I try really hard to not get political on my blog. Not everyone agrees with me about political issues and as much as I enjoy a good debate, I've found that not everyone else out there is as capable as playing nice as I am.
That said, today I am so furious about something that I just had to write about it. I don't think the reasoning behind my anger screams one side of the debate or the other and frankly, I suspect this is an issue about which all sides could agree.
A few minutes ago, I got into a fight with my insurance company.
Actually, that's not correct. I got into a fight with the pharmacy that my insurance company owns and insists that I use if I want my medication to be covered. It's a mail order pharmacy, which means I have to calculate how many days in advance I need a refill and then remember to call.
It's a real pain in the butt.
Today I needed two refills so I placed the order and was told that I'd receive the package tomorrow. Then I got a follow-up call asking that I call back to resolve a "problem."
The "problem" it seems is that the pharmacy had decided that I had requested one of my refills too soon. True, I do have a nearly full bottle at home, but I figured since I was refilling one prescription, I'd ask for the other as well. They informed me that I was not authorized for a refill of the second prescription until Friday.
Which would have been fine. Annoying, but fine. Until the lady said, "Well you're only taking a 1 cc dose so you should have plenty left."
I responded that in fact I was taking a 1.5 cc dose per my doctor's instructions.
"Well that's not what I have here."
Now I'm mad. I hate getting mad on the telephone because it never ends up solving anything and most of the time is counter-productive, but this biotch was not going to tell me what MY doctor and I decided would be my dosage.
It's not like the medication was Valium or Oxycontin, something addictive or that could be sold on the black market. I'm refilling progesterone in oil, for pete's sake, a drug whose side effects include weight gain, heartburn, painful injection sites, and constipation.
Ooooh I know all you ladies out there are going to be in the seedy underbelly of your local communities tonight to get your hands on a fresh batch of progesterone in oil, aren't you?
When Husband and I first started seeing our fertility doctor, I had to do an intake with the insurance company to make sure that we had exhausted all our fertility options before they would agree to pay for a specialty physician. The intake was shockingly invasive. I spent an hour on the phone detailing my sexual and reproductive history, as well as Husband's.
Not to a doctor. Not even to a nurse. But to a random lady with a checklist who happens to work for our insurance company.
Now we're very lucky because our insurance does cover a great deal of these treatments, when many other companies do not. We also pay for it, rather royally each month so it's not like we're getting something for nothing here.
However, I don't think it's appropriate for us to completely trade in our privacy in order to get this coverage. If my doctor increases my dosage of medication, it's my business, not the insurance companies'. It's not like I was claiming he had prescribed some new medication. It's the same medication that I've been taking for six months and I need some more.
Thankfully, my doctor decided today to decrease my dosage so my one remaining vial of progesterone should last until the insurance company decides to send me some more. They also claim that I should receive my second medication tomorrow, when I need it (although last time they ended up farming the order out to another company that promptly lost it and didn't send it out until the following day).
I can't help but think that this would all be resolved if they would just let me go to the freakin' corner pharmacy and refill my prescriptions on the day that I need them, but nope, their business model is to sit in a building 1000 away and send out medications when they, not the doctors, decide that patients need them.
And people say we don't need health care reform in this country? Baloney.