Thursday Thoughts ~ 9/30/21

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 …

As always, more to come.

5 thoughts on “Thursday Thoughts ~ 9/30/21

  1. All medical care should be free. Taxes go up but after services are rendered, providers get paid by the government only after they get patient to confirm in writing that the services were and patient is satisfied. That shifts the paperwork flow and complications in the right direction!

    Liked by 1 person

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