Fucking insurance- update in OP

Re: Fucking insurance- update in OP

• bumpuser8448316 member

  September 2014

  Because they're assholes. I haven't tried and failed at enough of the cheaper (older and less effective with more side effects) meds.

  
  

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• notkateanymore member

  September 2014

  How long do you have to take the other drug? Can you get your doctor to write a letter/call saying it's not doing anything? I've heard of that helping. I'm so sorry.

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• bumpuser8448316 member

  September 2014

  notkateanymore said:

  How long do you have to take the other drug? Can you get your doctor to write a letter/call saying it's not doing anything? I've heard of that helping. I'm so sorry.

  
  I have an appt with her next week to discuss the game plan

  
  

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• minerswife17 member

  September 2014

  I'm so sorry.

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• raraavis28 member

  September 2014

  That sucks! I hope you can work something out...

   
  

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• dmartin726 member

  September 2014

  Keep fighting it. Get a letter of medical necessity, and call the health plan non-stop. This is the field I work in. Don't give up. The squeaky wheel gets the oil. Remember that. Hang in there, I'm sorry this sucks. The health care industry can be really unfair.

  
  

  
  Check out my blog ---->  http://minismama.com/

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• PhillyRN member

  September 2014

  Can you have your doctor call the insurance company and make an appeal to the medical director? I work at a rehab hospital and we have to sometimes do that if a patient is really appropriate and an insurance company denies the admission.  Sometimes, when something goes physician to physician, it makes a difference.  

  
  

  I also have RA (diagnosed after my son and I am currently pregnant).  I have United Healthcare and I am dreading the pre-authorization of medication process.

  
  

  Good luck!

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• lovesmonkey member

  September 2014

  ::lurker hoping to help::
  
  @QueSyrah  I have severe RA and am currently on several meds including expensive injections. My insurance would not cover the specialty injections, so my doctor gave me info to contact the manufacturer. After doing this I only have to pay $5/month! I was diagnosed with RA at 13, so I have been through this a lot. Don't worry, there is help out there. If I can help, please let me know.
  
  ::back to lurking::
  

  Married 06.30.2012
  TTC 10.01.2012
  BFP 06.04.2014  EDD 02.13.2015  D&C 07.25.2014
  

  
  RE Consult Results
  Me: 32, PCOS, Hypothyroid, HSG All Clear
  DH: 33, Low Morph (2.5%)
  11.2014 (Letrozole+IUI+Progesterone)=?
  

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• jlpev member

  September 2014

  I used to be a pharmacy tech, did the pharmacy start a pa (prior authorization)? If not, make them start one. Sorry insurances suck sometimes!!!

  

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• bumpuser8448316 member

  September 2014 edited September 2014

  They do have financial assistance but you have to use it in conjunction with your insurance. When I was on home injections I only paid $10/month.

  
  

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• vlagrl29 member

  September 2014

  Fight it!  It's a hassle but so worth it!  I just got a bill from children's mercy urgent care from DD's visit last Jan.  I'm just getting a bill from it?  I don't even understand why we owe anymore because it was a copay situation with zero testing.  sometimes I just wish we had universal health coverage.

  

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• bumpuser8448316 member

  September 2014

  Update in OP

  
  

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• MesmrEwe member

  September 2014

  PhillyRN said:

  Can you have your doctor call the insurance company and make an appeal to the medical director? I work at a rehab hospital and we have to sometimes do that if a patient is really appropriate and an insurance company denies the admission.  Sometimes, when something goes physician to physician, it makes a difference.  

  
  

  I also have RA (diagnosed after my son and I am currently pregnant).  I have United Healthcare and I am dreading the pre-authorization of medication process.

  
  

  Good luck!

  My sympathies!!!  We've got United too...  It's not so much the preauthorization as it is they don't tell you how much you'll have to pay until after the fact...
  

  

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