Recent comments in /f/pittsburgh

PatienceOk3159 OP t1_j6jtdoa wrote

Man that train comes twice a day. And if I’m going to rent a car I’d rather just leave Chicago. The parks sorta cool but pales compared to the Dunes in Michigan.

Prairie preserved huh that’s different? St Louis has some nice hills in the metro. But I’m a fan of urban hills.

I’ve considered Cinci as well but it just seems sleepier and less dense than Pittsburgh. And i feel I’d rather be around an eastern USA derived culture than lower Midwest.

I like Milwaukee’s parks decently and there’s some hills there. Not enough but a lot more.

Yeah I figure I’d get a car but avoid using it for a fair chunk of the year.

Shame about the skies although I’d imagine the views would mostly make up for it?

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drfranff t1_j6jsw8m wrote

Yeah, came here to say this. Dental and eye insurance are both a bit scammy, in my experience.

OP, I'd start with finding a good dentist and getting their opinion on what is most important to do now vs what can wait a little bit. I don't think it's uncommon for dentists to offer lower prices for out-of-pocket payments rather than trying to go through insurance, and I do think a fair amount of places offer in-house payment plans. The insurance racket is kind of a nightmare for them, too, from my understanding.

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CARLEtheCamry t1_j6jsq08 wrote

It sounds like you've covered all the bases I could think of.

Just went through a few years of major restorative work, with "good" insurance still capped at $2k/year payout and only covers 50% of the work. Financed on CareCredit (which you said you can't get approved for) defitenly helped smooth out the out of pocket side, and my dentist (Unis Dental in Hopewell) and his staff worked to come up with a multi-year plan to both maximize my insurance utilization, and prioritize the work that needed to be done (pain/need to have first, then appearance/nice to have).

One thing I can tell you - and I know you said the Pitt Dental School is probably out because of anxiety - but if they can help you out, it will have a huge impact on your overall mental health to not be self conscious about your smile/teeth. Maybe talk to whoever you're seeing, if they can give you an "emergency" pill to take the edge off.

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glitchgirl555 t1_j6js9pd wrote

Dentist chiming in here.

Do you have employer sponsored dental or are you paying the premiums yourself? If so then it usually doesn't make sense to even get dental insurance because all the terms and stipulations make it so you'll pay in more then you'll ever get out. It's different if an employer is paying a good chunk for you, then it often makes sense to get dental.

If you have plenty of time then the dental school is a great option. They are trying to enforce ideal dentistry so the quality is very high. The downside is each step gets checked plus the student is new at it so everything takes at least three times longer than at a regular office.

Dental insurance has been so bad recently that it can basically help you get one tooth fixed per year, especially if you need stuff like root canals and crowns. Cigna has actually been cutting reimbursement to dentists the past couple years. It's hard to make that work with inflation and higher staff wages and supply costs. For example we have patients with cigna where we only get $50 for a simple one surface filling. I can do one or two an hour so let's say $75 for the hour. By the time I pay my assistant and front desk and pay for the materials there is hardly anything left for my salary. So we are in the process of dropping cigna. I've heard from a number of colleagues who are also dropping them for the same reason. Some make it work by having a hygienist numb and an extended functions assistant place the filling so the dentist can see more patients per hour. Anyway I digress a bit...

Outside of going to the dental school you may want to find an office with an in office membership plan. There's usually an annual fee but then you get a percent off all treatment (we do 20%) that doesn't max out so you can get multiple teeth done and it won't stop giving you a discount. Then if you can't front everything you can see if the office has financing like care credit. Before you ask we aren't taking new patients, too busy.

Sorry it's a frustrating system. Not sure if it helps any but us dentists are frustrated too!

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JustTryingMyBestWPA t1_j6jrvei wrote

Just to clarify, there are at least 2 Stephanie Millers.

Stephanie A Miller is an MD and I don't have any other information about her.

Stephanie E Miller, MSN CRNP, FNP-C is a family nurse practitioner. I was a patient of hers at AHN Downtown. I really liked her. However, the only reason that I had an appointment with her is because I had to have a follow-up appointment at my PCP's office in order to get somebody to sign off on my CPAP usage compliance so that the insurance company would continue paying for the machine. The provider at the PCP's office who originally referred me for the sleep study for my Sleep Apnea was no longer at the downtown office. So, I had an appointment with Stephanie E. Miller. That's my only experience with her thus far. But she was great, and she seems like a lovely person.

​

I just wanted to clarify that there are at least two Stephanie Millers in the provider directory for AHN.

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ballsonthewall t1_j6jr226 wrote

haha yeah I am not saying GC is particularly bad, just that it's okay for a lot more money. Maybe try Tako? Japanese-Mexican fusion, cool space, very modern downtown, family friendly enough. If you want a view your best bet is Altius, but that's a $$$$ sorta place.

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TransporterOffline t1_j6jqtuj wrote

I've always suspected this was the answer, or the City would require some kind of site/traffic planning/mitigation that Sheetz wasn't willing to do. They're kind of a traffic magnet, like a Chick-Fil-A or a Starbucks. I saw the C-store-only version of Sheetz (no fuel) in Morgantown and that was a pretty nice affair. They could totally do that any number of places in town. I'm purely guessing though.

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