Woe unto the sick, for the insurance companies hate you

SO I’m begining to understand why people drive to Canada to get their prescriptions refilled. Today I ran out of my “dried frog pills” [1], and need a refill. So I call it in to myu local pharmacy. Hell, the bottle says refills until Feb 2007, so no worries, right?

Pharmacy calls us, with information that our insurance company has denied the refill – we have to MAIL ORDER refills after the second one.


So JUST IN CASE I ask what “retail” is on 30-days worth….$120. $4/pill. Whoa. Time to call the insurance company.

After navigating the voice prompts [2] I talk to a human being [3]. Who directs me to another phone number. After navigating *THAT* phone tree [4] I talk to another human being [3]. Who says there is no “educational waiver” [5] for our plan, and that she needs to talk to my Employer to get approval for a one-time exception to the policy.

My INSURANCE COMPANY needs approval from my EMPLOYER for me to get a refill from my LOCAL pharmacy.

No wonder people drive to Canada. Not only does it appear to be under $1/pill on NAME BRANDS, it’s a lot easier to just pay out of pocket….and I’d almost rather face customs.

[1] For those who don’t get the Pratchett reference, my anti-depressants.
[2] I ahve Voice Recognition Systems without key prompt availability
[3] No, really, an actual person
[4] This one, at least, accepts button presses
[5] i.e. “Customer didnt’ read the fine-fine-fine-fine print on page 437 of the HR manuall like they were supposed to”

About Kevin Sonney

Kevin Sonney - who, contrary to popular opinion was NOT raised by wolves - grew up in central North Carolina. He fell into the technology field by accident in 1991, when he gave up the wild and crazy lifestyle of an on-air AM radio DJ to become a mundane technical support monkey. The technology industry has never really recovered from this. Kevin has worked for such names as IBM, Red Hat, webslingerZ, and Lulu Technologies (we won't mention the ones that didn't survive the experience). He currently works as a Linux Administrator for Apptio. In his spare time he rescues stray animals and plays video games with his two sons. His wife, we're sad to say, helps him get past the really hard bits. Kevin is still not very mundane, he just got better at hiding it.
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3 Responses to Woe unto the sick, for the insurance companies hate you

  1. strangled_gasp says:

    I’m willing to be your insurance is through BCBS.

    Yanno, the same insurance company that only allows you to refill Ambien once every 30 days, yet won’t allow your doctor to give you more than 15 per refill. Yet, you can GLADLY pay the entire amount ($64.00 for 15 pills) out of pocket at ANY time.

    I’m *seriously* considering moving to Canada later in life. Seriously.

  2. moonfl0wer says:

    heh. about 6 weeks ago, i called my new insurance company to see how they covered chiropractic care. the guy told me $35 copay, and that they covered x-rays no problem, and that the limit per year was 15 visits. i asked the kind fellow if that was *all* i needed to know, and he said yes.

    then i went to a chiropractor a friend referred me to. and a month later i get an eob in the mail saying the insurance company won’t pay the $300+ i owe my doctor, because he’s out-of-network. um? hello? network?? i called and specifically talked to a live person to avoid such screw-ups!

    luckily, after a couple of rage-a-licious phone calls, aetna decided to cover the visits i’ve already had.

    still. fuckers. i hate insurance. :P i hope you get what you need out of yours…

  3. alchemist says:

    Nope, it’s aetna. Word I’m hearing, though, is that all of them are switching to this type of thing. *sigh*

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