u/Itoshiifae

Little confused with billing

Hello, I'm currently confused.

Insurance is through Husbands Job. It Cigna PPO.

They have a limit of 20 visits of Physical Therapy.

I've gotten confusing anwser from each of the people ive spoke to about my insurance. (Both in their portal) One stated its a hard limit basically, it was all they'd pay for. I have used 1 of the 20.

Other said doctors could request more.

Still part of what has me confused, they have approved and paid for multiple appointment. But only one of the appointment was billed under the code that showed on the EOB as PT. It was the original appointment with my therapist. Every appointment since has been shows as "Medical Care"

I have a referral where the doctor recommends I do this. When I attempted to Google it, my understanding was sometimes if deemed medically necessary. They can code it as this? It might not count toward limits?

I couldn't find this reflected in whatever that thing is called that displays like the rates/co-pays for certain services. I can't remember its name right now.

The appointment, I mostly have one of the assistants working with me. (Telling me what exercise to do in what order, etc.) If a new one is added, the therapist is the one who shows me. But he also spends about 10-20 minutes at the end.

I assume there is no issue with how they are billing if its happen to be billed the same way for every appointment. I'm just confused. I don't want a suprise correction later on down the road where Im expected to pay this back.

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u/Itoshiifae — 1 day ago

Struggling with sharing a bed

I'm unsure if anyone will have an advice on this situation. I know I might have to just deal with it.

My husband is a night owl. Its very difficult to sleep until he decides to go to bed. Him moving wakes me up. No matter how much he tries to not. It takes me about an hour to fall asleep. I wake up about every 3-4hrs. If something doesn't wake me up. Rare occasions I do manage to sleep through the night.

I've been diagnosed with Insomnia since at least 2018. But Ive had issues sleeping since as long as I could remember. I have tried multiple medications to help sleep. None have worked, so doctor does want a sleep study. But just not something I can afford as I'm having to prioritize different health issues.

I've tried practicing good sleep practice. (Not using screens close to bed, cutting out caffeine, etc.)

With my current job. It doesn't have a set scheduled. So getting on a routine before bed is difficult. (I can work anywhere between 6am and 11pm.) Believe me I am trying to find something else.

It's not a noise thing. But I can not use ear plugs. I have a problem with my ears. So if I used them regularly it would cause issues.

Im not sure if its linked, but I have to go pee everytime I wake up. I don't wake up having to go pee. But like my brain won't let me go back to sleep unless I do. As I will likely feel like I need to within about 5 minutes. So its not like I wake up and can just go right back to sleep.

The one thing that used to kinda help me sleep was my cat cuddling up to me. Unfortunately she passed in Jan. While didn't resolve it. Made falling asleep easier. I've attempted to get my dog to cuddle at night. But my husband can't sleep if he is stretched out between us.(You know for a 35 pound dog, he takes up so much room. So he sleeps at my feet.)

Getting a bigger bed is not possible right now. Sleep separate is not possible either.

I understand if there is no advice anyone has. But I'm just desperate.

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u/Itoshiifae — 2 days ago

I don't know if I won't simply delete this.

Has anyone reported symptoms of a foodborne illness to WFM? What was the process like for you?

My states health department, states you must be excluded until symptoms are gone for 24hr. At least in the case of vomiting/diarrhea. But after that, one can return to work. You can return sooner if a doctor clears you.

My Store Leadership, disagrees. You must be medically cleared regardless. Have them fill out a form. Inconvenient, but not the end of the world.

Form ask the doctor to confirm you are clear of multiple different foodborne illness. Not if you are symptoms free. Doctor can not say someone for 100% certainty doesn't have something without the test. Now dealing with Sedgwick. Most of these test take 5+ days to get results. 😒

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u/Itoshiifae — 14 days ago

Location: GA, USA

To prevent any possibility of being identified. Information may be vague. If more information is needed, it will be provided.

I work for a large chain of grocery stores. They exist in multiple states. My location alone has over 100+ employees across all shifts.

The store had a few full-time positions open up a few months ago. I was highly encouraged to apply, as I'm only Part-Time. I was offered it multiple times, basically guaranteed if I applied I would get one of the open positions. I turned it down. I have various reasons, however I do not feel like they are important.

It's been a few months. All of a sudden, Im scheduled Full-time hours. Our company handbook, says nothing about being able to transfer status without applying to an open position. However it does clarify what is considered full-time vs part-time. Basically implying if it becomes regular. My classification would change.

Based on my understanding from a Google search they can force me. But it feels unfair, as I never agree to it. But I also know life isn't fair. Especially when if they need a full-time employee. Many of my coworkers would gladly accept it. However, I am unaware if there has been any recent lost of employees.

Any additional context that I feel might help:

Status: Part-time, Permanent. (Pass our probation period. Hence, Permanent.)

Length of employment: More than 6 months, less than a year.

Contract/Union: None.

Small edit: I do plan to speak to my manager. To ask what is going on. Unfortunately, I'm currently unable.

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u/Itoshiifae — 19 days ago
▲ 10 r/Petloss

Jan 24th, 2026. Was one of the worse moments for me in a long time. My beloved angel Iris. She got her wings.

This cat had been with me through some of the toughest moments. We where together 14 years. It feels so cruel and unfair that she had to be taken from me.

I know I failed her in many ways. Maybe I didn't notice the signs that could have gotten her care sooner. Then maybe, just maybe she would still be here. Maybe I wrote them off cause I was scared of what they could mean. I know I was probably selfish and she could have suffered longer than she had to. For what? Just to lose her anyway...

My baby, she deserved so much better than I could give her during her life. But we where always together, we had each other.

From an abused feral kitten, to my beloved princess. Who wanted to cuddle under the blankets with me. 14 years of love. A love someone like me probably didn't deserve.

I'm sorry Iris. I miss you so much. I know you would be cuddled to my side right now. Trying to comfort me for having a breakdown. I really wish I could have done better by you. You deserved nothing but the best. I know I failed you in so many ways.

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u/Itoshiifae — 23 days ago