Health care system insanity

I have bad joints, and previous joint surgeries. To help control pain and inflammation, I get monthly acupuncture treatments. They work marvelously, and allow me to maintain a good quality of life with minimal discomfort and without prescription pain medication.

Yesterday I had my acupuncture appointment, and was told that my insurance has not allowed any further treatments right now — despite having 12 treatments per calendar year in the benefit, they are doled out as the insurance company sees fit.

I have decent insurance, but they do not like maintenance procedures, so they have only been approving one or two at a time – after which, my doctor has to write in and beg for a few more. Apparently my day-to-day pain is not severe enough to warrant more treatments, as judged by some non-medical administrator. But without the treatments, I will be in a lot more pain.

These acupuncture treatments run $120 per month, which includes treatment for four major joints. I take no prescription medications, I get no other procedures for my joints. And, I pay for most of these appointments out of pocket each year, because I have a deductible.

Here’s the crazy thing. My insurance will cover two total knee replacement surgeries and two hip surgeries, at tens of thousands of dollars, plus the associated rehab, physical therapy, drugs, MRI’s, X-rays, and mobility appliances (splints, braces, crutches, scooter, etc.) —- but they won’t cover $120 per month in acupuncture (which I’m paying anyway) to keep me from needing these surgeries.

I can’t help but wonder, WTF??

About wonkydonkey

You want random? You got it. Mostly knitting and gardening, with some home improvements, pets, baking, family, and the occasional bad joke thrown in for good measure.
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