Posted 3/23/2012 3:35 AM (GMT -7)
I think we are in one of those parallel universe things today....I have been having tax and insurance issue too...big ones!
My insurance is United, but they made me use their speciality pharmacy for my most expensive meds. The pharmacy is filing for two vials every month, but I only get one. They charge it as if my vial holds half of what they actually do...so it makes sense to them, but not to anyone else. The insurance company approved for two vials a month with no problem, but the pharacist won't fill it because he his lying to get an additional co-pay. He says that they can't break a vial (it's an injection) and that I was trying to get over because my medication would last longer than 28 days if he filled it as written by my Dr, but then he said the had to fill it as written and couldn't give me more than 25 days because that was what my insurance would cover. It makes no sense. I spent three days on the phone with everyone and even filed everything I could think of...but I promise I am not done with these folks.
Anyway, apparently United has some program where you can use a different specialtiy pharmacy after you have had so many issues with the one they make you use and I must have hit the limit, because they changed my speciality pharmacy yesterday. Of course, I'm still stuck with the co-pay on the 25 day supply, but I can't do without my medication (for my pituatary gland) while they continue to figure ways to cheat people.
Also, with insurance, I filed a complaint for fraud against a Dr a year ago and it was just "resolved". They got him.....but then decided I had to be the one to pay him for his charges...hello????? Why would anybody have to pay if the issue was determined to be fruad???? So now we are "working" on that too.
Lastly, someone in HR decided a year and a half ago to change my husband's federal tax withholdings to EXEMPT! We didn't even know and now we have to pay a LARGE chunk to the IRS by April 17th. Of course, we don't have it to send, but the IRS isn't interested in why you owe it...they are interested in you paying what you owe.
I appoligize for jumping into your thread with all my junk. I was simply going to say I understand, but it seems like I had an explosion when I started typing....lol
I honestly do hope things work out for you in this. These insurance companies are making it so hard on honest people by their own dishonesty. Take it as far as you can!!! You are blessed to be a very intelligent person and one who seems to be able to stand up for themselves on issues like this!
Good luck my friend! Give em heck.
Failed TLIF L5-S1, Miltiple Bulges/Herniations, Scoliosis, Pituatary Disorder, Fibro, Failed Bladder Surgery, Failed Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (now trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendonitis, Adult Onset Flat Feet, & Vision Issues