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 i

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. Controlling ISS during the 61S Soyuz docking! 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

The Diabetes Transportation System DTS-T1

I was looking forward to the Space Shuttle launch on Monday, then it was pushed to Wednesday and now it is scheduled for Thursday due to several electrical issues from a main engine computer controller. Ironically, our little MH-47G (due to start testing on Monday originally) has been having it's own issues and it is still unclear exactly when we will start testing. And all of this uncertainty, schedule changes, and issue-working reminds me of my little friend Diabetes [come on, you knew that was coming :-)]. Even with hard work, super awesome bolusing skills [ check out Holly's blog today, the number crunching is very impressive] and constant blood sugar checks, Diabetes can still be unpredictable, necessitate schedule changes, and cause the carrier to work through the issues. I have been lucky today, even after a late-night cocktail last night, I woke up this morning at 112, and before lunch I was an amazing 113. I love being steady like that, cruising along with hardly an
01 09 10