Tuesday, July 12, 2011

Another update on me

I ended up buying compression sleeves for the lymphadema. They cost $91 EACH and I had to get two. I filed with my insurance (after getting a prescription from my oncologist), but haven't received any reimbursement yet.

I'm slowly gaining strength, and was able to go home (from Texas to Missouri) for my parents 50th anniversary. I haven't had any more problems with the insurance company, though I've run into problems with my company that handles prescriptions. My oncologist doubled my potassium (due to being on diuretics), but Express Scripts said it was too soon to refill the script. Then, my neurologist wrote a script for a name brand anti-seizure med. He found out last month they gave me a generic and said we can't do that. Apparently generics are allowed to be between 80% of the name brand up to 120%. He said that's not a problem with most meds, but we can't have that with anti-seizure meds. What happens if you get the 120% one month and the next month get 80%? It's too big of a jump. But my insurance company for meds (Express Scripts) requires prior authorization for name brand. This is something new because they used to only require the doctor to put on the script that he wanted name brand and not generic. Another problem with Obama care. They're already trying to save money but automatically substituting generics.

My son turned 21 in May and we just recently found out that our insurance company dropped him. Luckily, he's on Medicaid due to mental disability (he's Down Syndrome and autistic). They did say that we could go to any base with a pass and ID office and get the paperwork to put him on the retiree's version of the exceptional family member list. It basically says he's disabled and will live with us the rest of his life as a dependent. But I can't drive to places I haven't been before, the stress is too much in this frail state of my medical condition. I have to wait until my husband can take a day off from work and take us. So it will cost us money, as they figure the only people who need to go the pass and id office are already on the base, and they're only open during working hours. And I thought children were supposed to be covered until they were 26? Apparently not. And I have government insurance. Maybe they mean normal free-loading children, and not special needs who will require extra money to support?

Man, gotta love Obamacare. I started out being against this the first draft I read. I want to tell y'all......I told you so.

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