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Medical Bills - Mess ups

polooo27polooo27 member
in Dads & Dads-to-be

Any of this stuff happen to you guys?

My wife has an Rx that is pretty pricey. I have a mail order program through my insurance that makes it a little cheaper, but we haven't been using it because we could get coupons through the manufactory that saved us $600 per year. They don't have the coupons anymore so we went the mail order route. my wife's nurse sent the order in, but it was for the wrong dose and for the generic equivalent. She could have used the wrong dose eventually, but the generic makes her sick. The mail order place won't take it back because it wasn't their fault. It's really irritating. If the doctor can't do anything we'll be on the hook for 60 bucks (and that's at 10% since we've hit our deductible). Won't put us under, it's just annoying

What makes it worse is this happened a week after her other doctor ran a genetic blood test that we weren't aware of for our twins. We would have declined if we knew (we did decline the results). Or accepted if the doctor said it was medically necessary. Insurance said it's not medically necessary and they're trying to hit us up for $350 for that one. We have to try to appeal it or get the doctor to somehow fix it.

I'm not optimistic in either case and it's just annoying that we have to pay for stuff we have no use for. I really feel we have no control over the bills they are sending our way.

Any similar stories and what were the results?

 

 

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Re: Medical Bills - Mess ups

  • WulfgarWulfgar member
    Nothing that bad, the lab did send my wife's lab bill to the wrong insurance number so they billed her the full price.  She talked to them today and found out what was going on.

    We also declined the genetic blood test and the testing while she was pregnant to see if anything was wrong.  Her aunt did the testing for her first two and it caused more worry than what actually happened.
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  • polooo27polooo27 member

    I've had a few cases where they didn't get our insurance or something funny happened. Usually they tell me to ignore the bill and I'll get a new one. I just wish they said sorry or something rather than it wasn't our fault so we're not going to help you out. Whatever happened to just doing the right thing? It's through CVS Caremark by the way. I looked up their reviews. 88% 1 star. 12% 2 stars for over 200 reviews. I read some of them and my story is mild compared to some people's. I'm going to wait to see how much I end up saving with them to see if I'll continue. I really don't want to give them business, but money talks.

    We declined it with out first one too. We figure we can't do anything about it, we're not aborting over an unreliable test, and it is an unreliable test so it would just be worry over potentially nothing.

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  • WulfgarWulfgar member
    I get my medicine through my local grocery store that way I get the rewards points and they have in ready for me when I am done shopping.  I really don't trust the mail order and with my medicine not that expensive I really don't save any money doing 90 day supplies.
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  • polooo27polooo27 member
    We go through Target for the smaller stuff. 5% off shopping day for every 5 Rxs. The lady told me over the phone this Rx would be $160 for a 90-day supply. It looks like the order finally came through for the right stuff, but it was $440. I looked into it and they doubled up the dosage so I'll have to call once again. Even if it was right it would have been $220 for 90-days and I was paying $84 per month at Target ($250 for 90 days). I'm just going to cancel the mail order and spend the extra 10 bucks a month at Target. Caremark just sucks at getting stuff right. Or at least calling if it looks funny to make sure it is right.
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  • WulfgarWulfgar member
    That is why I just get my monthly medicine a month at a time.
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  • polooo27polooo27 member

    Let this be proof that you're making the right decision then.

    They called me about the $440 because I guess it was high enough that they needed my approval before sending it. I told them it was doubled up. Apparently the nurse sent it 2 pills a day twice a day. It's supposed to be once per day. Not sure why it keeps getting messed up. My wife is going to ask her nurse next month. I just cancelled the whole thing right there and told them how unhappy I was. Even if it's not their fault, I'm still mad they wouldn't return the first mess up.

    Monthly at Target for life after this.

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  • polooo27polooo27 member
    So I tattle tailed to my HR about CareMark. I don't know what they did, but the charge is being reversed. They said they didn't know if I'd have to return the Rx or not. I'm sure I'll get a letter from them with instructions if I do. Makes me feel good they got put in their place, but not so good that they try to get away with whatever they can until they're put in their place.
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