You
ever have that feeling that your life is just a real game of wack-a-mole? I
know I've been MIA for quite some time now. It's been hard to write. And I'm
sorry that my first time back is a bitch and moan post. I've been fighting for
my right to live, these past few months. Ok so it's not really that dramatic. I
have been going months of being undermedicated because my insurance company has
been refusing to cover the meds that my rheumatologist wants me to have.
Check this routine that I've been on since June. The doctor that has known me
for over 11 years writes a script. The script goes to my insurance company. (Now
at this time let it be known I have a very well known, nationally recognized
insurance provider. It's not something fly by the seat of your pants, late
night commercial scam company.) The insurance company denies me coverage on the
script. They prefer me to try a cheaper med, that I've tried in the past (I had
a horrible reaction to it. It wrecked my body.) But it was awhile ago and insurance
feels I may not have the same reaction to it. My doctor petitions the insurance
company to accept the script. We wait. And...they refuse.*whack-a-mole* So my
doctor researches and tries another script. It goes to the insurance company.
They deny the script. Doctor petitions the insurance company. We wait...they
refuse. *whack-a-mole* So my doctor researches and tries another script.
It goes to the insurance company. They deny the script. Doctor petitions the
insurance company. We wait...they refuse.
You
see the pattern here?
For
four months. Four months without meds in my system to help stabilize a
progressive illness. (If I'm being honest I have to put some blame about this
on my doctors head too. She knows me and my body well enough to know not to do
this)
You
know what the insurance company doesn't have a problem approving and covering?
Pain meds. Pain meds that I wouldn't need if they would cover the meds to help
me not develop pain. That's fucking shameful in and of itself. But finally
on the fifth try my insurance company approved a medication! *wack-a-mole* So I
call the pharmacy to get everything set up and I'm informed that my insurance
company has approved this medication at 100% repay. Meaning I pay for
everything upfront and the company will pay me back 4-6wks later at 100%. So.
How much is a one month supply of this medication? $3,988.00. Because who the
fuck doesn't have $4,000 just laying around each month? *slowly raises hand*
So
what now? that's right .... *Whack-a-mole*.
I
contacted the drug manufacturers and applied for their underinsured program.
But because I have insurance from a popular company I'm not a priority. All
this time still no meds in my system other than the pain meds that they are
willing to cover each month. I did eventually get approved and am now on this
medication. I'm having slight reactions against it but I fought too damn hard
to get it so we are just monitoring everything.
*whack-a-mole*
*whack-a-mole*
It's
starting to build up in my system and that's a good thing. But the damage of
not being properly medicated for months prior has taken it's toll. I've
weakened myself to the point of last week managing to mess up my vertebrae
pretty severely. *wack the next f-ing mole*
My
doctors have been trying to get me to go on disability since I was 25 and I
keep pushing myself to work. For a few reasons. I've worked because I enjoy
working, being useful. But also to have good insurance to help cover the things
I need for my illness (yeah fucked up huh?). But mostly because this...As long
as I keep struggling, I'll be ok. But the moment I stop, I'll sink.
But I guess at that point I'll have no more moles to whack.
--Golden
@theonlygolden
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