Drug nonsense


Remember earlier this year, when I was so pleased with my new hands-off approach to health insurance? I just pointed out some anomalies to the people being paid and let them get to work on it.

One anomaly was that Gary was charged $5,000 for a procedure or drug that I could not identify. I think I decided it was the x-ray of his foot.

So, when my latest mail-order pharmacy invoice came back with a credit of $5,000, I patted myself on the back. “There’s that five grand,” I thought, “See, you just have to be patient and everything gets sorted out.”

Then the next day, I called the specialty pharmacy to refill my Mayzent prescription.

The telephony system said, “Accredo is no longer your speciality pharmacy.” Click. Call over.

“That was weird,” I thought. I called back and heard the same thing.

Then began a long slog in which I data-mined through phone calls, emails, pharmacy web sites, work web sites. I tried changing to a different speciality pharmacy to see who barked. Finally, this seemed to be the trick: I contacted the prescribing doctor’s office, they got on the case and got me back on the rolls, and painfully long story short, I get a new Accredo phone number and was all set up for a drug delivery on Monday.

Monday came and went. No drugs.

I dropped my “Just be patient, they’ll take care of it” stance. I was pretty short with them. I did use The Tone.

Today at noon I will know if the impatient approach works better than the short-lived patient stance, because that’s when the drugs should be here.

I am still proud that I ordered the meds when I had a week and a half left, not down to my last three. But that’s about all I’m proud of.


4 responses to “Drug nonsense”

  1. AUGH. Sorry. Yes, it is cheaper for them if people give up. No, that’s not an acceptable way for insurers to do business.

  2. KC – and it goes on. They sent one-third of the order, with “No refills” on the bottle.

  3. KC – I think they’re punishing the doctor’s office in some way. Something about my prior authorization and prescription not being the way they’d like.

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