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Re: Highly frustrated and need to vent

From: Alexandra (anonymous@obgyn.net)
Thu Feb 5 13:00:26 2004


At Wed, 4 Feb 2004, Lisa wrote: >
>Insurance companies are just wonderful. I understand where you're
>coming from. For years I've been on bc pills to control heavy bleeding
>and ovarian cysts, of which I had a doctor's note for. The insurance at
>first approved coverage for a medical reason, but every few months they
>liked to suddenly stop their approval, with no notice. The last phone
>call I had with them was not a nice one. And what amazes me most is
>that most insurance companies give women a hard time about "female"
>medication, yet most have no problem approving Viagra! Talk about a
>double standard! I hope all goes well with you. I'm scheduled for a lap
>the end of February, endometriosis is suspected, along with a "problem"
>cyst. BC pills have stopped helping, so I'm sure Lupron or Depo are
>next and will have to get nasty with the insurance company again.
>
>At Wed, 4 Feb 2004, Senja wrote:
>>
>>Here it is, my insurance company is jerking me around again. I have
>>been back on Depo-Provera since the end of last May. In that time, I
>>have filled my prescription 5 times. I have spent anywhere from 3 days
>>to 3 weeks trying to get the prescription filled each time. THe last
>>ime, they changed my co-pay and were charging a copay for every 34 days
>>of duration and because I get an injection every 2 months, they wanted 2
>>copays which equals out to $50. I was told that if I went the mail
>>order route, I could get a 100 day supply for $20. Today, I called up
>>the mail order pharmacy for elp with the form so that I could e sure I
>>get everything right and was told "Your insurance does not cover
>>Depo-Provera." The insurance company customer service is closed, because
>>they don't care to answer the phones during times people might actually
>>be home.
>>
>>And, to top it all off, because it took weeks to get it all sorted out
>>last time, I was late with my injection and have been hurting a lot more
>>than usual for about the last month and it's not getting any better.
>>
>>I am so close to saying "Screw it, I'll stop taking it and they can pay
>>for surgery."
>>
>>Aaaarrggh!
>>
>>--
>>Senja
>>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>>"Life follows art; words can grow teeth
>>and eat tigers." - John Gardener
>>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>>Hi Lisa,

I don't think the company should denie your medicine. They just can't do that. You should speak to a supervisor because as far as I understand even BCP are cover if you have endometriosis. yes, fight with them...

--
Hi Kelly,

I will repeat the same I told somebody else. I was reading and actually the doctor who did my surgery said that there is not need to have a second or third surgery because Endo doesn't have cure. If you happen to find a good doctor who can clean Endo you will be lucky because is very dificult to be detected. Of course you should get second, third and 4 opinion. good luck!




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