Monday, December 21, 2009

Insurance Glitch

My last post was about the problems I have taking medication.  This one is going to be about finally agreeing to fill a prescription, after taking yet another series of samples and finding one that appears to be "The Lesser of Evils!"

Went to the pharmacy late last night, after the major crowds had thinned out.  Stood in line to turn in my script, to get it filled.  They were short-handed, I agreed to wait, knowing it would save a trip the next day.  The girl told me it would be about an hour and a half.  I did some shopping for cards and browsed around, to kill time.  Went back to check and was informed my insurance refused to pay for the medication until I had tried all the other stuff they do pay for.  Mind you, I have tried many other things, but my body didn't tolerate them for more than a brief period of time, not long enough to fill a prescription.  The gal told me my doctor would have to provide validation that I was not able to tolerate the meds they do approve, before I could get coverage for the one I was trying to fill.  "More crap on a cracker!"  Said it would probably take days to get authorization.  Asked me if I wanted to just go ahead and pay for it, while I wait for the red tape to get settled.  She told me the price... "What... are you serious?"  I told her "NO THANKS... I'll just die from a heart attack or stroke, before I pay that."  The store is lucky I didn't do it RIGHT THEN.  I could just imagine hearing the intercom... "Clean up at the pharmacy counter!"



I hope it works out for you, Cora. I've started my arimidex, which I have to take for 5 years. The list of COMMON side effects is longer than my arm and includes high blood pressure, high cholesterol, blood clots, and bone pain. I may be right there on that pharmacy floor with you.

Blasé said...

I hope things go well with you and yours this Christmas! xo

Ms. A said...

Good Lord RWE, you just might be. I'll be looking for you and I'll bring a mop!

Blasé... Thanks! I can report that things went well at the Christmas Eve gathering and there was no drama, just a batch of energetic, well behaved kids and tired adults. I survived and Christmas day should be a piece of cake... I hope. Since I have no little ones, I plan to sleep late and relax until much later in the day. Stay warm and have a Merry Christmas!