So it's been a bit of a mixed birthday so far.

But not as bad as your honeymoon.

But not as bad as your honeymoon.

That's a pretty low bar!

I'm in an Open Enrollment Zoom and it is killing me. So much talking about shit that does not concern me at all. I will need to decide if I want to stay with Kaiser or switch to a new "EPO" plan - I'm leaning towards staying because all my records are there and starting fresh with a new network seems like it would be a pain. I'm still in this spot of trying really hard not to use my health benefits so the difference in costs or copays or whatever doesn't matter much to me. I am concerned about looming strikes at Kaiser but I doubt a different network would really be better about labor relations.

-t, I don't know what it's like with Kaiser, but my understanding is that with an EPO plan it is easy to get burned with unexpected out-of-network expenses like "the surgeon was in-network but the anesthesiologist was not."

That is an excellent point, I have heard of that happening a lot. Kaiser procedures tend to happen in Kaiser facilities so I think that is less of a risk

I am finding the emphasis on "appropriate levels of care" very upsetting.

I am finding the emphasis on "appropriate levels of care" very upsetting.

My company, which for some reason has a health care plan that runs July to June, was the same way. There's just more and more emphasis every year on making sure you question if you really need that trip to urgent care that you think you do.

It's the emergency room is covered only if it's for something life-threatening that is bothering me. If I'm afraid it's life-threatening but it turns out not to be, do I get the full bill? That's how it sounds. And the way they put it "you want to get that taken care of before it's a problem rather than getting hospitalized, that will save everyone money" [emphasis mine, but seriously, you are saying that out loud?]

That is horrifying.

It's the emergency room is covered only if it's for something life-threatening that is bothering me. If I'm afraid it's life-threatening but it turns out not to be, do I get the full bill? That's how it sounds.

I fucking hate that one. Like, you don't want to guess wrong on a heart attack. Or, as another random example, a stroke.

Which reminds me: Tim's dad got transferred to a rehab facility yesterday. The plan is for him to be there for 2-3 weeks, with 3+ hours of therapy a day (not 3+ hours all at once; it'll be spread out over the day). I need to ask Tim if he or his brothers have tactfully told the staff that their dad *will* make incredibly inappropriate sexual comments to the female staff. (It's a known thing with dementia. I'm not saying that to excuse it, but it really is a common thing in patients with dementia. I personally am getting more and more uncomfortable being around him because of it, although he has yet to direct any inappropriate comments my way. It's a really, really sad part of dementia, seeing the personality/behavior changes that are happening as the cognitive deterioration gets worse.)

I hope the rehab facility takes good care of him. I'm sorry to hear he's got that effect, that must be really difficult to put up with