Wednesday, July 23, 2008

Selectmed; Here to for referred to as The Axis of Evil

Ok, so at the last doctor's appointment Kristen mentioned she was having pretty bad heart burn. Not too rare during pregnancy, but still not fun. The doctor prescribed a medication called protonics. He thinks it is the best thing out there. I went to the Walmart pharmacy to pick up the prescription and it takes the 14 year old boy working the counter a little while and some conferencing in the back to figure out that our insurance, The Axis of Evil, requires a pre-authorization to let us get that medication... We contact our doctor's office, they make some phone calls...

The next day, heart burn getting worse from so much laying down, I go back to the pharmacy to pick up the medication. Our nurse had called The Axis of Evil to get pre-authorization, they, The Axis of Evil, wouldn't let the doctor prescribe the original medication and said that the doctor would have to prescribe something else.

Let's briefly pause in our story to underline what The Axis of Evil has just said shall we?

Our medical professional, who actually knows Kristen, has even met her once or twice, decided which medication would be the best in her situation and would do the best job. The Axis of Evil, or more specifically, an accountant sitting in the third cubicle on the left in the basement of The Axis of Evil, crunched some numbers and figured it would be better for their bottom line to not cover that medication. Great, neat.

Picking back up where I left off. This visit it took the 13 year old girl working the counter, who decided to help the jock she was flirting with behind me before me (hey who cares about lines), a lot of looking up and conferencing and she comes back to me with. "Yeah, you're going to need a pre-authorization for that."

I pinch the bridge of my nose.

I explain that we had already been told that, and a new prescription had already been called in. She saunters away, and comes back with a more informed post pubescent employee who said "Yeah, it shows that both of those medications need a pre-authorization before you can buy them, sometimes it takes 3 to 4 days..." (The medication we are talking about here is really common and doesn't exactly have an impressive street value) Infuriated at the response I tell the Bobbsey Twins that I was too angry to talk and needed to walk away.

Apparently our nurse had originally been told, by The Axis of Evil, that a different medication had to be prescribed. But actually, there is only one medication The Axis of Evil would cover, which was the generic version of the third medication down the list of what the doctor wanted to originally prescribe.... great, two thumbs way up.

So now three days after the original date of prescription kristen gets to take the Albertson's brand of a mediocre medication. The insurance company said that after she has tried that for awhile they will allow the doctor to prescribe something else if he SENDS THEM A LETTER explaining and detailing the medical need.

EVIL EVIL EVIL EVIL EVIL EVIL EVIL

My temples were about to explode, write YOU a LETTER?

So I called The Axis of Evil again on my way home, the first few phone calls and transfers taking up most of the time I was wandering between crafts and produce, and had my complaint "registered", and was assured they would research that right away.

Look at me holding my breath.

The best? the medication that The Axis of Evil allowed us to purchase? The same stuff The Axis of Evil allowed me to purchase for my own heartburn a while ago. A medication which has not been very impressive. Even better? There was a bottle already sitting in our bathroom cabinet.

Perfect.

---

Today has been ok, nice visits and phone calls and lunch brought in (Jen rules). Kristen is just all achey and in pain from trying to stay in bed or on the couch. Hopefully the heart burn will decrease a little.

I'm sure that the doctor will be able to prescribe something for the pain.

Certainly The Axis of Evil will have no problem allowing us to purchase whatever he suggests.


We'll post after tomorrow's doctor's appointment. It's in the morning.

4 comments:

Tiffany said...

GREAT.....we have select "value"

cryssal said...

It sucks from the Doctors end too, all the calling and stupid ?'s from the ESL or ETL or EFL person on the other end. Heartburn meds is what I had to call in when I was receptioning....It got really frustrating. I will have to share sometime.

Anonymous said...

Prescription antacid needs are a nightmare in general it sounds like. My insurance shot down any prescription level meds for GIRD my dr tried to prescribe. Prilosec is the only thing I can buy off the shelf which SOMEtimes works. Thankfully there is now a generic where up to a few months back you had to buy the 24 karat gold plated non-generic version of prilosec. Grrr...

And what do you think about my previous sling shot game idea?! The game could be called food shot, or sling food, maybe snack blaster. All in the name of entertaining Kristen of course...

Anonymous said...

I'm trying to get into this new age of communication and etc.; only trying I say!
So glad that things were still o.k. and doable today.It's wonderful how many people are willing to step up and help and support.
I'm calling my grandson Muffin right now, Wolverine just doesn't do it for Grammy.
We're going to be cooking burgers and dogs for our branch's BIG pioneer day celebration, for those who don't know Calvins' Dad is the new Branch Pres. here in Cheboygan, Mi. so where he goes, and talks, and cooks, and whatever; there go I! We're having our get together on a beach on the shores of Lake Mi., beautiful!
Well, will close for now, stay well and keep up the good work K!!
Love, Muzz

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