 I wouldn't classify her as average risk.
 
2013-12-10 03:05:51 PM  

You're the jerk... jerk: Couple of questions:
1. Is their a known or believed family link for colon cancer?
2. Are excessive colonoscopies likely to lead to unnecessary costs/surgeries?


3. Why can't I tell the difference between there and their
 
2013-12-10 03:05:53 PM  

Jument: Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.

According to TFA her portion was $1500. I would guess the coverage rate was more like 50%. This doesn't seem completely unreasonable IMHO. Americans apparently don't want socialized universal health care, so yeah, this is the sort of thing you get. Which again, is not completely unreasonable.

"But unfortunately, Disney is getting stuck with a big part of the bill. "They're totalling about $1,500," Disney said."


No.

see my post about the cost of a colonoscopy done Nov 18 2013.  There's more to it than the actual procedure.  The actual tube up the butt thing was about $5,000.
 
2013-12-10 03:06:32 PM  

Best Princess Celestia: Thanks obama


^This.
 
2013-12-10 03:07:24 PM  
This is not new. The insurance my company had years ago would only cover 50% if you were under the age of 50. 100% if you were above the age of 50.

Our insurance now has always covered it no matter what the age. We have also always had unlimited wellness benefits with this company. They also pay for shingle vaccines I found out. I did not even know there was such a thing as a shingle vaccine.
 
2013-12-10 03:08:08 PM  

Satan's Bunny Slippers: Jument: Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.

According to TFA her portion was $1500. I would guess the coverage rate was more like 50%. This doesn't seem completely unreasonable IMHO. Americans apparently don't want socialized universal health care, so yeah, this is the sort of thing you get. Which again, is not completely unreasonable.

"But unfortunately, Disney is getting stuck with a big part of the bill. "They're totalling about $1,500," Disney said."

No.

see my post about the cost of a colonoscopy done Nov 18 2013.  There's more to it than the actual procedure.  The actual tube up the butt thing was about $5,000.


Ok fair enough. I had one this year that cost me $70 out of pocket and I never looked at the bill. This seems even more reasonable then. I don't know why she's biatchin'. Insurance doesn't mean "everything is free".
 
2013-12-10 03:08:16 PM  
Meh, Obama just wants to do the procedures himself. He's really all about making healthcare affordable.
 
2013-12-10 03:09:28 PM  

Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.


Also conspicuously absent: any mention that the person being tested actually had a problem.
 
2013-12-10 03:09:58 PM  
This never happened before everyone started using their Obamacare health plans. Thanks, 0blahma
 
Ant
2013-12-10 03:10:38 PM  
That's socialized medicine for you!
 
2013-12-10 03:10:39 PM  

Odd Bird: [people.virginia.edu image 54x11]  tag needed


You're thinking of prostate cancer screening.
 
2013-12-10 03:10:43 PM  
Not a shocker.
 
2013-12-10 03:11:44 PM  

Another Government Employee: A little misleading, there.

Aetna agreed to the medical necessity and paid under the normal schedule (probably 80% after deductible), but stuck to the written contract as far as preventive medicine. I can see both sides of this.  To pay sets up a bad precedent, but not to pay could lead to much higher treatment costs for plan down the line.

I think the lady should just suck it up.


Although presumably people change insurers often enough in many markets that preventative treatments work out as a negative for the insurers - if they spot something early then it costs them now for the treatment and the test, whereas if it isn't found for years while it will probably be many times more expensive, it could well be another insurer getting hit for it. And besides, it is better for this years bonus/share price either way.
 
2013-12-10 03:11:45 PM  
I hope no one is expecting the ACA or the Exchanges Plans to be any different.
 
2013-12-10 03:11:52 PM  
This is Aetna being stupid. Not everyone needs a colonoscopy before 50.
But if you a family history, you are supposed to get one five years prior tothe diagnosis of the family member. Had one three years ago and I was clean (snicker).Brother had polyps at 31.The cost of providing all the cancer care seems to greatly outweigh the costs ofperforming two procedures, human life factors aside. Dead people don't pay premiums.
 
2013-12-10 03:11:59 PM  

Satan's Bunny Slippers: Speaking as someone who just had a colonoscopy, you can look at about $12,300 start to finish, including the physician, anesthetist, nurses, procedure room, etc ad nauseum.


Which you can get done any other civilized country, by people trained in the US and using the same German equipment, for $2000 or less, often far less.

You should be complaining. Simply having insurance that makes the outrageous cost invisible to you does not mean that it's OK to be billed $15K, or $50K, or $1M.
 
2013-12-10 03:12:50 PM  
Well they'd rather pay for cancer treatments cause they're way, way cheaper.
 
2013-12-10 03:13:12 PM  

Jument: Satan's Bunny Slippers: 

see my post about the cost of a colonoscopy done Nov 18 2013.  There's more to it than the actual procedure.  The actual tube up the butt thing was about $5,000.

Ok fair enough. I had one this year that cost me $70 out of pocket and I never looked at the bill. This seems even more reasonable then. I don't know why she's biatchin'. Insurance doesn't mean "everything is free".


That's exactly what I took from TFA.  "WAAAH WAAAAAH! IT'S NOT FREE!!! WAAAAH".

The only thing that sort of irked me regarding my OOP was the $10 copay for the prep solution.  I would think having to drink that stuff is punishment enough, let alone make me pay extra for it!
 
2013-12-10 03:13:49 PM  
We're killing the wrong criminals.
 
2013-12-10 03:14:24 PM  

Sentient: Satan's Bunny Slippers: Speaking as someone who just had a colonoscopy, you can look at about $12,300 start to finish, including the physician, anesthetist, nurses, procedure room, etc ad nauseum.

Which you can get done any other civilized country, by people trained in the US and using the same German equipment, for $2000 or less, often far less.

You should be complaining. Simply having insurance that makes the outrageous cost invisible to you does not mean that it's OK to be billed $15K, or $50K, or $1M.


yanno, I WANTED SINGLE PAYER.

So don't snipe at me
 
2013-12-10 03:14:27 PM  
You mean to tell me that an insurance company dicked one of their customers in an attempt to save a few dollars? Where the hell is my fainting couch!? This is completely unprecedented in the history of everything!!
 
2013-12-10 03:14:39 PM  
Hmm.  Apparently the death panels have arrived.
 
2013-12-10 03:15:01 PM  

buckler: That sucks. I'm almost due for one, too. I keep asking my Doctor, and he tells me I can put it off for a couple of years. When I think about it, I have a hard time believing I'm requesting a professional acquaintance to provide me with liquids that will cause uncontrollable diarrhea for a day, then put me into a drug-induced stupor and shove a camera up my ass. Some people apparently pay good money for stuff like that; just not Aetna.


These are tastier than mag citrate, and provide the same effect.
http://www.amazon.com/Haribo-Gummy-Candy-Sugarless-5-Pound/dp/B000EVQ W KC/ref=sr_1_1?ie=UTF8&qid=1386706451&sr=8-1&keywords=haribo+sugar+free +gummi+bears">http://www.amazon.com/Haribo-Gummy-Candy-Sugarless-5-Po und/dp/B000EVQW KC/ref=sr_1_1?ie=UTF8&qid=1386706451&sr=8-1&keywords=haribo+sugar+free +gummi+bears
 
2013-12-10 03:16:21 PM  

Sentient: Satan's Bunny Slippers: Speaking as someone who just had a colonoscopy, you can look at about $12,300 start to finish, including the physician, anesthetist, nurses, procedure room, etc ad nauseum.

Which you can get done any other civilized country, by people trained in the US and using the same German equipment, for $2000 or less, often far less.

You should be complaining. Simply having insurance that makes the outrageous cost invisible to you does not mean that it's OK to be billed $15K, or $50K, or $1M.


When the US converts to that system, where will the rest of the world go for (extremely expensive) end-of-life care? Because they come to the US currently.
 
2013-12-10 03:17:05 PM  
For $3,000 you can fly to Costa Rica, get a hotel for a week AND a colonoscopy.
 
2013-12-10 03:17:16 PM  
They have a similar rule in Canada but nothing to do with costing.

If you are waiting for a colonscopy and you are under 50, you are at the bottom of the list. Happened to my friend's husband. Doctors thought he might have colon cancer but when they went to book the appointment, he was told he would have to wait months because he is only 48. People over 50 get priority, they said.

//got in after 2 months thanks to cancellation
//no cancer-he has Crohn's though
//only antedoctal though; he probably wasn't considered as "urgent"
 
2013-12-10 03:17:19 PM  

BojanglesPaladin: I hope no one is expecting the ACA or the Exchanges Plans to be any different.


Sadly, there a great many who do.
Thats how all this was allowed to pass, so many were fooled.
 
2013-12-10 03:17:34 PM  

AndreMA: Odd Bird: [people.virginia.edu image 54x11]  tag needed

You're thinking of prostate cancer screening.


You are correct, I mixed them up.
 
2013-12-10 03:18:07 PM  

jaytkay: For $3,000 you can fly to Costa Rica, get a hotel for a week AND a colonoscopy.


And possibly hepatitis B thrown in gratis
 
2013-12-10 03:19:16 PM  
I call shenanigans.  I worked for an insurance company and 50 is the preventative age, but you could get it as soon as 40 if it was deemed "medically necessary" - meaning a direct relative had been diagnosed with colon cancer.  Plus there's an appeal process.

/Stick it up your arse, Aetna!
 
Displayed 50 of 162 comments

First | « | 1 | 2 | 3 | 4 | » | Last | Show all

View Voting Results: Smartest and Funniest


This thread is closed to new comments.

Continue Farking
Submit a Link »
Advertisement
On Twitter





In Other Media


  1. Links are submitted by members of the Fark community.

  2. When community members submit a link, they also write a custom headline for the story.

  3. Other Farkers comment on the links. This is the number of comments. Click here to read them.

  4. Click here to submit a link.

Report