I am so ticked off. I have this medication for OIC. And it works great. I had to go to something prescription because nothing over the counter (OTC) was working. I was getting low so I called the pharmacy and asked them to call it in. Next day they say the doctor still hasn't called. Next day they it needs pre authorization from the insurance. So I call the doctor and tell them. They call it in. Next day I call the pharmacy. Nothing. I've now gone two day without it. Today I call the number on the back of our insurance card. He tells me the doctor hasn't called in the pre authorization. I call and talk to the nurse. He HAS called in the pre authorization. I call the insurance back. They say it can take up to 72 hours to pre authorize. I tell them it's been 48. She says she doesn't know why it's still pending. She would have to open my case to tell me. So I ask her to please do that. She says well, you have been denied. But we don't have to notify anyone. GREAT. Now she gives me a new number to "appeal" the case. So I had to call the nurse AGAIN to give him that number. AND, I was denied because there are OTC's available. GRRRRRRRRRRR So right now the nurse is going to give me a month of samples until this crap gets straightened out.
Meanwhile, back at the ranch the two year old colored on my wall. DH is wondering why I'm so aggravated today.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Insurance companies really suck these days! I have a hassle every time I get a refill because I take a drug that has no generic option yet. They want me to switch. Doc says no way.
Two year olds will be two year olds and write on walls.
I felt sorry for my nurse who was honestly trying to get me the script filled. But this new insurance company has so many hoops. DH went and picked up ten days worth of samples so I'll be arguing this all over again when the week starts.
The two year old got a time out and confiscated crayons. She also stuck a crayon in one of the little holes in the back of DH's laptop and broke it off. The hole was just where a screw is and the crayon was easily removed with no damage. But she did get in trouble for it. And yes, she's still cute.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Insurance companies have gotten a little crazy these days. My cousin is a diabetic. She nearly ran out of insulin because the insurance company said they were waiting on paperwork from the doctor and the doctor said they sent everything in.
Insurance companies have gotten a little crazy these days. My cousin is a diabetic. She nearly ran out of insulin because the insurance company said they were waiting on paperwork from the doctor and the doctor said they sent everything in.
I'm glad she got it. Insurance isn't wanting to pay for anything these days.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Insurance companies have gotten a little crazy these days. My cousin is a diabetic. She nearly ran out of insulin because the insurance company said they were waiting on paperwork from the doctor and the doctor said they sent everything in.
I'm glad she got it. Insurance isn't wanting to pay for anything these days.
I guess it ended up having something to do with the brand of insulin her doctor was prescribing. All of a sudden, the insurance decided they didn't cover that brand. but it took like 2 weeks to get that answer and have the doctor write it for another covered one. She was freaking out, she was like, do they not understand I am going to DIE waiting for an answer??
Well, that's kind of like what happened to me. When they deny you they don't have to notify anyone. Not the doctor, not the patient, not the pharmacy. They just deny you and leave you hanging. Being a nurse myself I know that it's not that we don't care but unless someone tells us the patient is denied we think everything is fine. Then on the patients end they think everything is fine too. It's not until someone starts complaining that things come to light. And what happens is the insurance can randomly, at any time, decide they don't want to cover a drug. Then there's nothing you can do about it. Sometimes you can get another comparable drug. Sometimes not.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
The day that won't end. Trying to break in new boots. Feet are killing me!
Wear them on your head. Not only will your feet feel better but you can start a new fashion statement...lol. Seriously though I hope they feel better as the day goes on.
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“Until I discovered cooking, I was never really interested in anything.” ― Julia Child ―
The day that won't end. Trying to break in new boots. Feet are killing me!
Wear them on your head. Not only will your feet feel better but you can start a new fashion statement...lol. Seriously though I hope they feel better as the day goes on.
My neighbor used to throw them on. Sadly, he moved.
And.....the guilt trip has begun. We are being given grief and told they "cannot believe" we are not going back home for FIL's birthday (which is New Year's Day) because it is a milestone birthday. We went back to Michigan for his birthday last year even though we had already been that year because "it might be his last" (the guilt trips are strong with this family). We have no vacation time left this year, we just bought a new house, and we plan on going back next summer for the family reuinion, which MIL really wants us to do. The guilt trip is always given by those that live close by, and it is ANNOYING. Especially coming from my BIL that can't bother to visit them on a regular basis during the year even though he lives 15 minutes away.
And let's not forget that my SIL told me straight up last year that we were celebrating Christmas on MY birthday even after one of her brother's asked to change it to New Year's Day because he couldn't get there by New Year's Eve (my birthday) because Dad shouldn't have to share his birthday with Christmas.
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LawyerLady
I can explain it to you, but I can't understand it for you.
Tell them F off. Last year was a scheduling nightmare for us. I finally planned it and said, "Whoever comes comes. And if you don't we'll see you when we see you!"
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
And.....the guilt trip has begun. We are being given grief and told they "cannot believe" we are not going back home for FIL's birthday (which is New Year's Day) because it is a milestone birthday. We went back to Michigan for his birthday last year even though we had already been that year because "it might be his last" (the guilt trips are strong with this family). We have no vacation time left this year, we just bought a new house, and we plan on going back next summer for the family reuinion, which MIL really wants us to do. The guilt trip is always given by those that live close by, and it is ANNOYING. Especially coming from my BIL that can't bother to visit them on a regular basis during the year even though he lives 15 minutes away.
And let's not forget that my SIL told me straight up last year that we were celebrating Christmas on MY birthday even after one of her brother's asked to change it to New Year's Day because he couldn't get there by New Year's Eve (my birthday) because Dad shouldn't have to share his birthday with Christmas.
Just tell them that you've make reservations for them ALL at the nearest Motel Six, and you expect them to all show up at your place, since you went there last year.
(No, I'm not kidding.)
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The Principle of Least Interest: He who cares least about a relationship, controls it.
And.....the guilt trip has begun. We are being given grief and told they "cannot believe" we are not going back home for FIL's birthday (which is New Year's Day) because it is a milestone birthday. We went back to Michigan for his birthday last year even though we had already been that year because "it might be his last" (the guilt trips are strong with this family). We have no vacation time left this year, we just bought a new house, and we plan on going back next summer for the family reuinion, which MIL really wants us to do. The guilt trip is always given by those that live close by, and it is ANNOYING. Especially coming from my BIL that can't bother to visit them on a regular basis during the year even though he lives 15 minutes away.
And let's not forget that my SIL told me straight up last year that we were celebrating Christmas on MY birthday even after one of her brother's asked to change it to New Year's Day because he couldn't get there by New Year's Eve (my birthday) because Dad shouldn't have to share his birthday with Christmas.
You get to a point in life where you don't "Do Guilt" anymore. Do what you want and choose to do. Those who don't like it and choose to miserable can just sit and not like it and be miserable. That's on them.
So my response was that it was not possible for many reasons, that if it was possible, we would already have made plans to be there. Then I said "Please stop asking - the guilt trip is not appreciated." I have a feeling the crap is about to hit the fan. I do not have patience for this type of harassment.
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LawyerLady
I can explain it to you, but I can't understand it for you.
So my response was that it was not possible for many reasons, that if it was possible, we would already have made plans to be there. Then I said "Please stop asking - the guilt trip is not appreciated." I have a feeling the crap is about to hit the fan. I do not have patience for this type of harassment.
Personally, i have found that the less I explain myself , the easier it is. It is much easier to say "Sorry, I can't make it", and then I stop talking. The WHY of something doesnt' really matter. You are either going or you are not. That is how i deal with most people nowadays. Now, of course with family, i would probably be more likely to put forth an explanation. But, then if they still pester me, i would just say that i am sorry and I cant' make it.
So my response was that it was not possible for many reasons, that if it was possible, we would already have made plans to be there. Then I said "Please stop asking - the guilt trip is not appreciated." I have a feeling the crap is about to hit the fan. I do not have patience for this type of harassment.
Personally, i have found that the less I explain myself , the easier it is. It is much easier to say "Sorry, I can't make it", and then I stop talking. The WHY of something doesnt' really matter. You are either going or you are not. That is how i deal with most people nowadays. Now, of course with family, i would probably be more likely to put forth an explanation. But, then if they still pester me, i would just say that i am sorry and I cant' make it.
Which is where I am at. I offered a short explanation - it was ignored. Now I'm at the "no" stage.
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LawyerLady
I can explain it to you, but I can't understand it for you.
So my response was that it was not possible for many reasons, that if it was possible, we would already have made plans to be there. Then I said "Please stop asking - the guilt trip is not appreciated." I have a feeling the crap is about to hit the fan. I do not have patience for this type of harassment.
Personally, i have found that the less I explain myself , the easier it is. It is much easier to say "Sorry, I can't make it", and then I stop talking. The WHY of something doesnt' really matter. You are either going or you are not. That is how i deal with most people nowadays. Now, of course with family, i would probably be more likely to put forth an explanation. But, then if they still pester me, i would just say that i am sorry and I cant' make it.
Which is where I am at. I offered a short explanation - it was ignored. Now I'm at the "no" stage.
Wow. Well, I hope they stop asking now. If they don't, BLOCK them!
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Sometimes you're the windshield, and sometimes you're the bug.
And.....the guilt trip has begun. We are being given grief and told they "cannot believe" we are not going back home for FIL's birthday (which is New Year's Day) because it is a milestone birthday. We went back to Michigan for his birthday last year even though we had already been that year because "it might be his last" (the guilt trips are strong with this family). We have no vacation time left this year, we just bought a new house, and we plan on going back next summer for the family reuinion, which MIL really wants us to do. The guilt trip is always given by those that live close by, and it is ANNOYING. Especially coming from my BIL that can't bother to visit them on a regular basis during the year even though he lives 15 minutes away.
And let's not forget that my SIL told me straight up last year that we were celebrating Christmas on MY birthday even after one of her brother's asked to change it to New Year's Day because he couldn't get there by New Year's Eve (my birthday) because Dad shouldn't have to share his birthday with Christmas.
My mom did that her with mother--starting at about age 80. "Oh, we better go out there for Thanksgiving because it could be her last one, blah, blah, blah...". I quit believing her after awhile and grandma lived to be 103.
I think mom just felt guilty because she didn't live by her mother.
No matter how much time you spend with someone, when they die, you always think that maybe it could have been more. It's just the way it is, but you can't live your life based on an inevitable eventuality that hasn't happened.
Could I have went to see my grandmother more? Sure, again, I think that once someone goes you look back and say that you could.
BUT--what other things would we have not done had we spent more time there? Maybe I wouldn't have spent as much time with Czech's MIL who I was close to, or some friends, or other family, or just some time alone with my wife and kids.
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I'm not arguing, I'm just explaining why I'm right.
Well, I could agree with you--but then we'd both be wrong.
So my response was that it was not possible for many reasons, that if it was possible, we would already have made plans to be there. Then I said "Please stop asking - the guilt trip is not appreciated." I have a feeling the crap is about to hit the fan. I do not have patience for this type of harassment.
Personally, i have found that the less I explain myself , the easier it is. It is much easier to say "Sorry, I can't make it", and then I stop talking. The WHY of something doesnt' really matter. You are either going or you are not. That is how i deal with most people nowadays. Now, of course with family, i would probably be more likely to put forth an explanation. But, then if they still pester me, i would just say that i am sorry and I cant' make it.
Which is where I am at. I offered a short explanation - it was ignored. Now I'm at the "no" stage.
Wow. Well, I hope they stop asking now. If they don't, BLOCK them!
I learned with MIL that the only way to say "no" and not get an argument back was to say, "because that's what we decided". (Lather, rinse, repeat as needed)
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The Principle of Least Interest: He who cares least about a relationship, controls it.
What I said was exactly what you said you did. You watched the news for weather and then acted surprised that they'd have that NEWS story. I was joking about counseling but maybe it could help you grow the heck up.
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“Until I discovered cooking, I was never really interested in anything.” ― Julia Child ―
Since its here, I'll vent. I emailed the new president to ask if he wanted me to cancel a reoccurring meeting the old president (my boss) had me schedule. New guy responds yes, and copies his new assistant. You can copy her all you want, but she has nothing to do with this. It's MY meeting. Scheduled on MY calendar. SHE can do nothing about it. I do realize that it's just everything about her that bugs me, I'll own that. But it gets under my skin
I am so ticked off. I have this medication for OIC. And it works great. I had to go to something prescription because nothing over the counter (OTC) was working. I was getting low so I called the pharmacy and asked them to call it in. Next day they say the doctor still hasn't called. Next day they it needs pre authorization from the insurance. So I call the doctor and tell them. They call it in. Next day I call the pharmacy. Nothing. I've now gone two day without it. Today I call the number on the back of our insurance card. He tells me the doctor hasn't called in the pre authorization. I call and talk to the nurse. He HAS called in the pre authorization. I call the insurance back. They say it can take up to 72 hours to pre authorize. I tell them it's been 48. She says she doesn't know why it's still pending. She would have to open my case to tell me. So I ask her to please do that. She says well, you have been denied. But we don't have to notify anyone. GREAT. Now she gives me a new number to "appeal" the case. So I had to call the nurse AGAIN to give him that number. AND, I was denied because there are OTC's available. GRRRRRRRRRRR So right now the nurse is going to give me a month of samples until this crap gets straightened out.
Meanwhile, back at the ranch the two year old colored on my wall. DH is wondering why I'm so aggravated today.
This is exactly why I always at least price our prescriptions at my local Costco and/or Walmart pharmacies WITHOUT insurance.
Frequently they are either about the same cost as my co-pay with Express Scripts, or only a little bit more.
I hate Express Scripts, they screw up a lot, and seem to cause aggravation for its' own sake.
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The Principle of Least Interest: He who cares least about a relationship, controls it.
Since its here, I'll vent. I emailed the new president to ask if he wanted me to cancel a reoccurring meeting the old president (my boss) had me schedule. New guy responds yes, and copies his new assistant. You can copy her all you want, but she has nothing to do with this. It's MY meeting. Scheduled on MY calendar. SHE can do nothing about it. I do realize that it's just everything about her that bugs me, I'll own that. But it gets under my skin
If it's his assistant, she needs to know when things on the calendar get changed. I realize this is stressful for you, but you've turned this into a BEC situation, it sounds like in this vent.
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LawyerLady
I can explain it to you, but I can't understand it for you.
Since its here, I'll vent. I emailed the new president to ask if he wanted me to cancel a reoccurring meeting the old president (my boss) had me schedule. New guy responds yes, and copies his new assistant. You can copy her all you want, but she has nothing to do with this. It's MY meeting. Scheduled on MY calendar. SHE can do nothing about it. I do realize that it's just everything about her that bugs me, I'll own that. But it gets under my skin
If it's his assistant, she needs to know when things on the calendar get changed. I realize this is stressful for you, but you've turned this into a BEC situation, it sounds like in this vent.
Oh, I have. And that's why I only allow myself to vent about it here.