Showing posts with label Bureaucracy and Dealing With It. Show all posts
Showing posts with label Bureaucracy and Dealing With It. Show all posts

Medical Privacy Issues - The Internet, Employers, Insurance Companies Are Not Your Friend

Latest update: November 28, 2024. Page URL indicates original publication date; meanwhile, times change, and the updates continue.

Beware Medical Discrimination by Employers and Insurance Companies


I'm retired and don't care, but younger people should very much care; especially don't post anything medical on social media or anywhere else online. Potential employers routinely check social media accounts these days.

Potential employers will discriminate against you and not hire anyone they suspect will increase their medical insurance rates. This practice is supposed to be illegal in many states, but quite bluntly that doesn't stop them. They simply claim there was some other factor that caused them to not hire you. It's just a fact of life. So if you have any medical issues, keep them to yourself. Don't even tell your real-world friends. If you have to tell, then make it only the immediate family and those you trust; and remind them about the posting-on-line caveat.

And certainly, protect your kids in this regard. Definitely don't mention any of their long-term medical problems online.

HIPAA Medical Privacy Rule

See HHS.gov/... for expanded information. The associated News Room access also has relevant information, particularly as to privacy relating to COVID-19 vaccinations. 

And for folks of all ages, don't mention online that you are going to the doctor, hospital, or anywhere else on a particular day. Doing so announces to the world that your home may be vacant for burglars to enter. The internet is not always your friend.

And while we are at it...Never make a doctor's appointment for a Monday or a Friday. Both the doctor's office and the medical transportation will be total chaos; personal experience talking here.

Another note... Pharmacists say don't keep any prescription medications in the bathroom medicine cabinet. I'm guessing this has to do with both heat and humidity issues; especially heat destroys the active ingredients. Same probably applies to OTC medications and vitamin pills. Makes me think that having prescription medicine or anything else that is heat-sensitive mailed to you during the summer months may also not be a good idea.

Update. Regarding pandemics, it is a pretty good bet that medical privacy goes out the window during those. If you do happen to be exposed to COVID-19, you definitely do not want to advertise that fact. It is well-known that the disease can have future and very long-term effects. Employers and medical insurance companies won't hesitate to discriminate against you as a result.

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Best Banks NOT!! Save Money With Credit Unions Instead! - Free, No Fee Checking, Saving Accounts, ATMs, etc.

Latest update: November 28, 2024. Page URL indicates original publication date; meanwhile, times change, and the updates continue.

Money saved is worth more than money earned; money saved is tax free. Credit unions and certain other financial institutions are much better than national banks and credit card companies. Pay fewer, lesser, and no fees.

Forget: Chase Bank, Ally Bank, Wells Fargo, Bank of America, and all the rest of them. They all may claim they have free checking and savings accounts, but there is invariably fine print in their conditions that will cause you grief.

A special mention about Bank of America. "Fees" are their middle name. Why any consumer would do business with them is beyond me.


People often ask,
  • What is the best bank in a given location?
  • What is the best bank for a specific kind of customer?
Rephrasing the question to "What is the best financial institution?" is the way to find what's best.

It is positively amazing how many people put up with all the fees many banks and other financial institutions attach to their savings, checking, and credit card accounts. Those banks and financial institutions will keep on doing this as long as the consumer keeps letting them get away with it. There is no excuse for the consumer to tolerate these kinds of bank fees when there are so many better alternatives available.

Avoid National Banks and National Credit Card Companies

National and local credit unions and local banks are the way to go.

The average consumer should never do business with a national bank or national credit card company. Check out your locally owned banks; even better, check out your local or national credit unions. National debit card companies might be OK: read the fine print.


Customers who have followed the above principles:

  • Have not paid any monthly account fees in decades.
  • Have not paid any check fees in decades.
  • Have not paid any credit or debit card transaction fees in decades.
  • Have always been paid higher interest on their savings.
  • Have always paid lower interest on their loans.
  • Have always experienced the bliss of fewer and lesser fees all-around.

What Exactly Is a Credit Union?

A credit union in the United States is technically a co-op arrangement among members. Those members with money make deposits. Those members who need money take out loans.

The spread between the interest paid to members with savings and the interest collected from members with loans is supposed to be no larger than what will cover the co-op’s expenses.

The covered expenses also enable both savers and borrowers to have free checking accounts, no-annual-fee debit and credit cards, and many other free or lesser fee services. Many countries have these same co-op type institutions; they are just known by different names.

About Credit Union Membership

With banks, you are a customer. With credit unions, you are a member.

It used to be difficult to become a member of a credit union. The usual requirement being you were working for a specific employer. In fact, many times the credit union was actually named after the employer. Many of these credit unions are still in existence today.

Membership requirements these days are much more open. Every credit union has unique criteria.

 Credit unions did not come up with the idea of membership requirements. Federal regulations require members of credit unions to have something in common, usually being the mutual employer scenario.

However, other criteria can now be used; just being a member of a certain profession is a good example.

What opened the floodgates is the now current use of geographical location as to what determines eligibility. In other words, are you and the credit union in the same county? If so, congratulations; you are a member. The credit union website will clearly spell out the eligibility requirements to become a member.

f you do not qualify, it is neither their fault nor yours; federal regulations are federal regulations. The good news is your chances of success are fairly high. Worst case scenario is you merely proceed to your local bank instead.

Internet-based financial institutions are also worth checking out, but be very careful and check their reputations and fee schedules with a fine-toothed comb.

The Good, the Bad, the Ugly.


About Your Local Banks and Credit Unions: The Good

Here is the normal fee structure at your good, locally owned banks and credit unions:

  • There are no membership fees. 
  • There are no annual or monthly credit card fees.
  • There are no annual or monthly debit card fees.
  • Savings accounts have no monthly or other fees. A minimum balance requirement of a couple hundred bucks or less is acceptable.
  • Checking accounts have no monthly fees and no minimum balance requirements. The requirement you have a savings or similar account with a reasonable minimum balance to qualify for the free checking account is an acceptable option. Using the direct deposit option to qualify for a free checking account is not always a good idea; getting slammed with a bunch of fees when you lose your job is not the way to go. On the other hand, qualifying based on direct deposit of your Social Security retirement check certainly isn't much of a risk.
  • No debit card point-of-sale fees of any kind.
  • No credit card point-of-sale fees of any kind.
  • Very minimal or no ATM fees on debit card transactions.
  • All other fees are less than what you are paying at your current financial institution.
And a special note about credit unions and ATMs. Basically, they've united into a single network as to ATM fees and non-fees. If one belongs to a credit union, you can use any and all other credit union ATMs, and the only fee will be the fee or non-fee that you have agreed to with your credit union. In other words, there's no secondary fee for using an ATM that is not your particular credit union's; any credit union ATM will do just fine. Personally, I have not paid an ATM fee in decades.

About Your Local Banks: The Bad

It should be noted some local banks can be even more obnoxious than your national banks. Local banks are just like any other locally owned business. Employee attitude will directly reflect the personality and attitude of the owner(s) of the bank.

Fortunately, the bank’s fee structure is very often a clear indication of the bank’s attitude towards the general public. Ridiculous and excessive fees? Go elsewhere.

About Your Local Credit Unions: The Ugly

Credit unions are well-known for being the better deal. As such, there are bankers-to-be who come out of the woodwork to take advantage of the better reputation credit unions have.

The methodology to do this is not difficult. The banker-to-be simply opens his business via and under the credit union regulations and rules. Then, as far as interest rates and fee structuring goes, they run it like a bank. There is a credit union in San Francisco that is positively famous for this. There is another credit union in Riverside County, California that I would also avoid like the plague. So just because an institution calls itself a credit union doesn't mean you are home free. Do check out their fee schedule and interest rates relative to other institutions.

The Search

Needless to say, your location will vary.


How to Find Your Local Banks and Credit Unions

Finding them is not hard to do. The usual Yellow Pages perusal and/or an internet search will turn them right up. And it should be noted there are excellent national credit unions as well.

As to finding the good ones, you will need to check their website. Find their fee schedule and you will usually know what you need to know. If they do not have a fee schedule online, then that is a possible red flag. If your choices are limited, then you may have to make a personal visit to the financial institution and check out their brochures in the lobby.

Those financial institutions having the "glass cage" setup you must navigate to enter and exit the premises should be avoided like the plague. For some reason, there seems to be a strong correlation between "glass cage" usage and the treatment of customers as peasants in general.

You can also find a local credit union, plus all sorts of other worthy credit union information, at the federally run Nation Credit Union Administration (NCUA) website.

You can find all sorts of interesting information about your local banks at the Federal Deposit Insurance Corporation (FDIC) website. They even maintain a public list of failed banks.

Next is the opening of an account. A driver’s license, Social Security card, and a pleasant attitude are all that should be required. If the bank or credit union employee, or the procedures in general, are unusually obstructive; then forget it and move on. If they require you have an account with them for at least six months before allowing you to apply for a debit card, then you definitely want nothing to do with them.


Worthy Internet Institutions

There are worthy internet-based institutions out there. Just thoroughly check their fee schedule; particularly as relates to their savings and checking accounts, and their credit and debit cards. Also, plug their name and the word "scam" into your search engine and see what pops up. If there are pages of complaints, it would probably be wise to avoid that particular institution.

I have never had a problem with PayPal. Unfortunately I recently came across this article: PayPal faces lawsuit for freezing customer accounts and funds. Apparently there is no due process whatsoever; it's probably a good idea to not keep significant sums there.


Only consider doing business with credit unions authorized to display this logo:

NCUA (has all sorts of worthy information)


Only consider doing business with local banks and internet-based financial institutions authorized to display this logo (or other equivalent government signage)


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Fighting Fraudulent and Inflated Medical Bills - Federal and State Websites Help Patients Fight Dishonest Charges

Latest update: December 1, 2024. Page URL indicates original publication date; meanwhile, times change, and the updates continue.

These websites will actually help you when a medical entity victimizes you with inflated or outright fraudulent medical bills and/or denied insurance claims.

This includes hospitals, general doctors, specialists, X-ray places, CT scan or PET scan centers, blood test places, and pretty much any other medical facility or entity that engages in illegal or unethical conduct. Emphasis is on illegal, unethical contracts and on illegal, unethical billing practices. Also includes resources regarding insurance company misconduct or for when a Medicare, Medicaid, or Medi-Cal case worker makes a mistake or acts in bad faith. Sooner or later, you will need the information on this page.

Medical Federal and California (and other) State Government Websites That Will Help You When an Insurance Company or Service Provider Victimizes You – Also Some Worthwhile Additional Information

Ways to Deal With Our Country's Corrupt Private Sector Medical Industry


Patients' Rights and Financial Help Resource List

A list of resources regarding the rights patients are legally supposed to have. Many provide complaint forms and will actually help you. All listed websites are government or other well-known, reputable resources. All links go directly to the website's patients' rights page and/or patients help page. Needless to say, all are free.
  • MedlinePlus, from the U.S. Library of National Medicine.
  • HealthCare.gov, your rights under the Affordable Care Act.
  • Medicare.gov, your Medicare rights.
  • The Medicare Beneficiary Ombudsman. , a resource for filing complaints, grievances, appeals, etc.; in other words, a place to rat out medical service providers. The page also promises to provide information, help, assistance, and other services. The page is apparently also the starting point for when you need to deal with Medicare's own shenanigans.
  • CMS.gov, Centers for Medicare & Medicaid Services. The particular link I provided has to do with Consumer Information & Insurance Oversight. The page may not especially look it, but these guys are your friend. Sometimes, out of the blue and without any action on your part, they will send you notices a particular medical bill from a medical service provider or insurance entity is not valid and that you don't have to pay it. This website is definitely worth prowling around when you have the time.
  • California Department of Public Health (CDPH), the go-to page for filing medical complaints in California.
  • Office of the Patient Advocate (OPA), another go-to page for filing medical complaints in California.
  • CDSS is another California site that may be able to help you, especially as applies to local office Medicaid (Medi-Cal) obstructions.
  • Bing. For folks not in California looking for their state websites, simply do a search for:
    "YourStateNameHere patients rights help site:.gov" (without the quotes and be sure to include the exact "site:.gov" syntax).
If a link suddenly stops working, it means the website moved that particular page. Let me know in the comments section and I'll find and post the new location.

Some Tips for When Dealing with the Medical Bureaucracy

(being involved with an insurance plan network limits some of these tips)

  • The Medicare 1-800-633-4227 number is open 24/7. They have always been friendly, professional, and helpful. Do give them a break and check their website first. You might not only find the answer to your question(s) but also discover other worthwhile information relating to your situation.
  • Referring doctors make paperwork mistakes all the time. Whenever possible make sure the medical treatment specifications match what the Medicare white book says. This is mostly applicable to preventive services. Not kidding here, make sure the doctor's instructions exactly match what the Medicare website and yearly white book specifies. I've personally saved myself one financial disaster already by doing this.
  • Never walk into a medical service provider's diagnostic center without the proper Medicare COPD 5-digit code included on the referral paperwork. 
  • Referring doctors make paperwork mistakes all the time (did I mention that already?). Always verify the accuracy of the Medicare code on the paperwork before going to the specialist's or medical service provider's office. Confirm with Medicare that the Medicare code number is valid for your circumstances and procedure(s) and that Medicare will approve and pay for the procedure.
  • When referred to a specialist, sometimes a COPD code isn't provided; the specialist adds the code after the fact. Your only defense against this is having diagnostic information showing the necessity of the visit to the specialist, e.g., CAT scan shows potential malignancies in lungs, thus being referred to a pulmonologist makes medical sense. If the specialists uses the wrong code(s) after the fact and the claim is denied, don't just give up. Work with Medicare and the specialist to get the mistake straightened out and resubmit the claim.
  • If not involved with an insurance plan network, the referring doctor does not not always know if the referred specialist or medical service provider takes Medicare, Medicaid, Medi-Cal, etc. When you walk into that referred specialist's office or medical service center for the first time and have identified yourself, always ask first:
  1. Does Medicare accept you and do you accept Medicare as full payment, secondary insurance covering remaining balance?
  2. Does Medicaid//Medi-Cal/Etc. accept you and do you accept Medicaid, Medi-Cal, etc. or whatever other supporting insurance applicable in your situation as full payment?
If any part of their answer is no, leave immediately. As a Medicare beneficiary, you have the right to go to any Medicare specialist or service provider center you wish, unless you are on an insurance plan where one must stay within the plan's network. Either way, tell your primary, referring doctor what happened and they should be able to take care of it.

An important note. If a medical entity financially victimizes you or is trying to victimize you happens to be a referral from your doctor, first check with Medicare via their website and/or phone calls and find out exactly what is going on. If that doesn't clarify or fix the situation, then tell your doctor's office all about it. They might be able to fix the problem with just one phone call to the offending medical entity; not so surprisingly, your doctor's office will often be quite successful at this.

A personal note. That medical contract you are always forced to sign is basically a blank check allowing the medical entity to do whatever they want. You've given them the right to do anything and everything their little hearts desire and then to bill you for whatever insurance doesn't cover. For that reason, I always print directly above my signature the following in caps:

"ONLY PROVIDE INSURANCE COVERED SERVICES ONLY"

If the medical service provider then refuses you as a patient, immediately inform your primary physician that referred you. If that doesn't solve the problem, i.e., your doctor being able to find a different service provider in the area; I'd personally let Medicare, Medicaid/Medi-Cal, and any other involved insurance/government entity know all about it. I would think they would all want to know about a medical service provider that turns away patients simply because that patient only wants those services that are covered by insurance. Who knows? They might even be able to help you.

An update (Medical Hack(?)). Someone sent me this. I do not know if it is true or not. It sure would be interesting to find out:

Medical Life Hack?

I'm continuing to look for other government medical websites that help patients when it comes to money issues. If you happen to know of one, please mention it in comments. I'll be happy to include it on the list. Federal sites are preferred, but sites specific to your state are also welcome.

Here's an article from CNBC about fighting a fraudulent medical bill: More than 30% of Americans have medical debt: What you need to know about negotiating a medical bill.

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