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elisem Because I recently turned 65, there were changes in my insurance.
I now have Blue Cross Blue Shield, which I used to have some years ago before I got switched to a different insurance.
They have now denied a med that is a cornerstone of why I am feeling better and breathing better these days.
The switch happened after my August birthday.
All the other meds are (allegedly, and I do believe them) on the way from the mail order pharmacy (who were good when I used to use them).
This med has been denied by insurance, which is BCBS. Even after special authorization, which they told me I needed, they denied it.
Am almost out.
(Yes, this is the med that the other insurance company kept only filling for one month, despite my doc writing a three-month scrip every frikkin time. Yes, this is one of the things I worry about running out of, because it matters a lot.)
Also you may imagine bitter laughter as various med and scheduling people explain to me that the insurance is apparently requiring the patient, me, go in to meet with the doc. The agoraphobic patient, these days. Though we did get to "virtual visit is acceptable," which is good, before we got to "the first virtual visit possible is a while after patient runs out of meds" which is not.
This stuff is what I was already making calls on and trying to handle before I got COVID. The two together is just a really horrible coincidence.
(Even if we did try to switch me to the insurance that was fine with it before (like Blue Cross Blue Shield was actually fine with it a few years ago when I had it!), there's no guarantee we won't run afoul of some new rule.)
There are options being looked into, for which details will be scant and the passive voice, for the moment, will be employed.
I do not have words that will cover exactly how I feel about this insurance bullshit. However the person just now taking the note to give my doc did write down faithfully that "patient is worried that without this med, she may not be around to keep this appointment," which is at least something I guess.
I am hungry. (I am the king now and I want a sandwich?) Actually what I want right now is soup. I wonder if I can stand up long enough to microwave some. Gotta put some food in or the meds might bounce, and it's meds time.
Grrrrr.
I now have Blue Cross Blue Shield, which I used to have some years ago before I got switched to a different insurance.
They have now denied a med that is a cornerstone of why I am feeling better and breathing better these days.
The switch happened after my August birthday.
All the other meds are (allegedly, and I do believe them) on the way from the mail order pharmacy (who were good when I used to use them).
This med has been denied by insurance, which is BCBS. Even after special authorization, which they told me I needed, they denied it.
Am almost out.
(Yes, this is the med that the other insurance company kept only filling for one month, despite my doc writing a three-month scrip every frikkin time. Yes, this is one of the things I worry about running out of, because it matters a lot.)
Also you may imagine bitter laughter as various med and scheduling people explain to me that the insurance is apparently requiring the patient, me, go in to meet with the doc. The agoraphobic patient, these days. Though we did get to "virtual visit is acceptable," which is good, before we got to "the first virtual visit possible is a while after patient runs out of meds" which is not.
This stuff is what I was already making calls on and trying to handle before I got COVID. The two together is just a really horrible coincidence.
(Even if we did try to switch me to the insurance that was fine with it before (like Blue Cross Blue Shield was actually fine with it a few years ago when I had it!), there's no guarantee we won't run afoul of some new rule.)
There are options being looked into, for which details will be scant and the passive voice, for the moment, will be employed.
I do not have words that will cover exactly how I feel about this insurance bullshit. However the person just now taking the note to give my doc did write down faithfully that "patient is worried that without this med, she may not be around to keep this appointment," which is at least something I guess.
I am hungry. (I am the king now and I want a sandwich?) Actually what I want right now is soup. I wonder if I can stand up long enough to microwave some. Gotta put some food in or the meds might bounce, and it's meds time.
Grrrrr.
no subject
Date: 2025-11-05 12:29 am (UTC)no subject
Date: 2025-11-05 12:45 am (UTC)no subject
Date: 2025-11-05 04:23 am (UTC)I will let you know if there is a soup deficit around here, I promise.
no subject
Date: 2025-11-05 03:36 am (UTC)no subject
Date: 2025-11-05 08:31 am (UTC)(not in jail. poor luigi was framed so hard.)
no subject
Date: 2025-11-05 04:46 pm (UTC)no subject
Date: 2025-11-05 10:25 pm (UTC)But the one good thing is that this is the Medicare enrollment period, so if you're going to switch, now is the time.
(I have been on BCBS for both Medigap coverage and Part D (medication) coverage, but I will be switching the Part D coverage due to the cost quintupling over the last couple of years.)
no subject
Date: 2025-11-06 01:11 am (UTC)Extends gentle, thoroughly washed, hand of no, not THAT med! in your direction.
Insurance companies are evil.
no subject
Date: 2025-11-09 09:46 am (UTC)Keeping my fingers crossed for you that you will get a good solution! <3