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One of those days I should have just stayed in bed

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Crohn's Disease
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dragonfly137927
Veteran Member
Joined : Sep 2006
Posts : 2527
Posted 3/14/2011 8:10 PM (GMT -8)
hi all having a rough day which has now led me to get a horrible stress headache.  It started out great except I am all thrown off by the time change I normally get up around 9 and well if we hadnt chagned the clocks back it would have been 9.  No big deal some mornings I stay in that later based on how I feel.  Then had a pretty good morning until I went to s=wash some dishes forgetting I placed a small bowl of sugar in a larger bown which submerged it in water flipped it out covered myself in sugar water and jumbalaya mix...went to toss it in the wash to find my future step son stopped his laundry mid cycle and then my arm took a cold soapy bath...so finished up his laundry that he forgot about and did mine.  went to make some kool-aid and it was only half full but had the pressure up a little to high and I made a kool aid fountain...well then figured I havent heard any thing about my Humira I needed a PA to get it covered again and I called my GI in Feb about it and have been there for an appt since.

so 1st I called my pharmacy they still had no approval (I called march 3rd and that was who I was told to call per my GI office) they had nothing.  I called my GI office but they were on lunch so I called my script insurance thru medicare....They claim they faxed the PA form on the 7th (mind you that is 4 days after I called it in) and my Doc office never returned it so I called my Gi's office to find that they had in fact faxed the forms requested over 4 times and it got denied.  So i call the insurance back they give me the same story as when I spoke to them before so they contacted the PA dept and they informed me that my GIs office didnt fill out question 4 and they could call in to fix that and then go from there ...so I called the GI office back left another message they still insist they sent the papers back with that missing info 3 more times and again today ...

I dont know what else to day I seem to be the middle man and no one can get their story strait what can I do?  I norm take my Humira every week unless I get sick and from those times I have left overs so I havent missed a dose yet but if this mess keeps up I will and when I miss just one week I begin to have symptoms and at 1 point I couldnt take it I ended up needing more Sx

 

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AuburnByrd
Regular Member
Joined : Mar 2011
Posts : 49
Posted 3/15/2011 5:31 AM (GMT -8)
I hope today is better for you! Keep fighting, calling, and persisting. Eventually someone will do something when they get tired of hearing from you. That's what I do. :)
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TakillRa
Regular Member
Joined : Nov 2010
Posts : 489
Posted 3/15/2011 5:59 AM (GMT -8)
awww Now that sucks!!! I hope things go better for you.. HUGS and lots of em.
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dragonfly137927
Veteran Member
Joined : Sep 2006
Posts : 2527
Posted 3/15/2011 8:11 AM (GMT -8)
Thanks today I get jolted awake by my phone ringing and hoping things are fixed only to hear them telling me Humira is not covered on my plan and you are not to take more than 1 biologic at 1 time....I have had this plan going on 2 yrs now and NEVER have on been on mult biologics...IDK what to do unless there is a way to have a 3 way call with both my GI office and insurance agency...So stressed and woke up in serious pain with my stomach..yay for strese making my stomach hurt
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