Insurance companies. How many of you just cringed and made a sour face as soon as you read those first two words? I know I do. I don’t know what it is about that set of words. Even when I was younger I didn’t like those words, and I didn’t even know anything about them. As my uncle always called them, “in-case-stuff-happens companies” as in they are useless unless stuff happens. Insurance companies brought a whole new level of hatred into my life when I became diabetic.
I didn’t really deal with them the first 2 years of my diabetes because my mom handled just about everything. I just simply went to the pharmacy to pick up my prescriptions and went to the doctors office and handed them a card. Once I moved to Florida to finish college, that’s when I had to deal with things myself.
I can remember the first bad experience that I had with them. I had only 1 vial of insulin left and I pulled it out of the fridge to get it to room temperature about a day or 2 before I would actually use it. As I was taking it out of the nice little box it comes in, it slipped out of my hands and smashed on the floor and insulin went everywhere. Not only did I have an insulin smelling floor, (disgusting!) I was now going to be out of insulin within the next few days.
I went over to the student pharmacy the next day and pharmacist said ok it should be here tomorrow. I get a phone call the next morning to come in and see him. Guess what? Insulin is there but the insurance company isn’t covering it so it is going to cost me approximately $500 with the student discount. Reason for why they won’t cover it you may ask? Because I have a 90 day supply and we are only on day number 78. I still remember the day of my 90 day prescription I was on because it made me so pissed. After I explained to the rep that I will be dead before day 90 comes around, she transferred me to multiple people. Finally, on a one time basis, they will cover the insulin.
Now, fast forward 3 1/2 years to last week. I received a new pump and CGM from my diabetes supplier earlier in the year. They are out of network with my insurance so no big deal, that will eat up my out of network deductible. Well I keep receiving statements in the mail showing that none of my deductible has been met. This doesn’t make sense to me. Also, every month I receive a letter telling me that I haven’t sent in the additional information that was requested of me and I must send in something in writing or my claim will be denied.
Huh? What? I never received anything in the mail stating I had to send in anything! Every single time I call they tell me that I just have to submit my appeal in writing. Well, what the hell am I appealing? I haven’t received anything telling me I need to appeal! Long story short they are requesting months of blood sugar logs, CGM reports, A1C reports, etc. If they just would have told me that months ago I could have had it to them right away. Hopefully I can get this all straightened out and taken care of. I don’t need the added stress.
Just another reason I can’t stand insurance companies!
And just another day in the life of a diabetic