Welcome to Flightinfo.com

  • Register now and join the discussion
  • Friendliest aviation Ccmmunity on the web
  • Modern site for PC's, Phones, Tablets - no 3rd party apps required
  • Ask questions, help others, promote aviation
  • Share the passion for aviation
  • Invite everyone to Flightinfo.com and let's have fun

Health insurance, disability, etc...

Welcome to Flightinfo.com

  • Register now and join the discussion
  • Modern secure site, no 3rd party apps required
  • Invite your friends
  • Share the passion of aviation
  • Friendliest aviation community on the web

91100 100 set

to the book
Joined
Dec 28, 2003
Posts
694
So here I sit with a lame hand. Last Saturday, my girlfriend and I were setting up a fish tank. Long story short, I broke the glass vase, cut myself very badly, and ended up taking my first trip in an ambulance to the ER. I gave myself a 4 cm gash along the base of the my right thumb, in the process, I severed the flexion tendon on my thumb, and apparently got some nerves too.

The ER people got me cleaned up, stitched up, splinted and wrapped up, and sent me on my way with a referal for an orthopedic surgeon. I went to see him today, and set up a surgery time for tomorrow. All this before I called the insurance company. Turns out the doctor/facility I was refered to is not in my insurance network. My insurance will pay 70% of the "contract rate" after a $200 deductable for a non-network doctor. For a network doctor, they will cover 90% of the actual rate with no deductable.

Unfortunately, I cannot risk paying 30%+ AND a deductable versus only 10% and will have to cancel the surgery, and start from scratch tomorrow calling the network doctors to get set up with one of them. Wish me luck with that.

And then we have physical therapy after the surgery. Fortunately, after the fiasco with the non-network doctor, I learned my lesson and am already tentatively set up for that with a network facility. The first doctor said it will be 6-8 weeks of therapy, splinted most of the time during that period, so I will probably not be able to work during that time (we will have to see).

So (part of this post is simply for me to gather my thoughts, so bear with me), so far I have an ambulance ride. Supposedly, the volunteer FD that responded provides completely free ambulance service (maybe living in a nice neighborhood is worth the extra money?), but I'll only believe that after I don't get a bill!

I have some ER bills. Erie County Medical Center (Buffalo, NY) is "in network" (I learned that after the fact), so hopefully that won't be too bad.

One visit to a non-network doctor. Who knows what that will cost...

And hopefully tomorrow, I'll be getting set-up with an orthopedic surgeon in my network to get my hand fixed up. Apparently I will probably lose some range of motion, but not in a debilitating manner, and maybe some loss of nerve sensation, hopefully not in a debilitating manner.

But after I spent about 2 hours on the phone with the insurance company, and as I sit here, gradually learning to function without the use of an opposable thumb, I've had a chance to think about a few things.

Something like this can happen in an instant. One moment, I was happily spending quality time with my girlfriend, the next, I was on the kitchen floor bleeding, feeling woozy, breaking into cold sweats, waiting the ambulance to arrive. Why am I on a soap box you may ask?

When us young pilots are out there looking for a job, or trying to advance our careers, we look at hourly rates, scheduling issues, things like that. Alot of us don't look at things like health coverage, disability coverage. Those things are intangible UNTIL you find yourself bleeding on the kitchen floor. It all came into sharp focus for me at 9:55 Saturday night. Health coverage is an important thing. For everybody out there, reading these message boards, trying to find leads on that job that might get you "someplace better", think about what might happen if you find yourself lamed by a stupid accident.
 
Let me continue...

As I work for a regional airline (regulars here know which one, as I am a regular), I would expect my own coverage is no better or worse than alot of people. But let me offer some advice for those who have never been in this boat. Prior to my accident, I didn't concern myself too much with health coverage. I understood the importance of having it, in a general sense, but being a young, healthly, single guy, I just didn't worry about it. But I had never done any research. Which local hospitals are in network? How do I find network doctors and facilities on my insurance carrier's website? How much is covered for emergency visits? Ambulance rides?

And after the accident? How does your employer handle medical leaves and disability? Do you have sick time to cover a short term leave? How is physical therapy handled? All things to know in advance.

I feel like I'm getting a little preachy, so I'll stop, but please, learn from my accident and do some research for yourself. Like I said, one moment I was simply having a pleasant evening at home, the next, I was bleeding on the floor with a lame hand.
 
91 said:
I feel like I'm getting a little preachy, so I'll stop, but please, learn from my accident and do some research for yourself. Like I said, one moment I was simply having a pleasant evening at home, the next, I was bleeding on the floor with a lame hand.

Wait till you have children... Then you'll be an expert on this topic. Base pay used to be my primary concern when considering an employment offer. Now it's a distant second to the benefits package.

My wife's from Buffalo so I am picturing this entire saga. Good luck !
 
You can bet the execs don't have to worry about what doctor they go to. Only the best for them . . . and they don't even have to pay anything for it. Only the serfs should have to pay.
 
Well, a few days after the surgery and hours on the phone with the insurance company...

It seems there are no orthopedic hand specialists in my network. As this was the type of thing that I couldn't really just hang and wait around for, I went ahead and did it out of network. Wednesday was spent sleeping in a drug induced haze. I think I slept almost 30 hours in two days. Yesterday was spent running around between therapy places. I tried to go without any drugs yesterday, made it until about 6, when the swelling got to the point I couldn't handle it anymore. So more drugs and I was out by 10pm. But it seems that there are no OCCUPATIONAL therapy specialists in my network either. The pyhsical therapy place took a look at my prescription and told me go find an occupational therapy place. So it's back out of network for that. However there is a bright spot at the end of this tunnel. I was about at the end of my rope, imagining all the bills I'd have to cover at 30% out of network, just about ready to either break down in tears or crawl through the phone line and strangle the people at the insurance company when I learned about the maximum out of pocket expenses. It seems my policy has a yearly "out of pocket" maximum of $1000 after a $200 deductable. $1200 bucks ain't cheap, but actualling KNOWING what this will cost in the end makes me feel better, almost jovial compared to moments I was having earlier this week. Part of what was bothering me so much was simply not knowing what this stupid accident would cost me. Now that we know, I can focus on simply getting better ASAP and getting back to work knowing that I had the best care in the end.

The swelling sucks. My thumb and most of my hand is immobilized by the wrapping and splint right now, and the swelling and pain comes and goes. Even worse is the way they wrapped my hand after the surgery. My entire lower arm and hand was still under the nerve block, so I had no control or sensation in my right hand. They wrapped my fingers up so tight that my pinky finger is now tucked under the ring finger. Very irritating, its driving me crazy. The Vicaden (sp?) helps, but I don't like the way it makes me feel. And though it does put me right out, its not great sleep, I'm in and out. Went to sleep around 11 last night, I must have woken up at 2:30, 3:30 and 4:30. It dries me out too, so I wake up parched and thirsty. But I understand that the first day or two after the surgery is the worst, so it will be getting better.

I can't wait until Monday when I start therapy and get this stupid wrap off! The itching! The swelling!
 
I have a disability that requires $18000 worth of prescription drugs a year. Without it, I wouldn't be able to walk. Because of my coverage, I only pay $20/month, or $240 a year. Don't forget how important drug coverage is.
 
Another thing pilots might want to consider is "loss of license" insurance. It is expensive, but well worth it. Had the injury completed destroyed your hand, you might not have been able to fly again.

I had a client who went through a surgery that could have affected his ability to retain his medical. When we talked, he was very stressed about financial obligations and what he would do for a job if he lost his medical. Things are fine now, but I think he went out and obtained this kind of insurance.

Something to think about....
 

Latest resources

Back
Top