Covered, But Not Really: My Latest Battle with U.S. Healthcare

I have Medicare. That should mean something, right?

I told my psychiatrist I have Medicare. I’ve seen them before. We’ve talked. I’ve paid my copay. It’s all been fine … until now. Now I’m being told they “don’t take Wellcare.”

What is Wellcare? It’s a Medicare Advantage plan. And if you haven’t had the misfortune of dealing with one of these “advantage” plans, let me explain: they’re private insurance companies that slap a Medicare label on themselves so they can skim government money and give you less coverage in return.

So even though I’m on Medicare, I now owe the full amount for my last visit. And unless I want to cancel my next appointment — which I actually need — I’ll be paying the full amount for that one too. Because apparently “covered” doesn’t mean “covered.” It means “maybe, sometimes, depending on how many loopholes we can find.”

This is what healthcare in America looks like.

You can do everything right. You can make sure you’re insured. You can communicate. You can follow every rule. And still you get blindsided. You get billed. And you’re left scrambling to afford the care you already thought you paid for.

Meanwhile, insurance companies profit off confusion. They profit off denial. They profit off people like me being left in the dark until the invoice hits.

This isn’t just frustrating, it’s designed this way. They make it complicated on purpose. If you get screwed, it’s your fault for “not understanding the network.” If you ask for help, they hand you a phone number and a maze of menus. And if you give up? Great. They win. Less to pay out.

This is not a healthcare system. It’s a profit machine dressed up like one.

And right now, I’m just another cog getting crushed in it.

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