Ugh! My mood is dampened by having to deal with health insurance BS. I think there should be laws against medical insurance companies owning pharmacies and/or having relationships with companies that make the drugs. My story is a tale as old as time since I have been harping about this problem for as long as I can remember. I thought I had cracked the code last time around with these yahoos but nooo.
My automated RX came due a week ago Monday with a nice little note of preauthorization required. Problem is that I obtained the pre-auth in June to start my year over again. That note started a series of calls and hoops for my doctor to jump through when in all actuality, she is better served treating patients don’t you think?
The insurance company and I had an off cycle argument that I was pre-auth for a year – 6/21/21 to 6/21/22. They claimed my pre-auth expired 8/19/21. How random and how effing convenient. My claim was you don’t want to pay now that I met my deductible. A racket I tell ya what.
My doctor made the hurdle and sweet V at her office contacted me to say the paperwork was done. I now have pre-auth from 09/29/21 to 09/29/22. V advised me to call CVS since the cost is $225 and the medication isn’t on hand. Before they order it, they want to make sure I’m willing/able to pay. My beef isn’t with V. I thanked her and we ended our call.
I immediately called the insurance company back to find out why, after meeting my deductible, I am paying the same as I paid in June. Of course I received the run around. No reason only apologies that what I was told in June was in error. RX will always have a a co-pay. They still insist on charging me for non formulary all the while refusing to give me a definition of non formulary. I’ve decided that I’ll pay the extra $150. Sure $75 is what is fair and right but I can’t keep fighting city hall, so I raised the white flag.
While the topic is groundhog day, the experience this time was different. Why? Well because I changed. I never once raised my voice. And that was in every call. The multiple back and forth with voice messages and emails. I didn’t get upset with the poor call center rep who is simply doing as told and following scripts. I’m of the mind set, I can be right or I can be happy. Choosing happy! The damn mo-fo’s are right. Zen Jilly can still curse like a sailor in a low calm voice. Somehow that makes the release even more effective. You should try it sometime. Growl motherfucker. Go on. Growl …
Oooh, Steve Miller Band lyrics are very fitting today. Time definitely keeps on slipping into the future. Melanie sets up the questions, while we knock ’em down. Strike!
1. What’s your favorite way to exercise? (if you do or don’t. Exercising one’s mind is a valid answer IMHO, because that’s my favorite). Well I used to love volleyball. soft ball, running, and riding bikes. With my knees and other assorted pains, now my favorite exercise is walking. I’m a step counter. I try to get a few more steps each day.
2. What’s more important to you – family or friends? Framily – You’ve heard of this yes? Friends who are like family. Family who are like friends. Both are equally important.
3. (a segue of sorts from last week’s SYW)..Have you ever voted for someone (in whatever venue – politics, contests, school elections) based solely on how they looked? Nope
4. (silly one) How could carousels be spiced up so they are more exciting? Rev up the speed and hold on to your hats. Vroom, vroom. lol
GRATITUDE SECTION (as always optional)
Please feel free to share something you’ve enjoyed about this September.
I am grateful for more good days than bad. I am grateful that we were able to enjoy the garden with tomatoes continuing two months longer than usual. The new fall garden is now in the ground. Hoping for broccoli, cabbage, and brussels in a couple of months.
Jim tells us that it is Fandango Sunday and our theme is Other, That, This. Sweet! The Doors lyrics have become an ear worm. “Break on through to the other side …” but I imagine someone will pick that song. I went looking for something different. But that turned into analysis paralysis. So many songs, so little time. Lol. Blink and hours have gone by. Music is wonderful that way. I finally landed on Ebony Eyes by Bob Welch. Lyrics within the video.
Here’s a quick roll call. I might be back later with something else. I’m feeling chatty but I’m not sure yet if that need to share will take over or if I’ll turn inward. Either way Sunday is already shaping up to be a fantastic day.
I’m the luckiest girl in the world 🌍. A bit overcome by joy 🥲. My Pony is in Philadelphia for a two day concert. I’m so happy for him and his best friend. I joked about stowing away this whole time. I even took the day off work in solidarity 😂. But alas they took off Thursday night without me.
Today I got three photos – one cheesing for the camera with masks 😷 on for my benefit I’m sure, one of real Philly cheesesteaks, and one confirming they won a pint 🍺 playing video games. Priceless … all of it.
All my people are in good places right now. A year ago, that wasn’t the case. Savoring the moments like this one for however long it lasts. ❤️
Good morning my lovelies. Time once again for #SoCS. Where Linda G Hill, our host with the most, writes and I copy paste in bold italics: Your Friday prompt for Stream of Consciousness Saturday is “near/far.” Use “near,” use “far,” use them both if you’d like. In fact, if you start your post with one and end with the other, you get bonus points! Enjoy! To join in the fun, HERE are the rules and ping back.
Near and far
The above is my shameful attempt to get bonus points by writing three little words as my post. I don’t count the intro because ya know that is the precursor to the main event. I don’t count this post script because ya know that’d mean no bonus points.
Cheater, cheater, pumpkin eater. Had a wife and couldn’t keep her. Ha! Ever notice how nursery rhymes and the like can be really awful? Put her in a pumpkin shell, and there he kept her very well. Current events from near and far are entering my stream. My post is turning dark. Veer left lil Jilly, veer left. Egads!
October is knocking on our doors and with fall beginning earlier this week, the pumpkins are coming from near and far. Well not the pumpkins actually but the people talking about pumpkin everything. As a kid I hated pumpkin, now I love those delightful little gourds. Or better described, I love making pumpkin goodies for the fam. Fresh, not that canned stuff. I have a pumpkin empanada recipe to die for …
But what do pumpkins have to do with the theme? Near and far … Keep your friends close and your enemies closer? Nope, that’s near and nearer. Close but no cigar. I got it, how about a musical finale that includes near and far? Enjoy!!
Yeah buddy, that’s the stuff I love you always forever. Near and far closer together … Wishing you a most fabulous Saturday. Near and far wherever you are …
The last Friday of the month snuck up on me. I’m belated at finding something. Then I remembers how I stumbled across SoulPancake videos a few years ago as part of our healthy points program at work. These short clips are inspiring. This little guy is grown up now. Glad to have these sentiments memorialized for future generations with its’ universal themes. Considering how going to school has changed, I thought giving shout out to all the teachers & students would be nice.
#WATWB is a blog hop on the last Friday of every month. Here are the intention and rules which aren’t being maintained any longer but I’m using just in case. Find #WATWB on FB and Twitter. Our lovely and talented hosts this month are: Susan Scott and Eric Lahti
tired and broken platitude – how the heck is it 9/23 already?
fickle mind constructs days/hours/minutes into warp speed
beam me up Scotty
The P/T really did a number on me and the old is new place with a new guy since my Gabe moved out of state is helping me ever so slowly but I now have a bigger deficit from which to crawl back
Ugh! but not ugh. If that makes any sense. Ohm. Ohm. Ohm. Breathe in. Breathe out.
I tried to go to the library last Sunday but sadly learned they are no longer open on the most holy day. Pftt, I’m being bratty. Could’ve been any day but regardless, they decided to go to a six day week as a cost saving measure. In the old days, the libraries were closed on Sundays too but for many years in my middle life, I’d escape to the library on Sundays. They were even more quiet than usual due to less traffic. I was the perpetual part time student in the days before wiki/google/instant source. The solitude I felt while in that hallowed space on Sundays was priceless. Or Ab Fab as they, however they are say.
Okay, now I’m just making stuff up. Guess I will say so long, farewell, until next time.