Wednesday, February 27, 2013

Really? Seriously?

I'm seriously frustrated today. After waiting almost a month to hear from the insurance company, I get a letter in the mail stating  "Remicade has been denied since Humira has not been tried".  I get in touch with my Rheumatologist right away, he calls me back within an hour. He tells me that Humira is a similar drug to Remicade ,except that I would have to inject it every two weeks. He goes on to explain the complications and side effects are much the same. We decide that Humira is worth a try. He is going to call in the prescription right away and will deal with the paperwork. At that point my anxiety levels are down and I am hopeful that I will be on a path to relief. 

Today we called our pharmacy to see if the prescription is ready for us to pick up. The pharmacist tells us "the insurance company sent it back and needs pre-authorization"! The same people who just denied Remicade in favor of Humira. Now I have to sit and wait while they make this decision again! A decision that has already been made!

I'm grateful that I have insurance, but this is ridiculous. The stress from chronic illness is enough, then you add to it people who don't know you, have never met you, and get to make decisions that affect your quality of life. I will wait, what choice do I have?

Thank you for listening. Now on with the day and on to doing something that will change the way things are!

9 comments:

  1. As a nurse, I am so sorry! I deal with this with the insurance companies on a regular basis and it is VERY frustrating. I feel for you! I found you through the blog hop. Hope you get a chance to check me out at www.feelingtheemptynest.blogspot.com thanks:)

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    1. Ty for stopping by and for your kind words! It is irritating for sure at least I have blog hops and new blogs to read to take my mind off of it :) I'm heading over to your blog in a little while. Have a great day/night.

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  2. I don't have RA - but I do have chronic issues, and I am forever going back and forth with my insurance company regarding getting the treatment I need. It is so frustrating, and depressing sometimes! I think reading your blog will be a huge encouragement for me, as a pain sufferer. Thanks for sharing your honesty!

    I found you through the "Linkin' with with My Ladies" Blog Hop. I would love for you to check my blog out at www.faketillmake.com. Thank you!

    Sara

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    1. Ty for stopping by! I'm sorry to hear you are having these issues as well. I hope I can help and if you need to "talk" just pop on over here anytime! I'm heading over to your blog now.

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  3. Doing a little blog hopping, Linking with my Ladies.

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  4. Ty for stopping by. I'm on my way to your blog now.

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  5. oh dear! I hope you can get everything straightened out . Your rheumotologist sounds like he really works with you...good luck!!!
    I am your newest follower from the hop..pls follow back if you can.

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    1. Ty for stopping by! Yes, I'm lucky to have a good Rheumatologist, I'm grateful for that. I m following your blog now, it is a great site!

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  6. Thanks for your kind comment on my blog, supporting you back by following on GFC ! I will follow you on G+ too as soon as it lets me log off from this profile, and on twitter feel free to say hi so I can follow back, Kisses

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