Frustration

Just needed to vent a bit. Darrel’s Washington Teamsters has been great in that they have been providing medical coverage for both of us since he went on disability. Last month, after talking to multiple people, we found out that we would probably be eligible for another 9 months of coverage!

However, when we checked in on Tuesday for the doctor appointment, we were told that coverage had been terminated as of July 1, 2014! We had received a letter from Wa Teamsters stating we had coverage through August, and then another one last week or so that we had coverage through October.

So, I called WA Teamsters and was told, yes, we had coverage. I called Group Health and was told no, they had received a termination notice from WA Teamsters effective July 1.

I called back to WA Teamsters and the person told me she would have someone from Health and Welfare call me back by end of day on Tuesday. No call.

I called again, that person said she would send to a “higher authority” and get something sent to Group Health, and we could also have someone from Group Health call them which the GH person did not feel she could do. Did not hear back from them.

Called a supervisor at Group Health this morning, and she called us back on the way to chemo and said that the pharmacy should show coverage today but the infusion center wouldn’t. That made no sense to me but, whatever.

We had to sign something at infusion center saying we would be responsible for payment if insurance didn’t come through. But when I went to pharmacy, I found out the order I had placed last Saturday had been cancelled due to no coverage and none of the pharmacies had enough of the Lovenox to get us through a month in Canada.

Luckily, I still have pharmacy connections and was able to get the refill center manager to process the prescription and we can pick it up there. Thankfully, when she ran it there was only a $3 copay, not the $1,500 we would have had to pay without insurance showing. I had already paid almost $400 at the other pharmacy for the rest of his meds.

Not sure if it was WA Teamsters or Group Health that screwed up, but it has made for a stressful and frustrating few days!

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2 Responses to Frustration

  1. Liz Howard's avatar Liz Howard says:

    hang in there and hope you get it all figured out sooner than later! Liz

  2. Sandy's avatar Sandy says:

    I am sorry you had to deal with all that mess on top of everything else. It’s bad enough that you’re dealing with the illness. Aren’t insurance companies wonderful?

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