So…. as we all know its the new year. I wrote some of my best wisdom a month or so about some of the things patients should be made aware of prior to the new year. Since my customers aren’t aware that I write this famous ( or not) blog, they aren’t able to benefit from this amazing diatribe. One such customer is Stan.
Stan and his wife are in their 70′s and both are on Medicare D…and Mrs Stan is on a medication that I suspect is being dropped from the formulary in 2013 because when I filled it Jan 5, I got a response from insurer…” transition supply limited to 31 days”. To complicate matters, they tossed in the fact that they want an early refill in a couple of weeks because they are vacationing in the desert and didn’t want to be bothered with transferring it…( sigh). So, when they came in, I made a point of printing it out, and explaining in detail what that possibly means and that they have all month to call the insurance and find out if they will have continued coverage or not. ” Because if you dont, its possible that later this month I can give you only ONE DAY worth of meds because you already have 30 days filled.”
I made it abundantly clear that its important that they call as soon as possible.
He didn’t seem to want to make the effort, saying ” Ill just pay for it” until I informed him that the rx would cost him a bit over $400…EACH MONTH.
He Harrumphed a bit and added this bit ”Have YOU ever tried to CALL an insurance company?” and walked off.
You are kidding right, Stan?
Sadly for the benefit of the many, I occasionally have to sacrifice the few, so Stan, YOU have to call the insurance because I can’t sit on hold for a half hour for ONE patient when 50 others wait…especially when this isn’t my problem. I am not a bettin’ woman but I’d put a few cents on the chance he doesn’t believe me and fails to make that call.
The ball is in his court. I guess we will see what happens when I transmit that next claim.