Friday, April 8, 2022

Sense of Self

 

No, it's not Buddy Ball Check day. Not yet.

"I lost a nut due to a bicycle accident. Six months later the insurance company has denied an implant. They're saying it's elective surgery because I can live without a testicle. Yeah I can but that's not the point. Reaching down for whatever reason and not feeling two bugs me to no end. It doesn't feel right and it doesn't look right. Any ideas?"






Research says most insurance companies will cover the cost of a testicular implant. That yours won't is bucking the system. I have a good friend and a sister-in-law who both do medical billing. According to them, improper codes can be attributed to many cases of insurance denial. You might want to contact your doctor's office and ask them to check that.


If that doesn't work, try calling the insurance company and asking to speak to a male representative. Appealing to someone who can relate to - and have empathy for - your issue might help.


Beyond that, you can tell your Primary you're suffering from severe depression over this and need a referral to a psychologist. The psychologist can then make the case. Because, truly, a man with one testicle feels something important is missing, just as much as a woman feels in missing a breast.


Your missing nut may not be as obvious as a missing breast - but other people's reaction (even in the locker room) isn't the issue. Heck, they may not even notice. 


But feeling self-conscious and covering your crotch is conduct that may actually draw attention to it.


So while others may not know you have only one ball, you do.

And your sense of self, your self-esteem is what counts.

Any Readers out there have any medical or insurance experience to offer suggestions?

13 comments:

Sixpence Notthewiser said...

Insurance companies are monsters and they should be dismantled. Universal health care ftw.
Now that that's out of the way, I think your idea of 'emotional distress' is the one that will get him his ball(s) back. He IS indeed bugged buy the lack of a testicle. He should tell that to his PCP and go to counseling. The counselor could recommend the implant.
Also, I would not go with the first denial. He needs to persist.

XOXO

Xersex said...

happy weekend!

Your French Patrick said...

I cannot have the experience of such a misadventure. In France, all expenses are automatically covered by Social Security between 70% and 100% as soon as they have been invoiced by a member of the medical profession, and the insurance supplements no less automatically up to 100%

Hugs and bisous my darlings Jean and Pat.

whkattk said...

@ Six - Universal would be so much better than the crap we all deal with now. Fighting for months on end to get things covered only adds to the emotional distress. Thank you, Ronald Reagan...NOT. XOXO

whkattk said...

@ MFP - Even with the healthcare system you have, you still need insurance??? Hugs and bisous.

uptonking said...

I had a lover with only one. I adored him, his tiny peen, his one nut, his worked out bod. Yes... compensate, dear. Work out. And enjoy what you have, because there is someone out there who will happily enjoy what you have too.

ScShopper said...

Apealing to the insurance company will get you nowhere. I work for one. It is considerd cosmedic unless you have a mental health care professional diagnose something akin to body disphora and the depression/anxiaty related to the missing testical. Very similar to a woman who had unilateral mastecomy. Hope this helps. Good luck.

Paul said...

When I lived in England for a few years, I needed my impacted wisdom teeth extracted. The dentist said it would be a 4 to 6 week wait until he could do it under the NHS. When I told him I had insurance, he said, how about tomorrow? Yes, the European countries have a great universal and free medical service, but wait times for non life threatening stuff can be long. Still I think that in comparison with our system it’s wonderful. Ours is really all about the bottom line!

SickoRicko said...

I was going to bring up the mental health aspect, but you already did that. A psychiatrist might be able to help him get what he needs.

PaulMmn said...

re: Paul's comment about the UK NHS--

Back in the 1950s-60s Blue Cross and Blue Shield were non-profit companies. I maintain that our health system started going downhill when BC/BS converted into for-profit organizations. I think the management noticed a huge pile of money just sitting there waiting for someone to get sick or injured, and figured out a way to "put all that money to work..."

--PaulMmn

whkattk said...

@ Paul Mmn - It was during the Reagan administration that things changed. He was really good friends with Henry Kaiser (founder of Kaiser Permanente) who convinced Reagan that insurance companies should be allowed to make a profit. The bill was introduced to Congress, passed, and Trickle-Down Reagan signed it.

Mark Greene said...

I wish I had some advice to offer. It is sickening
How evil and greedy
These insurance
Companies
Are . I have no idea why my typing is do
This. Anyway. Best of luck.

whkattk said...

@ Paul - When it takes 3 months to get an appt here in the states - I guess the only difference here is that we still pay through the nose for care.