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so i'm taking this medication that i've mentioned, celebrex, to help with this intense pain i've been experiencing for about, oh THREE months now. i've finally found something that helps that isn't eating my stomach lining away--plus i feel 50 times better than i do when taking ibuprofen (which is the med that is eating my stomach away). dr im gave me nearly a week's worth of samples to use, just to be sure this works for me before i fill the prescription (b/c there is not a generic out yet, so it's muy pricey).
today on our way out of town for the afternoon we dropped the prescription off. then returned home to get a message from the pharmacy explaining that the insurance has to have this dr approval. so i call the insurance company: closed. i call the pharmacist who explains very plainly to me the situation.
it's like this: the insurance company doesn't want to pay & also doesn't think i *need* this medication b/c i don't have a diagnosis for any type of arthritis. SO in order for me to get this medication paid for by the insurance dr im must call & make a case for me needing this medication.
are we getting this? our insurance system is so fucked up that they are making health choices for ME. they think they know better than my doctor?! or myself, the one taking & filling the prescription?! how in the hell is it okay for these companies to get away with this? simply b/c it hurts their bottom line, their goal of somehow making money off of people's health problems?!
the pharmacist asked if this helps & said that from what she's heard from patients that celebrex is an excellent pain medication, especially long term. she apologized several times & just more than several times, this just isn't right how insurance companies can make these decisions. i was like HELL NO IT'S NOT RIGHT.
i wish i had the superpower to transfer pain & illnesses so these whacked out, money hungry insurance folks can finally understand that people aren't just trying to suck them dry; people *need* these medications. it has helped me in so many ways.
what's funny is that dr im talked about avoiding stressors right now until he can find the root cause of the muscle pain b/c stress is a huge stumbling block when it comes to alleviating headaches/migraines, pain, etc. & then he is able to fit a medicine to my pain & then the insurance co gets involved & fucks it all up. nope, not under any stress now. so what, i just sit back & lovingly suck down 6-10 ibuprofens, nursing ginger ale & ginger tea & bread all the days until the insurance company makes up their mind (& then even then they may not approve it?!).
please don't tell me that the insurance & health care in this country don't need a fresh start. this is bullshit. insurance companies are making health decision for their *clients* b/c that's all we are to them, a client, dollar signs. if they don't make a profit off of me for the year, then they start forcing me to cut back on necessary medication? WHAT.THE.HELL.IS.GOING.ON.
$293.50 they are willing to fight over that when we (plus wes' employers) pay them how much a month? again, i think WHAT THE HELL IS GOING ON?! when is capitalism okay when it fucks with people's health & quality of life? & for fuck's sake, the insurance company isn't even opened on the weekend! how they hell are we to get this settled any time soon. i am out of samples. i am so incredibly amazingly pissed. beyond pissed. like ready to drive out to flippin' idaho (where this insurance co is based) to sit down with the CEO (i would take this CEO to asiago's, at least) where i would then grill him or her about their medical history & by god--is it worth it to take that medication? what is your quality of life? how much do you make every year? what is your social security number & what are your existing conditions? have you ever had surgery? have you ever had such severe pain you couldn't move your neck? have you ever been so exhausted from *sleeping* that you couldn't get up in the morning? i'm sure i'd throw some fuck you's in there somewhere. this is absurd.
i'm sorry for the rant. now to get stuff ready for beggar's night.
today on our way out of town for the afternoon we dropped the prescription off. then returned home to get a message from the pharmacy explaining that the insurance has to have this dr approval. so i call the insurance company: closed. i call the pharmacist who explains very plainly to me the situation.
it's like this: the insurance company doesn't want to pay & also doesn't think i *need* this medication b/c i don't have a diagnosis for any type of arthritis. SO in order for me to get this medication paid for by the insurance dr im must call & make a case for me needing this medication.
are we getting this? our insurance system is so fucked up that they are making health choices for ME. they think they know better than my doctor?! or myself, the one taking & filling the prescription?! how in the hell is it okay for these companies to get away with this? simply b/c it hurts their bottom line, their goal of somehow making money off of people's health problems?!
the pharmacist asked if this helps & said that from what she's heard from patients that celebrex is an excellent pain medication, especially long term. she apologized several times & just more than several times, this just isn't right how insurance companies can make these decisions. i was like HELL NO IT'S NOT RIGHT.
i wish i had the superpower to transfer pain & illnesses so these whacked out, money hungry insurance folks can finally understand that people aren't just trying to suck them dry; people *need* these medications. it has helped me in so many ways.
what's funny is that dr im talked about avoiding stressors right now until he can find the root cause of the muscle pain b/c stress is a huge stumbling block when it comes to alleviating headaches/migraines, pain, etc. & then he is able to fit a medicine to my pain & then the insurance co gets involved & fucks it all up. nope, not under any stress now. so what, i just sit back & lovingly suck down 6-10 ibuprofens, nursing ginger ale & ginger tea & bread all the days until the insurance company makes up their mind (& then even then they may not approve it?!).
please don't tell me that the insurance & health care in this country don't need a fresh start. this is bullshit. insurance companies are making health decision for their *clients* b/c that's all we are to them, a client, dollar signs. if they don't make a profit off of me for the year, then they start forcing me to cut back on necessary medication? WHAT.THE.HELL.IS.GOING.ON.
$293.50 they are willing to fight over that when we (plus wes' employers) pay them how much a month? again, i think WHAT THE HELL IS GOING ON?! when is capitalism okay when it fucks with people's health & quality of life? & for fuck's sake, the insurance company isn't even opened on the weekend! how they hell are we to get this settled any time soon. i am out of samples. i am so incredibly amazingly pissed. beyond pissed. like ready to drive out to flippin' idaho (where this insurance co is based) to sit down with the CEO (i would take this CEO to asiago's, at least) where i would then grill him or her about their medical history & by god--is it worth it to take that medication? what is your quality of life? how much do you make every year? what is your social security number & what are your existing conditions? have you ever had surgery? have you ever had such severe pain you couldn't move your neck? have you ever been so exhausted from *sleeping* that you couldn't get up in the morning? i'm sure i'd throw some fuck you's in there somewhere. this is absurd.
i'm sorry for the rant. now to get stuff ready for beggar's night.
3 comments:
AMEN! It's ridiculous. I hope your doctor fights hard for you.
jerks...no doc in the box with more trial packages open? hopefully dr. im will give you samples until they give in!
That's insane. Hope the doctor can straighten it out. Ridiculous.
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