Skip to main content

Another health care rant

As I have ranted and rambled about before, Brian has rather crappy insurance, which I unfortunately had to get on at the beginning of the year because we could not afford paying the monthly Cobra payment. But, as I learned in econ or some other class, "opportunity costs" or something like that. So to save several hundred dollars a month for the right (er, privilege) to have insurance, we have to hope we don't need much of it. If one of us gets sick, well, then, it may have made more sense to pay more money monthly.

When I went to my annual day of torture on Friday (i.e., the gynecologist), I was surprised that my copay was $25. On my insurance card, there is a line for Office Visit Copayment, for $15, and there is another line for Specialist Office Visit Copayment, for $25. There is nothing special about going to the gynecologist. It is something that I am pretty sure women should do yearly once they become "grownups" or younger, if they start doing the horizontal mambo (I know, I am so 12 years old). I realize that there is only a $10 difference between the regular and special office visit, but it is the principal as much as it is the extra cost.

I hate going to the gyno. During the prying open part, the doctor always asks if I am okay, because my whole body tenses, my blood pressure skyrockets, and I pretty much liken the pain to labor, though it is a lot shorter, fortunately. The first time I went to the gyno, I swore I would never do the deed again; it just was not worth it. Now that I am married and pretty sure I am done procreating, well, that idea is looking better and better. Just kidding, Brian. Mostly.

But seriously. Doesn't this seem a little wrong? Why is it considered a special office visit? Way to discourage women from preventative health care.

Grr.

Comments

Sherri said…
That is bizarre. Don't know if you remember, but... I did a healthcare rant a while back - mostly irritated by how the doctors just don't seem to listen (this was my first visit back without many post-partum issues, so... back to biz as usual - i.e. no pregnancy stuff, and.... the care was just so bad). Anyway, this seems odd as some gynos will often act as a PCP or will be considered as such at some insurance companies (ours) due to the fact that they do bloodwork and other basic tests that women need - will write scripts for additional stuff if you ask them. I would call "someone" about this before you do need something routine and end up getting charged too much for it.
Facie said…
Oh, I remember, Sherrie. I did end up going back to the dreaded doc, by the way. She seemed so much more "on" this time. She even asked/confirmed that I was not having any more kids, something she must have actually written down last time and looked at this time (or maybe she just figured with a seven year old it was not going to happen!).

I called my health insurance, and the CSR said that only family doctor visits are considered regular office visits. I said, "So I guess I should stop seeing my gyne and just go to a PCP every year." Of course, she said that would be up to me. But she did say that anything that happened during that exam, including routine testing (there is some test you get every three years), s/b covered. We will see.
Anonymous said…
The gynecologist is considered a specialist b/c they are a specialist. They had additional years of specialized training to do what they do. Doesn't matter what you see them for, it's based on their level of expertise. Many women use them for primary care but they are still specialists. Some insurance companies will not charge you anything for preventative care - you should look into that when you pick your insurance for next year. Also, many primary care practices have a MD, NP, or PA that does routine gyne exams if you don't want the higher copay.
Facie said…
Anon, fair enough; I see your point. But it does not change the way I feel. Women should be seeing their gyne yearly, and it seems somewhat sexist and for sure a crying shame that I have to pay more for that. I realize it is just this particular insurance, but surely it is not the only one.

Oh, and thanks for your suggestion about having a PA or MD do a routine exam; I have been looking to leave my practice for years.
chris h. said…
I just went to my gyno a couple weeks ago. I have different insurance now, so I don't have a co-pay and I actually get better coverage now than when I was paying for my expensive HMO plan. I used to pay the $15 specialist copay instead of the $10 regular copay. This time I only owe $10 (because my plan pays 90% and I pay 10%, which turned out to be $10). Crazy. The new plan saves me over $260 a month...it's a godsend so far. Plus it made me eligible to open a tax-deductible Health Savings Account. I just pray Obamacare doesn't ruin it.

Popular posts from this blog

Why do they stand up there and say that when they are just lying?

That extra-long title is courtesy of my nine-year-old and was something she uttered during "Say Yes to the Dress" on Friday evening. I watch very little reality TV, but I make an exception for this show because I like to look at the dresses. And sometimes, the stories are heart-warming. Typically at the end of the show, a snippet of a wedding is aired. In this particular show, a woman who was confined to a wheelchair was exchanging vows with her fiance. After the two of them finished, J made her comment. I asked her what she meant as I must have been on the computer while the TV was on, and she explained that because so many people just get divorced, why do they even say "as long as we both shall live"? That is tough one, kid. I tried with what I thought was a sound explanation: Most of the people who get married truly believe they will be together the rest of their lives, but sometimes it just doesn't work out. But if you don't think that you will be ...

What a year 2021 has been (Day 7)

I have almost no words for what happened yesterday at the Capitol. Protesting is one thing (though I truly think it is and has been time to move on). But to storm the Capitol? A friend on Facebook said, quite simply, " Almost 20 years ago a group of people on an airplane sacrificed themselves to protect the Capitol. How far we have fallen!" Indeed. And, yes, it IS storming the Capitol. I have seen numerous videos of people knocking down barricades/fences, pushing police officers, and breaking windows and climbing through them. That is beyond protesting. And even if a protestor did not do those things, if they followed those seditionists past those barricades and into the building, they are just as guilty. I did not support the violent protests this summer that resulted in damages to businesses and public property (I was in full support of the actual protests). But I also acknowledged as a white person, I cannot truly put myself in the position of a black person who is angry a...

Water and sun

I thought I would post some pics from a quick trip to Erie I took with the kid and my mom in August. I can never take or have enough pictures of the water and the sun. This is the kid in the water. The water was really cold, which I thought it might not be as bad since it was just past mid August. But that did not stop the kid from swimming. Me? I made it to thigh deep water and chickened out. This is a shot of Lake Erie from Presque Isle.   The sunset near the Bicentennial Tower Just after the sun was setting near the Bicentennial Tower My mom and kid in front of the Bicentennial Tower One of the coolest thing about the Bicentennial Tower was there were hundreds, maybe even thousands, of bricks engraved with people's names, scattered along the walkway that you see in the photo above as well as in and around the Tower building. After we came back down from the top of the tower, we got ice cream. And I was sitting there eating, I happened to notice a brick...