Voicelessness and Emotional Survival > Voicelessness and Emotional Survival Message Board
Old Topic just same Fing narcissism
sKePTiKal:
Honestly, this kind of experience is rampant with insurance. Medicare is even worse. The system is so complex not even the representatives know what's what. No wonder medical costs are sky high! It takes 14 people just to manage policies, network providers & claims.
Hopalong:
The levels of stress these runarounds and on-holds and bounce from one gatekeeper to another cause can create more illnesses. Or I believe this.
I can't fathom it. I freak out over tech regularly and that's just tech. The phone runaround on top of insurance corruption is enough to break the brain.
Hope it gets untangled soon.
hugs
Hops
Meh:
--Skeptikal, this company is linked with Medicare: "Beyond our Ambetter Health products, Centene proudly provides healthcare services to Medicaid members in 30 states and Medicare members nationwide through our WellcareExternal Link brand." from Centene.com
I am pretty sure the system is "broken" on purpose.
I was just unaware OR I assumed it was bad but I always stayed away from it so was ignorant. I've just never SEEN first-hand an insurance company try to force doctors to downgrade medications.
--Yeah, Hops, sigh.
It just took up way too much of my time. I said to one of the supervisors "should a client have to contact you over ten times about the same issue" and their response was YES sometimes that's what it takes to get an issue resolved. WHATEVERS it wasted enough time already.
I did get the prescription. I was able to get them to expedite it. Of course it has zero refills they want to put people through this over and over again.
Here is a letter the insurance sent:
"Coordinated Care of Washington, Inc., is sending this update to your grievance received for your concern about a prescription.
We are glad you were able to meet with a TelaDoc provider today! We see that the provider wrote a prescription for you. Unfortunately, that medication is not on the Apple Health Preferred Drug List which is why it had denied at the pharmacy. Because you experienced delays getting this prescription we are providing a one-time exception of this non-preferred medication for six months. After six months, your provider will need to submit a Prior Authorization for continued use. The Prior Authorization will need to include any medications you may have tried and failed in the past. Your provider may also change your medication to one on the Apple Health Preferred Drug List which is attached to this email.
Your prescription is ready for pick up. Please know there are no refills on the prescription you received today and will need a new prescription for any refill."
ANY HOW it's stupid. I'm over it for now. Too busy to muck around with them. I'm not going to FIX it obviously.
It's just an interesting experience. But also I'm glad I'm not currently sick and dealing with that. I am healthy and dealing with it.
Of course my anxiety probably makes matters worse but I have a feeling this would have gone on for weeks and weeks if I had not been a pest.
Meh:
I'm awake, I think I just took a Benadryl. Didn't sleep well last two nights in a row and I was acting weird earlier today. I was driving and missed a turn more than once, was okay but still I guess it's a reminder to self how mental I can get if I am stressed and not sleeping well. I mess stuff up.
I drank coffee late in the afternoon I probably shouldn't have. So, now, it'a anxious staring at the ceiling laying flat on my back kinda thing and feeling stupid for drinking that coffee.
Went on a job interview today of sorts. It was only a preliminary to find out about openings. I really need to get back to work but they wanted to immediately send to interview far away at a small legal office tha probably has no health insurance of course. Also I have to move this weekend.
I'm kind of screwed probably all-around. Well, it's all been a slow-motion wreck for years. I can't deal with my life very well. Really should have been applying for jobs a long while back but I was busy being a depressedazoid.
Benedryl kick in. Tomorrow I think I will just pack half of my stuff up and take it to pay-for storage place so I can clean up better and clear out the apartment. Then I can do the rest on Saturday maybe. Thursday and Friday I think I need to regroup because I'm losing it mentally hahaha.
Hopalong:
It's hard, but sounds to me as though you ARE dealing with your life right now.
Maybe a peaceful small law office would be not so bad. Moving ALWAYS sucks.
I think you are stronger than you know and there is still hope for various things to get resolved or better, just not all at once. Keep the window open for relief to come in. It's not crazy to have hope.
hugs
Hops
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