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…

International Travel with Type 1 Diabetes

Whew! Back from one international trip and on to another next week! I will admit my eyes roll every time I get the "we're gunna need to pat you down" talk at TSA, but international travel is a whole different animal. I thought it might be fun to see what goes through my brain and into my bags for these types of trips!


I wouldn't be a NASA Flight Controller if I wasn't good at planning, the key to international travel as a T1D is PLANNING!

3 months prior

Assess supplies. Mine come in 90-days supplies so I like to inventory at least 3 months prior and make a plan to order more early if the trip is going to coincide with the end of my 90-day stock. In my experience supply companies are usually pretty good about adjusting orders as needed if you tell them the reason for the early request - just mention you have an international trip coming up and want to make sure to have plenty of supplies (and backups!) in time. Request a loaner insulin pump. It's likely the comp…

Hot OJT

Last week I had the chance to mentor a newly certified ADCO trainee - the NASA process is called "Hot On-The-Job-Training", or Hot OJT. What makes it "hot" you ask? Well, essentially I am hands off - he is sitting at the console, working all the plan reviews and updates, making calls to other flight controllers and to the flight director, reacting to anomalies and preparing material for the shift handover. My job is to act as the fault tolerance - a backup ADCO of sorts.

Tuesday was his last official day and by Wednesday morning he was in the backroom sending commands to ISS in preparation for the docking of a three-person Soyuz.


The beauty of this system is the gradual buildup in responsibility. There is a subtle shift from student, to subject matter expert, to fresh operations trainee to advanced trainee and finally to certification and real-time operations flight controller - the process takes two years on average and is considered by many to be enough specializ…
01 09 10