Patient Advocacy Notes: Dental HMO Scams and How To Resolve Most Health Insurance Disputes

This brief episode can help if you want to know how to complain about your doctor, how to complain about your dentist, or how to dispute an overcharged medical or dental bill. Steps for most plans below.

Other notes from my experience: Avoid Dental HMOs. They lead to overcharging. Though lasers can sometimes help, dental laser scams are common and according to my insurance, the Current Dental Terminology by the American Dental Association says lasers are to be billed as part of the same service, not a separate line item on the bill.

1. For billing disputes: Compare your charges to the plan contract or rates. Ask customer service for the contracted rates. Also dispute anything you did not receive. Important: You can also file for quality of care issues (doctor/dentist/staff not treating you right).
2. Ask to file a written grievance. Check your member handbook or website for the specific terminology or an online form.
3. Detail all violations in writing. Reference any denial letter to bill. Note if your health issue is an emergency with proof of such (eg. Doctor’s note).
4. Mail or submit online and note the response timeframe set by law.
5. If your plan does not respond favorably or there is no grievance mechanism (PPOs and self funded plans may use different terms), consult your member handbook or plan website for correct complaint mechanisms, consult your state Department of Managed Care or Insurance, or call 211 and ask for a referral for assistance from your local Legal Aid Society.

This content is for entertainment and general informational purposes only. The listener should not rely solely upon such and consult a competent professional before deciding to follow any course of action.

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My Adam Page Story and The Danger of Cultural Co-Optation

Apologies for the bad audio quality.

 

Are you an Adam Page fan? Let’s talk. Email greyson@greysonpeltier.com or use the form on Fixerpunk.com. (If you’re in Southern California, let’s meet!) Let’s be our own Dark Order and support each other through this difficult time after he lost the championship to CM Punk.

I touch upon how Adam Page changed my life and how finding him and AEW helped rescue me from a “punk skateboarder church” cult-like group affiliated with the Calvary Chapel system. I also discuss how Hangman’s statements before the CM Punk match reflect the insidious nature of co-opting of alternative cultures like punk rock and skateboarding being taken over by outside forces.

My pre-match TikTok analysis is instructive here:

https://www.tiktok.com/t/ZTd7CgbSk/?k=1

My article written pre-match for Pro Wrestling Musings:

https://www.prowrestlingmusings.com/post/the-cowboy-s-mandate-adam-page-as-a-champion-fighting-for-his-culture

Relatability, Culture, and Professionalism in Progressive Organizing

Gaining political power can be expensive, and can every once in a while get a little weird, because the work covers diverse disciplines, but it is certainly rewarding.

In this episode, I cover:
– The importance of creating cultural narratives, even in unexpected places, to help counter extremist and intolerant ideologies.
– An example of alt-right rhetoric infiltrating the self-help and fitness space
– How to (and how not to) scale a movement when money is involved
– Black Lives Matter Global Network Foundation’s recent negative press
– Transparency in political organization finances
– What you have to do when soliciting donations
– Luxury is a necessity sometimes in building political power
– Selling abstract goals to donors and the difference between creating political influence and direct assistance
– The success of the Amazon Union and its lessons
– Relatability versus professionalism in political and activism communications
– Not being bound to notions of how people “should” communicate but adapting to the constituency
– Cultural competence rather than cookie-cutter “politician aesthetics”

Follow on Twitter @GreysonNation
TikTok/Instagram @Fixerpunk

Build Back Better and The Great Disconnect in Politics

 

In this episode, I discuss the failure of Build Back Better, the disconnect between Democrats and average voters, and how a more courageous progressive approach rather than being caught up in what voters can perceive as technicalities can help Democrats at the polls in 2022.

Key points:

– Politicians should show what they can do when they are in office. “Show them your finishing move,” even if you fail at it.

– Voters elect politicians to see a change in their lives and those of others.

– The public really doesn’t understand the technicalities of how things are done, and nowadays I believe they don’t care as much about how much technical mastery politicians have, even though it is imperative that you have the political know-how.

– Progressive policies are very popular with voters, but sometimes there is a disconnect between packages and individual policies.

– Show a strong effort and get results for the people in order to maintain power. Even if the proposed policy never goes into effect, if citizens see that the politician is fighting for them in a strong way that they like, it will bring them to the polls.

 

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Twitter: https://Twitter.com/GreysonNation

TikTok: https://TikTok.com/@fixerpunk

FTFP 5 – Work Stress Tolerance, Endurance Training, and Vyvanse

I cover:

Is Vyvanse giving me a speech impediment?

Trying to get help with mental endurance

Physical endurance and mental endurance

Work stress tolerance

Therapists don’t do deliberate plans

Forced back to work by a very expensive built-in oven and microwave combination?

CM Punk’s principle for healing

Fitness progress

Going to the gym in a KN95 mask during COVID or staying home and maintaining

Running out of time to build muscle before needing to shred for summer

Me doing a fitness photo shoot?!?

I mention the podcast Tiny Leaps, Big Changes, one of the few personal development podcasts I listen to, and the recent episode on systemic issues and self-help. It’s a must-listen: https://open.spotify.com/episode/3i0dEgnOcIDTsMmTgMzK0C?si=BcGPeBl7RE6BSAShyzsXkg

Follow me on TikTok! It’s regularly updated with tips, analysis, and updates: https://vm.tiktok.com/ZM83HTJKv/

Never Underestimate A Slow-Burn Storyline for Social Change, Anxious Millennial Cowboy Lessons

 

This very late episode covers NEW AEW World Champion Adam “Hangman” Page, slow-burn storylines of the sports type, and the political and social change slow-burn storyline of the Great Resignation and Anti-Work. I discuss the foibles of the “general strike” attempts in October and political leaders looking for a big event where everything changes perfectly rather than letting people gain confidence and power through a slow-burn storyline towards collective goals. The changes in the workforce through gradual empowerment are building and showing something very significant already, so let’s let them work and support each other in making individually fulfilling changes while helping others. I also cover the possibilities of higher paid city-dwelling workers moving due to remote work and saving money during the pandemic, seeking a simpler life, with a shameless plug for my real estate services. I am a licensed Realtor in California and can refer to agents nationwide, sometimes even internationally, if you want to make a change in where you live, whether you are buying, selling, or renting.

My contact information for real estate help: 657-206-0736, Greyson@GreysonPeltier.com, CA DRE# 02101592

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The Anxious Millennial Cowboy and New Champion: A collection of my analyses on Adam Page

Insidious ideologies have long spread through American life starting with disillusioned young men, but the positive masculinity of athlete-activists like the AEW World Champion and self-proclaimed “Anxious Millennial Cowboy” Adam “Hangman” Page holds the key to change that by inspiring inclusive attitudes, activism, strength, and personal change.

My most comprehensive review of Adam Page and his social impact is my article entitled:

Can A Millennial Cowboy Wrestler’s Ways Help Save Our Social and Political Discourse?

Why Adam Page’s Cowboy S*** Is A Draw For Millennials (for Pro Wrestling Musings)

https://www.prowrestlingmusings.com/post/why-adam-page-s-cowboy-s-t-is-a-draw-for-millennials

Podcast:

Redefining the Activist and Cowboy, Adam Page Style

https://www.spreaker.com/episode/44525250

TikTok:

A Summary of why Adam Page is the People’s Champion

https://vm.tiktok.com/ZM8W4PgQm/

Reaction to his win

https://vm.tiktok.com/ZM8W4ahah/

 

CM Punk Brings Punk Ideals to Wrestling – Guest Appearance on Pro Wrestling Musings

 

I got to join my colleagues at Pro Wrestling Musings for this discussion of CM Punk’s return to the ring with AEW and how his powerful speech puts punk ideas into practice, promoting an inclusive, authentically expressive community in the sport. This episode and all episodes of the Pro Wrestling Musings podcast are available on all podcast platforms. You can also periodically find my writing on social movements and change through the lens of Kayfabe at www.ProWrestlingMusings.com

 

Say No to Deadly Corexit for Huntington Beach Oil Spill!

UPDATE: Good news! Unified Command actually responded to me and said that no dispersants are being used:

 

 


My DRAFT statements to Laguna Beach and Aliso Viejo City Councils are below. I am a resident of Aliso Viejo, which is next to Laguna Beach. These were not the statements ultimately used, since the story evolved before then, but the information can be helpful.

Aliso Viejo:

I have lived in Aliso Viejo since 2001 and I have never been more afraid for the safety of myself, my family, and fellow residents than I am today. There is a potentially serious threat to the health of Aliso Viejo residents from the oil spill cleanup efforts and as the oil has spread next to us in Laguna Beach, our City Council needs to take action to protect our citizens from illness or death from the effects of the cleanup process, which can spread to neighboring cities like ours. Even though it is banned in other countries, Corexit dispersant has been authorized for use with oil spills from the Huntington Beach pipelines, it can be sprayed by planes over communities and often on top of homes, is easily spread airborne to surrounding areas, and is 52x more toxic than the oil alone. Corexit has been alleged to cause countless deaths and catastrophic illnesses like cancer, burns, respiratory failure, and brain damage after it was used in the BP Deepwater Horizon Gulf oil spill. Many residents in the Gulf are still suffering with incurable, debilitating diseases. Worse, it is not very effective in actually cleaning up the oil, it mainly hides it from the naked eye so the companies do not get penalized as much. Nearby residents of the Gulf spill reported many “bad air days” with the oil and chemical in the air and some studies indicate air pollution can spread can up to 100 miles. There are unconfirmed reports on social media indicating that some limited use has started but we still have time to stop any further use and any large-scale spraying. City Council needs to adopt a resolution urging all parties involved not to use Corexit due to the health risks to Aliso Viejo residents breathing the air which would be contaminated with this possibly deadly chemical, take action to ensure flight paths for the spraying planes do not include Aliso Viejo so as to avoid accidental discharge, establish a notification system to let residents know when the air is unsafe to breathe as a result of the spill, and have a plan to evacuate vulnerable citizens if needed. Thank you.

Laguna Beach:

There is a potentially serious threat to the health of Laguna Beach residents, to surrounding communities, and to the future of our beaches from the oil spill cleanup process, beyond the damage of the oil itself. City Council needs to take action to protect its citizens from illness or death from the effects of the cleanup process and to ensure that beaches can reopen safely at some time in the future. Even though it is banned in other countries, Corexit dispersant has been authorized for use with oil spills from the Huntington Beach pipelines, it can be sprayed by planes over communities and often on top of homes, is easily spread airborne to surrounding areas, and studies say it is 52x more toxic than the oil alone. Corexit has been alleged to cause countless deaths and catastrophic illnesses like cancer, burns, respiratory failure, and brain damage after it was used in the BP Deepwater Horizon Gulf of Mexico oil spill. Many residents in the Gulf are still suffering with incurable, debilitating diseases just from living or working near the beach where the cleanup occurred. Worse, it is only minimally beneficial in cleaning up the oil; it mainly hides it from the naked eye so the companies do not get penalized as much. When beaches reopened in the Gulf, after all was assured to be safe and cleaned up, people came out of the water covered in oil and Corexit, and the Corexit allegedly caused severe burns, severely disabling health problems, and even allegedly killing one beach goer. Corexit remained in the sand long after the cleanup and is quickly absorbed into the skin before it can be washed off. Again, oil alone is possibly safer and ironically easier to clean up than this chemical. There are unconfirmed reports on social media indicating that some limited use has started but we still have time to stop any further use and any large-scale overhead spraying. City Council needs to adopt a resolution urging all parties involved not to use Corexit and an ordinance to prohibit its use within city limits due to the health risks to residents breathing it in and how the persistence of the chemical jeopardizes the chances of the beaches ever reopening safely. Other cleanup options are available. We also need a establish a notification system to let residents know when the air is unsafe to breathe as a result of the spill and to have a plan to evacuate vulnerable citizens if needed. Thank you.

More Information:

https://crooksandliars.com/susie-madrak/corexit-found-swimming-pool-sickened-

Corexit: Deadly Dispersant in Oil Spill Cleanup