3.09.2010

Today I Hit the Motherload

It started with a phone call I received Friday night, about 7pm.  It was the pharmacist from Ci.gna Teld.rug (their mail order pharmacy, which I basically have to go through to get my injectables covered-since they are covered through medical and not pharmacy benefits).  The pharmacist on the phone was calling because my order from PPVI didn't make sense to him.  He said they ordered needles and not syringes.  He wanted to know if I needed syringes.  I said yes, thanks for asking.  Then I thought to mention how last time the needles were on the syringes, but they were the needles to inject.  So I had to remove the needle and put a bigger one on to draw up the meds and then change it back to the smaller one to inject.  He said he had thought of that and it was corrected.  Then he asked about my dose and the concentration.  (It would be nice to have my meds concentrated at 100mg/mL so I could take half the dose, but compounded meds aren't covered on my plan so I just stick with the 50mg/mL to save money).  He said that it was ordered with refills available, but the way it was written up I was only get a one week dose (sidenote-I blame PPVI for none of this; they have always been fantastic and even have a nurse that deals only with insurance!).  He said they shoot for a 90 day supply!  I explained that the dose was based on a blood draw done every two weeks, but if my last pregnancy was any indication, I was on it for 36 weeks at mostly the same dose.  He said given that information, that he felt it would be fine to send me out more meds.  He also asked when I needed it by.  He said it wasn't included and he would have to talk to the doctor to confirm what I told him, and he couldn't until Monday, and he wanted to make sure he wasn't leaving my high and dry.  All I could say is "is this the same Cig.na that gave me such a hard time about the novarel?!" (seriously, they are still trying to get me to pay for the first months' supply which was filed wrong by their employees under the wrong diagnosis code; when I refilled it, they had the right code and it was covered completely!)  The nice man said, "ma'am, sustaining a pregnancy is a whole different ball of wax than getting pregnant in terms of coverage."  I thought "you aren't kidding!"  So today, Tuesday, I receive a box with 10, yes 10, vials of progesterone and needles and alcohol pads (I love the those!) and a sharps box.  Now that is service!  I only wish this was the service we get prior to getting pregnant-wouldn't that make (IF) life just a little bit easier!

6 comments:

Kaitlin said...
This comment has been removed by the author.
Kaitlin said...

Oh how I long for the day when I can experience insurance actually PAYING for something! So glad it's working out!

Karen said...

Oh my! You sure did hit the mother load! Don't even get me started on insurance. It's so nice to find the nice guy in there...I knew they had to exist somewhere. :)

Carrie said...

Insurance is makes my blood boil....literally....

mrsblondies said...

I'm glad that you are having better luck with the insurance. It's sad that it's so difficult to get the pre-pregnancy stuff covered, but it's great that they are so good about the meds to protect the pregnancy.

Life In Mazes said...

That is awesome!!!! What a tremendous blessing!