There was a message left on my home phone saying the Mestinon Timespan was finally approved. I went to the pharmacy and got it. It took from Monday to the following Wednesday for approval. Alas, no Cellcept, as it is STILL waiting for approval.
This health system is incredibly broken! Today I sat and watched all the people working behind the pharmacy counter. Quite a few employees…and most were dealing with insurance issues. Lots of computer time, talking on phones and faxing things back and forth. Very, very broken. I wonder how much cheaper health care would be without all the middle management?
Also, I wonder what’s happening with my oxygen providers? I had Lincare in VT, FL and NY, but they do not accept Mercy Care here in AZ, so I am being switched to another company. Lincare said that by law they are not allowed to take the equipment from me until another company brings me their oxygen supplies. I bet that is also stuck in the quagmire of authorization. Sigh…
I still haven’t looked at all those MRI films. I’m kinda scared…..
I finally got a chance for a much needed shower, but no nap. It has been one thing after another. My To-Do list for the next two days is enormous. The neurologist says it’s up to my primary care doctor to ask for the IVIg approval. That means I have to make another appointment with her. (Insert a few dozen sighs….) It’s a full time job to be disabled. Thank you again for all you nice, caring and supremely kind folks out there!
Maybe after you have gotten all the initial paperwork out of the way and they have established a “file” for you, it will settle down and run more smoothly for you. I hope so, anyway…..
That would be nice! But each expensive prescription is first sent to the Mercy Care pharmacy and has to go through a determination process….as does every expensive medical test. If a doctor truly thinks that stuff is important, I don’t see how they can morally say otherwise. It just seems soooo wasteful of time and resources to jump through all the hoops. Like most things, if you do not relent and keep pushing, they generally OK stuff. Perhaps it weeds out the people who don’t try very hard? The system sucks.
Or weeds out the people too sick with no help to get them through it. Sad mess.
Yup…it’s the same system the government uses. Many people who apply for disability give up after the first or second rejection. They either find other sources of financial help or die, saving the government money in health care. Insurance companies have always used that tactic. It took me years to learn to advocate for myself. Sometimes I’m too sick to help myself much. My kid grew up to be a fantastic advocate for me during many, many hospitalizations. I’ve learned a lot from her!