Viewing the message boards in:

Coronavirus prep

1421422424426427498

Replies

  • Posts: 11,502 Member
    ReenieHJ wrote: »
    I worry mostly about the children who haven't reached the right age yet to be vaccinated. And about the children whose parents are making choices for them that might not be making the best choice. :( Children pretty much have very little say.
    If adults don't want to vaccinate, then that's on them if things turn out badly. :( But I loathe thinking of all the ones whom they may infect along the way. :(

    A question about Texas and schools reopening.....I have a nephew whose 2 children are back in school and masks haven't been mandated yet the Numbers are climbing terribly. Why no mandates? Last year, their school didn't require masks either; in fact, my nephew's 2 children were the only 2 children in their class picture, wearing masks.

    Here, I know they're at least going into the year masking up and seeing how it goes.

    In Texas, there are legal battles because the Governor has said schools cannot require masks, and some school districts have required masks. It then comes to a question of whose authority holds more weight. Last I heard, the Texas Supreme Court is allowing school districts to make mask mandates if they want, but only until the cases are decided. Wasn't this a similar legal issue in the Des Moines, Iowa public schools last year?
  • Posts: 1,395 Member
    edited August 2021
    I think the Des Moines issue was in person vs online. She said so much percentage of classes had to be in person. (Don’t remember the exact percentage) Our governor signed a bill the end of May that schools cannot do a mask mandate. Schools start here on Tuesday.
  • Posts: 3,348 Member

    I agree with you about what a shame it is if uninsured people are scared away by being asked for an insurance card, but my impression is that pharmacies or doctor's office are allowed to charge the insurer for the cost of administering the vaccine, although not for the vaccine itself (think of it as parts v. labor when you get your car worked on). But they're not allowed to charge uninsured individuals for administering the vaccine (labor).

    This is what I understand. They are free to the patient, but who pays (government of insurance) can vary. Interestingly, hubby had COVID test due to symptoms two weeks ago. Clearly stated insurance was to be presented upon arrival, but then they never asked for it. It was a chain pharmacy so maybe our data was in their system. We did not ask. For our vaccinations, we did give our insurance cards.

  • Posts: 2,563 Member
    SModa61 wrote: »

    This is what I understand. They are free to the patient, but who pays (government of insurance) can vary. Interestingly, hubby had COVID test due to symptoms two weeks ago. Clearly stated insurance was to be presented upon arrival, but then they never asked for it. It was a chain pharmacy so maybe our data was in their system. We did not ask. For our vaccinations, we did give our insurance cards.

    Got a couple letters from our insurance company saying if we got bill from a doctor for $1,065 each we should contact the insurance company and they would hold up harmless and fight the bills for us. We looked at the dates of service and realized it was when we go Covid tests (our tests were done at a "free" county health dept drive through clinic).

    We had the tests back in January and never received any bill but apparently some had.
  • Posts: 16,011 Member

    I agree with you about what a shame it is if uninsured people are scared away by being asked for an insurance card, but my impression is that pharmacies or doctor's office are allowed to charge the insurer for the cost of administering the vaccine, although not for the vaccine itself (think of it as parts v. labor when you get your car worked on). But they're not allowed to charge uninsured individuals for administering the vaccine (labor).

    That's a good point. Maybe it's the way it's asked, or just that uninsured people are already jumpy about getting stuck with a bill and even an innocent question scares them away and starts the rumor mill up!
  • Posts: 3,348 Member
    Theoldguy1 wrote: »

    Got a couple letters from our insurance company saying if we got bill from a doctor for $1,065 each we should contact the insurance company and they would hold up harmless and fight the bills for us. We looked at the dates of service and realized it was when we go Covid tests (our tests were done at a "free" county health dept drive through clinic).

    We had the tests back in January and never received any bill but apparently some had.

    @Theoldguy1 How odd/interesting. All I can add is how testing it worked in Massachusetts in 2020/early 2021. In massachusetts, if you had symptoms or known exposure, there was testing for that. Insurance covered insured and I thought that uninsured were covered by federal government. (am I wrong about that?) Then specifically in Mass, there was state sponsored free testing for asymptomatic people, at specific sites. The few times DH and I needed it, due to returning to the state after travel, we chose to go to private facilities where we had to pay. It was $100+ for the test. We chose that route to avoid multiple hour long lines. Even if yours was not covered (ie no symptoms or known exposure), the $1000+ price sounds abusive to me.

    @summerskier I am also shocked that you might be being billed for your vaccination. Ours vax were end march and mid april for Pfizer, so I am curious if a bill is coming our way.
  • Posts: 2,563 Member
    lemurcat2 wrote: »
    If you do get a bill it's an error/illegal, so you can definitely fight it.

    Yeah we had the tests in January no billing yet, I wouldn't be too worried about it if got something.
  • Posts: 10,171 Member
    kimny72 wrote: »

    That's a good point. Maybe it's the way it's asked, or just that uninsured people are already jumpy about getting stuck with a bill and even an innocent question scares them away and starts the rumor mill up!

    Absolutely -- I only meant that there could be a legitimate reason to ask, but definitely the providers and admin people should be aware of this issue and do whatever they can to explain and reassure potential vaccine recipients.
  • Posts: 10,171 Member
    Interesting. I JUST got a claim today on my insurance for 100$ for something March 15 2021. I looked it up and it was my first Pfizer shot. Insurance paid $16 and I am being billed for the rest? I thought these vaccines were free to us? hmmmm

    If you're in the U.S., you shouldn't have to pay that. (Probably not in other countries, either, but that's outside my knowledge base.) You can call whoever sent the communication (the insurance company or the medical provider) and dispute it.
  • Posts: 11,502 Member
    I think the Des Moines issue was in person vs online. She said so much percentage of classes had to be in person. (Don’t remember the exact percentage) Our governor signed a bill the end of May that schools cannot do a mask mandate. Schools start here on Tuesday.

    Ah, yes, that is correct about the issue being in-person vs. online. I'm not a lawyer, but I don't think the Des Moines case would make a difference even if it was the same issue since they are different states.
  • Posts: 11,502 Member
    It's actually easy here in Tx to get a booster. I was just talking to one of my friends yesterday morning about it (she is immuno compromised) and got her 2nd shot in Feb I think. She was able to walk right in to the pharmacy and get her booster yesterday afternoon. It will be interesting to see if she has any reaction to the 3rd. So far all reports I have heard are just arm soreness and nothing like the 2nd shot. She got Moderna I think. (and looks like that poster was quite successful in getting the other thread shut down).

    On another note maybe MORE people will be encouraged to and will be able to get the antibodies now that our Governor has made them more in the news again.

    Also in Texas and have heard that vaccines, which have been very easy to get lately, are now more difficult now that boosters are being given. When I got my 2nd dose in April, I had a hard time finding a place to get an appt. At the time, I was scheduling it about 3-4 weeks before the 2nd dose and could only find 3 places in the entire state with vaccines available in the week of my appt. They were 8 hrs. drive, 6 hrs. drive, and a 30 min. drive. Guess which I booked. My 8 months won't come until December and I'm starting to worry that I won't be able to find one at that time because so many others will be competing for boosters then. If a small group of boosters is already making it tough to get vaccines, it will be really difficult by December.
  • Posts: 9,469 Member

    If you're in the U.S., you shouldn't have to pay that. (Probably not in other countries, either, but that's outside my knowledge base.) You can call whoever sent the communication (the insurance company or the medical provider) and dispute it.


    Not in Australia either - is illegal to get payment for either the vaccine itself or the administration of it.

    The place giving it ( dr's surgery, hospital etc) gets fully reimbursed by Medicare.
  • Posts: 5,581 Member
    I wonder if this will work like the flu vaccine which is updated every year. Can they keep their approval yet still update it to fight the Lambda strain spike without having to go thru the whole trial again?
  • Posts: 41,865 Member
    edited August 2021
    It's actually easy here in Tx to get a booster. I was just talking to one of my friends yesterday morning about it (she is immuno compromised) and got her 2nd shot in Feb I think. She was able to walk right in to the pharmacy and get her booster yesterday afternoon. It will be interesting to see if she has any reaction to the 3rd. So far all reports I have heard are just arm soreness and nothing like the 2nd shot. She got Moderna I think. (and looks like that poster was quite successful in getting the other thread shut down).

    On another note maybe MORE people will be encouraged to and will be able to get the antibodies now that our Governor has made them more in the news again.

    I don't think that was a "booster". I think she got a regular shot which are widely available to walk into any pharmacy and get. So she got herself a third shot, but not necessarily a "booster". Per the CDC, boosters won't be available until the fall after full FDA approval (which happened yesterday August 23). From what I've read, these won't be just walk in and get...you will get a notification that you are eligible as per the date of your 2nd shot. It will go in the same order that the original shots were prioritized.

    This is per the CDC on 8/20/21...so not really sure what your friend got here...maybe it was a booster and they were just starting before the official announcement of FDA approval or something. I won't be eligible to get mine until Dec as my 2nd shot was April 2 per the CDC.

Welcome!

It looks like you're new here. Sign in or register to get started.