Any insurance advice?

Discussion in 'Pilonidal Discussions' started by rgurl, May 20, 2008.

  1. Westell01

    Westell01 New Member

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    anyone know what are good plans in nyc?
     
  2. mafiozo

    mafiozo Helpful

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    This is why America sucks, in sweden everyrhing is free if under 18. And i think its free even if ur 18+.
    Americas system sucks imo.
     
  3. Hound

    Hound Very Helpful

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    Well it isn't free, just like the UK your health care system is government funded, and governments get their money from their citizens. So we still pay. However it does mean that people do not suffer if they did not organize their own insurance and also we are not charged based on a risk profile. Systems are just different, but do remember that being critical of a system in a country does not realy help the citizens who need the healthcare. Here plenty of people feel that they are suffering and not well supported by our 'free' healthcare system so the best we can do on the forum is be sympathetic of everybody's personal circumstances and try to offer advice, help and support.
     
  4. whyme11

    whyme11 New Member

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    Hi! I am new here and have a few questions. I have a very small cyst, and went to general practitioner yesterday and she confirmed that to be what she thought it was. I have been applying Apple Cider Vinegar on a warm paper towel and it is almost gone?? I tried the salve too that I had read on the internet, but it seemed to inflame it more? It is now pretty flat and comes and goes as far as swelling?
    I have several questions:
    1. I have not had our current insurance for a year yet. It will be a year in November. Do you think they will say this is preexisting?
    2. Should I go ahead and have this taken out or whatever while it is so small and not bad. It seems the earlier I deal with it the chance of it coming back is slim? And, my doctor told me to see a dermatologist, but everyone here says to see anal surgeon?
    Thanks so much! I hope anyone and everyone can help. I feel gross, dirty, etc. I am so down in the dumps, I am finding it hard to get dressed in the morning. I am a stay at home mom to a 6 year old boy.
     
  5. jtech

    jtech New Member

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    I have United Healthcare, from my step mom who works at a state hospital in R.I. I live in NC. Does anyone know if this is covered at all?? Please help with any info you can. Thanks.
     
  6. jaretts

    jaretts New Member

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    The doctor that did my surgery did it in the office instead of the hospital and saved me from my deductable and co-insurance. I only paid my $40 co-pay and thats it.

    Dr. Michael Castellano, Manhattan
     
  7. Robert Eden

    Robert Eden Very Helpful

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    You had general anesthesia in a doctor's office? What procedure did you have done?
     
  8. jaretts

    jaretts New Member

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    Pilonidal Cyst Excision. Not a Cleft lift. He was there with the anesthesiologist and she only gave me local anesthesia, basically 3 needles in different spots of the cyst area. Didn't feel a thing.

    He said it will be the exact same procedure just in his office or the hospital. He didnt tell me to do it. I asked him if it would be possible because of my financial situation at the time. It was have been about $2000 to cover my deductable & the 20% co-insurance...or 50 bucks. What would you do?
     
  9. jenna993

    jenna993 New Member

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    How has it been? Is it gone? I'm getting the same thing tomorrow. Please more details.
     
  10. Meggyamber

    Meggyamber New Member

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    How can the insurance company really get away with this? That is something that has to be covered.
     
  11. brie1496

    brie1496 New Member

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    Does anyone know if Medicaid covers it?
    I don't know exactly how severe it is but I've had it lanced 3 times in the pass year and each time it gets about 3x worse and about 5x more painful. 1st time it wasn't as bad it just was pretty big. 2nd time the ER dr didn't tell me how big it was but it had been infected with e. coli and I had to get an IV and of course a round of antibiotics. 3rd time the ER dr said it was about as big around as an orange and was pretty deep too. It took almost a whole bottle of packing to pack the cavity completely. According to my grandmother it looked about like 2 feet worth that he pulled out but it hard to tell how true that is because she dramatizes everything. He believes it was infected with MRSA though they haven't got the cultures back yet. It would make sense though seeing as I got a staph infection about a month ago.
    So in my book it pretty serious though it may not be as serious as many other cases. I haven't been to actually see a surgeon about it other than to have packing removed and every time I mention it to my normal doctor she brushes it off and moves on to my ovarian cysts as if they are more important even though nothing can really be done about those. I am supposed to call the surgeon who did my gallbladder surgery when I get back from vacation and get his opinion on what he thinks I should do. You think he would know if my insurance would cover it?
     
  12. Robert Eden

    Robert Eden Very Helpful

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    Why wouldn't they?
     
  13. Katarack21

    Katarack21 New Member

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    Medicaid is touchy about what they do or don't cover. I'm worried about this myself, now. I'm going in on Monday to get my pits looked at, if it turns out it is pilonidal (judging on what I've heard and seen here, I'm pretty sure it is) then I'm going to have to worry about Medicaid, too.

    I'm on disability as sole income. Paying out of pocket is, very simply, just not an option. It's not that I don't want to; it's that I simply don't have access to those kinds of funds, period.
     

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