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[Final Update] My insurance won't cover UTIs for males. Yes, I'm in the US.
(self.mildlyinfuriating)
this post was submitted on 25 Jun 2023
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I’m not going to defend health insurance companies, but this is not because of your insurance. CVS will only see patients with simple medical problems because they 1) are not equipped for more in-depth diagnosis and treatment and 2) don’t want the liability associated with such. UTIs in males are medically complicated, by definition which has a very specific meaning. Males don’t just get UTIs like females do, because the male urethra is significantly longer, providing significantly more protection from bacterial retrogression to the bladder. The long story short is that if you are a male with a UTI you need to go to an actual healthcare facility and see a qualified professional, not an NP/PA at your local CVS.
Source: am a pharmacist
You explained how getting UTIs for men is different than women, but you don't really explain how treating it is more complicated.
Because it's much less likely for men to get a UTI in the first place, it's much more likely that if they have one, that it's not a simple "throw some bactrim at it and it will go away" situation. With a male UTI, there's a higher chance that the UTI is in fact a symptom of a more serious issue, rather than the issue itself. And determining that requires diagnostics that are beyond the scope of what can be done at a minute clinic.
So why no referral?
Because someone needs to collect a comprehensive history from the patient to decide what kind of/if a referral is needed. The assembly line care at CVS isn’t geared for this.