Skip to main content

Dia-beat-the-insurance-company

With that whole "getting married" thing comes the "changing health insurance" thing. For a normal person, probably not a big deal. For a Type 1 Diabetic, painful, and, at times, completely ridiculous.

"Awesome, my supplies showed up today!" [always a good sign]

"That's weird, there are only 5 boxes of test strips in here, the prescription was written for 6." [maybe the pill counter can't accommodate large test strip boxes?]

"Nope, it says, 'quantity: 5 on this invoice." [crap, time to call up the pharmacy]

Thankfully, through Vanderbilt's online patient system I can quickly access any prescriptions they send out to verify that indeed they had requested 600 test strips for the 90 day supply! This is honestly truly amazing to me!

"Yes, ma'am, since they wrote the prescription for 6 times a day and we can't break up test strip boxes, they have sent you an 83-day supply."

"Ha" [my gut response to the complete ridiculousness of insurance companies]

"So now you will have to re-order these specific supplies every 83 days instead of every 90. Do you understand, ma'am?"

"But you are still charging me for a 90-day supply every 83-days?"

"Yes, ma'am."

"Thanks." [click]

New strategy: have the Dr. write the script for "the patient tests 6.67 times a day". [stop being a smartass, April]

Sometimes I just don't understand why taking care of yourself has to be so difficult.

Comments

  1. So sorry. It's a shame you have to play their game to get what you need. I know I became pretty good at doing that when I had to order stuff for you. Love ya! Mom

    ReplyDelete
  2. Hmmph... these games are truly ridiculous. In addition to insulin and other "mandatory" D-stuff, I take Synthroid for an underactive thyroid. After paying a large copay for the brand name, I convinced my doctor to write an Rx to allow generics. Three months later, the mail-order pharmacy's site wouldn't allow me to refill the generic online. When I called to ask about it, the guy agreed to process, and bill me, for the generic, though they only stock the name-brand and I'd get that anyway. So I saved $20 for a reason I still can't quite understand.

    (Maybe you can convince your insurance co. that you only get 24, not 25 usable strips per vial because of the mandatory "glucose control solution" test!)

    ReplyDelete
  3. I am just glad my endo is on my side in this insurance nonsense. It is nice to have a buffer quantity on test strips and insulin to "defeat" those insurance companies.

    ReplyDelete

Post a Comment

Who has two thumbs and loves comments? Nerdy April!!! Type one out and hit publish!

Popular posts from this blog

The road to curing Type 1 Diabetes

From the moment of diagnosis, the road is rough, the learning curve is steep and the stakes are literally life or death. The map is less-than-helpful - paths originating from virtually every corner, coalescing at a center point (aka "diagnosis") and bursting back outwards - some paths cross and wrap around each other but others are isolated. And even with all of these roads, most of the territory is uncharted - how did we all get here and how will we all exit? Where are the obstacles we haven't found yet? Which passage holds the key to unlocking the solution?

On any given day I feel pretty isolated with this disease - I'm the only T1D in my group at work, the only one in mission control, the only one in my family. I go through the logistics of calling insurance companies, ordering supplies, changing sites and troubleshooting malfunctions mostly on my own. Even those pesky carbs really only get counted in my brain, no group think for a meal bolus here. But there is b…

Critical Space Item: Handle With Extreme Care

Someday I want to open a box. The box will be neatly wrapped up with an excessive amount of packaging. Its contents will have been years in the making, and even though it won't weigh much, this small box will represent a huge step forward.


As most flight hardware begins, the space-rated closed-loop insulin delivery and monitoring device inside the box will be sterile and stark. But as the batteries whir to life and insulin is placed within, it will become an extra appendage, an external pancreas, for this Type 1 astro-hopeful. Bluetooth connections will be made and doctors, hungry for telemetry from my bionic body, will be at the ready. We will rely on each other - he on I for his very existence, and I on him for my continued existence. Together we will make up one whole, completely functioning, Type 1 Diabetic astronaut.

Admittedly, this dream feels further and further from reality. I have lived with this disease just under 20 years now, and the cure has always been "just 5 …

On 20 years with Type 1 Diabetes

I think it's finally time to hit 'publish' on this post, considering it's been sitting here for, oh you know, like 2 weeks now ;-) Sometimes I "April" about things too much (this is Chris's term), and with my dad here for Christmas I realized that it's definitely a trait passed down, haha, love you dad!


To be honest, I never thought the day would come when I would say, "I've had Type 1 Diabetes for 20 years."

20 years ago a cure was 'just on the horizon' and as an 11 year old kid I took that phrase to heart - I had to. My continued existence was based solely on whatever the endocrinologist said - pancreas, insulin, autoimmune, blood sugar, islet cells, shots. I didn't know what I didn't know at that point. I had never heard of an insulin pump or glucose meter. Ketones and hyperglycemia were just big, meaningless words. Carb ratios and counting might as well have been formulas for travelling at light speed. I wasn't ov…
01 09 10