Monday, January 14, 2008

I feel like screaming right now
No matter how prepared I try to get or how on top of things I try to be, I always get screwed by stupid insurance companies. ALWAYS. I woke up this morning feeling a little sick again & called the Doctors office to make sure they could get the prescription faxed over. They decided to give me the lowest dose available & increase it when it no longer worked. Whatever. As long as I had something.

I go to the pharmacy to pick it up & find out that my insurance will only cover 9 pills a month. 9 freakin' pills! This is after I had called to verify benefits when we got the insurance to make sure this medication is covered. NOBODY told me about a 9 pill limit. That is the stupidest thing I've ever heard in my entire life. That would last me a few days - less than a week.

So, my efforts in trying to prepare for HG are thwarted. My goal of fighting the battle before it got out of control was a waste of time. When I asked if I could get what I needed so I didn't have to suffer, hoping I didn't have to prove how sick I was by becoming dehydrated, starving & eventually admitted to urgent care - it was all useless. Now I will have to prove, yet again, how bad HG can get, all the while trying to take care of a 2 year old.

Once I get sick, drop weight & become debilitated, the insurance company has "criteria" that I have to meet. I have to try 2 other medications (that I tried with Logan & they didn't work) before they will approve zofran. Basically, they want me to be on the edge of death again before they will do anything that will really help me out. I hate insurance companies. I really, really, really hate them.

Well, here's to hoping it doesn't get worse & if it does - THANK GOD I have so many friends to help me take care of Logan.


Wendy said...

Oh man! I am so sorry! I can't believe when insurance companies act like they know what is best for you medically. Christ, I hope that you can get this all fixed up!!

Anonymous said...

I have had this problem with migraine medications and it can be overriden by your doctor. Have him/her call the insurance companyand fight for you. The pills are expensive so they limit them initially figuring that most people will not argue. However, I have not found it hard to get the limit lifted. You will get no where with the insurance-the request has to come from the doctor. He/she can document that you tried other medications and that they did not work.

angie said...

Yikes! Hoping the best for you!

Erin said...

Oh my gosh that is horrible! I can't believe you have to go through all this! Let's hope the HG isn't as bad this time.

Sarah said...

Hi Kristin!

I have been reading your blog for a little bit now, but I thought I would stop in and say hello!

Congratulations on being pregnant! What an exciting time for you guys. I'm so sorry that the insurance companies aren't being cooperative - it's almost as if they are trying to make it more diffcult than it really needs to be.

Hope you don't mind me popping in every once in awhile to say hello!

Jen said...

I had to do Compazine for a little while, and it helped a little...but not nearly as much as I needed.

I have around a 100 Zofran or so left over. Drop me your address. It should tide you over until you can work something out with the insurance company.

This baby should be here by the end of the week, so I won't be needing them anymore. They're 4mg...I can take 2 a day and be good, so they should last you a month or two. If that would help, drop me a note or call me. I can ship them off this weekend.

the boyd's said...

Well, I just want to say COngrats! I am so excited for you! :)