Friday, January 15, 2010

I could get angry....

Maggie's new formula is crazy expensive. The good news is that it is sometimes covered by insurance - so we were hoping for that. Otherwise, we would just deal, but it would be a help (obviously) if it was covered. The doc submitted the claim, and then the pharmacy called me. They said that they didn't have the right insurance number for Maggie. I thought that was weird, as Hulk had just been to the doc and we all have the same numbers - and he had no issues.

So I called the insurance. They told me that since the formula is available over the counter, it gets rejected automatically, but all your doc needs to do is to resubmit and it should be fine.

Cool.

But Aaron was home on Weds, and we got a call from the doc explaining that it appeared to them that Maggie's insurance was canceled. WTF? I was having friends over for lunch - so Aaron did the calling around. You are NEVER going to believe what happened. I obviously had to call in and add both Maggie and Nora to my insurance to be sure that everything was covered, and we then canceled Nora's. Well. When they call to submit claims, they do it by birth date. So - when they call, the computer would pick up twin A first (Nora) see that her policy was canceled, and then reject the claim - not looking for another child with that birth date. Obviously, twins are rare, and losing a twin is even MORE rare, but serioulsy.

AUGH!

Now the insurance company is fixing Maggie's number so that doesn't happen again - but you've got to be kidding me! Poor Aaron was on the phone for over an hour telling our story over and over again. Good times.

15 comments:

Jen said...

How horrible to make you re-tell what happened over and over again to get something fixed. I hate dealing with health insurance.

Heather said...

I already didn't like insurance companies but now I totally hate them. How absolutely horrible. I'm so sorry!

Carrie27 said...

Oh no. I'm so very sorry you had to deal with all of this. Huge hugs!

Deborah said...

How awful! And how stupid. It's not like twins are that rare, there should be a way to deal with that in the computer.

sarah said...

ugh

Anonymous said...

I am not sure if you knew this or not but my daughter had to be on alimentum and our insurance did not cover it either but Wic does we got 9 cans a month and had to pay for the rest but it helped save! You can get powder or the ready to feed. Sending lots of hugs

Jill said...

that really sucks...just another reason to hate insurance.

Michele said...

Oh that is awful. I am so sorry!

Geohde said...

Cece, that is just poor of the company. I am so sorry you had to re-explain like that, it shouldn't happen.

g

MyLifeMyWorld & Growing Families said...

Good grief! I'm glad their working with you to get this resolved. I'd write a letter to the head of the insurance company to let them know that this is something they have to fix through their entire system so it doesn't happen to anyone else.

Katie said...

That's terrible.

Thinking of you.

Annalien said...

I am sorry! This is really the kind of hassle a grieving family does NOT need! Still thinking of you frequently.

Anne (grannieannie) said...

My husband has a zillion food allergies which means special (i.e. expensive) items for him. His doctor sent a note to the flexible spending company saying that DH needed the special diet. We can now get the difference between normal food and his food reimbursed. Of course you have to have a flexible spending account to begin with.

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Manise said...

OMG! So sorry about the insane insurance snafu. That's just crazy!