literally been waiting 7 weeks to see a specialist. why? urgent care is no longer allowed to issue referrals, so they had to put me on antibiotics for 3 weeks just to maybe cover me till i could see my pcp.
see the pcp after waiting 2 weeks, they give me a referral, issued STAT.
see them again a week later cuz i havent heard anything, there was an issue and the insurance didnt get the request till that day .
oop insurance actually decides who im referred to and they take 2 more weeks to figure it out.
oop insurance accidentally had a glitch and dropped me for no reason so the whole process has to start over again, after a wait a week for them to fix their mistake.
smfh , lucky its not something worse. I THINK. IDK WHAT IT IS CUZ I HAVENT SEEN A SPECIALIST YET.
Good luck. They passed the timely access to care act and you can't actually use it because doctors and health systems ignore it, and your insurance will make you jump through so many hoops you'll feel like fucking Luigi before you're done.
Because this is political theater but there’s also a lot of nuances that go into this type of thing. Should they have done something like this in the past, 100%…but this is also a result of the collective California population being so fed up with insurance companies that it forces politicians to do something. He’s a martyr no doubt but the health care situation continues to get worse so pushing something so “liberal” wasn’t going to happen previously.
I love it, but I'm a bit worried that using his name could make it harder to get enough people onboard... Not that it would be easy normally... But maybe I'm wrong, maybe he's more generally liked than I realize (outside of online spaces anyway)
Meanwhile, the health industry is doing their best to protect what's there while costing the lives of thousands even millions of people to an early death or a terrible life of misery.
Section C talks about how if they want to delay or deny any medication/procedure that was recommended by a physician that in needs to be by another physician. There's already a loophole in place for this section which is that insurance companies hire loads of physicians to look at case files and determine if it should be denied or not. There is obviously a huge conflict of interest there, but that's how that works.
However, section D talks about how if they delay or deny anything, the insurance company has the burden of proof and would have to pay for any damages or legal fees in doing so. That part is HUGE! Accountability in the court for this bullshit!
Source: Not a lawyer, but work for one of the largest health insurers in the US.
section E makes decisions made by a non-physician also a felony, should be expanded to make influencing a physician to lie also a felony, protecting physicians employed by insurance company from reprisal.