So, the insurance company contacted me because I posted a message on their facebook wall. Amazing how social media messages get a faster response than a phone call. The request made for the medicine on Tuesday was marked non-urgent. A second request was made today and it was marked urgent. This request came in half an hour ago. Even an urgent request can take 72 hours to complete. So this means we are stuck until next week again waiting for the script, although there is a slim chance it can be approved tomorrow. But then, there is also a chance that it will be denied. At which point we can appeal the decision. Why is it okay for a corporation to have this level of control over our health? I do admit that the rep who called was polite, offered to research the issue further and then return my call.
We are finishing week 1 of the wait for pre-authorization for David’s meds. How frustrating it is that we can be held by hostage by an insurance company and/or medicaid decision. Of course, the doctor is never around when I need to talk to her. Time to annoy some people to no end so that they do their damn job. Sorry, just a bit frustrated with the “system of care”. Update: Psychiatrist didn’t submit the request until Tuesday morning, but helpfully, she marked the request “URGENT” Tweet #fighting4answrs
Why is it that Medicaid knows what is best for a child? More so than the doctors, psychiatrists and therapists that are treating said child? I am tired of Medicaid telling me what is best for my son. BCBS is his primary insurance, Medicaid is secondary. Medicaid refuses to pay for 2 doses a day of a particular medication. So now, not only is it deemed best for him to be at home, we don’t have access to the medications needed to ensure that he is stable. We have enough of the medication to file an appeal, but what do those people do who don’t know how to appeal, or that they even can? Thankfully we have a pharmacy that understands finances are limited. Dear readers, please know that if you, your doctor, or pharmacist disagree with a medicaid decision, you can appeal the decision. Tweet #fighting4answrs