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Droopy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 01:44 PM
Original message
Man, am I pissed
I just got new health insurance. I'd gone without for over a year. I have 4 long term prescriptions that I take including a very expensive anti-psychotic. I was under the impression that under my new plan I could choose to get my prescriptions filled at one of their affiliate pharmacies or I could order them by mail. If I order by mail I have to get a 90 day supply at a time. That means that there will be about $1200 worth of medication out there floating through the U.S. Postal system in route to my house. I decided to get the prescriptions filled at the pharmacy even though it costs a little more just for my peace of mind. If I go without that anti-psychotic for more than a couple of days bad things can happen. And I know the post office loses stuff. They recently lost a bill for one of my credit cards.

So I get a notice from the health insurance company today saying that I have to order my long term prescriptions through the mail or they will not cover them after 2 refills at the pharmacy. :grr: I call customer service and they were absolutely no help. :banghead: I've never wanted to cuss out somebody so bad in my life.
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auntAgonist Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 02:41 PM
Response to Original message
1. I order all
my scripts through medco mail order. I'm fortunate in that the items I need are a)few and b)non life altering if they arrive late. Having said that, I've always had ample lead time to re-order and I've never had issues with lost packages. I hope that it works out for you Droopy!

:hug:

aA
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Lars39 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 02:48 PM
Response to Original message
2. There should be a backup deal with a local pharmacy.
:hug:
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Rosemary2205 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 03:06 PM
Response to Original message
3. I do mail order.
You'll need a different prescription for them. One that stipulates a 90 day supply. Your regular 30 day one transferred to them won't work --well it will, but you will have to go through the hassle every 30 days.

My advice from 9 years in mail order.

Keep a copy of the original prescription you mailed in.

Don't bother with your doctor calling or faxing in in refills to mail order. Those stooges at mail order can never get that right. Mail in a hard copy instead.

Mail payment with the prescription. Call the mail order pharmacy and find out exactly what you will owe. They will withhold shipping until it's paid in full and the stooges probably won't bother to call you if you underpaid - they'll just cancel the order without letting you know.

Plan a minimum of one month in advance. -- Once you get that first mail order - put a date 2 months away on the bottle itself and then order ON THAT DATE. After that you'll be able to order on the reorder date printed by the pharmacy on the bottle - I hand write that date on all my bottles to make it easier to see and I also put reorders on the calendar that hangs on the fridge.

On critical meds, make sure you have a backup 30 day on file at the local pharmacy. Nearly all insurance companies will approve a local 30 day on critical meds if something happens and your order was lost or got hooked up on their end. You'll have to do this once a year as a prescription expires exactly one year from the date it was written. - keeping it on file on the time but not filling it unless you need it will give your a sense of security in case something happens.

Re-ordering on the net may be possible but don't do it. Call for reorders. The reason is that every time you send in a new prescription as the old one expires, then the stooges will give your med a NEW prescription number. When you order over the net the stooges will be too stupid to look at the medicine name and find the new prescription in your file and fill that instead of the number you gave them. They will just cancel it and not say a word until you call a month later and ask "where's my meds?" -- so always call -- you can order by the medicine name not the number.

Lastly - when you mail in a new hardcopy of a prescription - always have it filled immediately. Don't put it as refills on file. Make a point of mailing it about a month after you have gotten the last refill off the old prescription. That way you won't lose any of your refills.

Eventually you'll end up with some meds stockpiled and be tempted to delay ordering until you whittle your supply down. Be careful on that. I've done it and it was fine and I've done it and ended up in a race against the calendar because the stooges at mail order took 6 weeks to get me my meds.

Good luck -- it can work VERY well, once you know exactly what fleas come with your particular mail order dog -- so to speak.
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Droopy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 03:23 PM
Response to Reply #3
5. Thanks Rosemary
I'm still hot over this. It seems like forcing someone to do mail ordering of their medication ought to be illegal.
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Rosemary2205 Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jan-13-08 11:02 AM
Response to Reply #5
8. It's VERY cost effective.
The mail order pharmacy is just basically a giant drug warehouse. The savings to your insurance company on drugs is phenomenal. I am on a neurological drug that is quite expensive and the cost to my insurance is $120 less a month when they pay the mailorder pharmacy versus my local pharmacy. They may save $20-$30 a month on my heart medicine too since it's not generic yet. I personally think it's a win/win situation. I get to have prescription coverage - which most Amerians don't - and it helps keep the coverage affordable for everyone.

Yes, I hate the hassle, but the benefit overall is worth it to me. -- And quite frankly, if we do ever manage to get socialized medicine - I am going to be stuck with mail order anyways! :)
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YellowRubberDuckie Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 03:17 PM
Response to Original message
4. Surely you can work something out with the shipping and get them sent UPS....
Sure it will cost a little extra, but the piece of mind would be worth it...
USPS sucks. I refuse to use them for anything more than a Christmas card.
Duckie
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Droopy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 03:25 PM
Response to Reply #4
6. I'm afraid not
It's their way or the highway.
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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-12-08 03:33 PM
Response to Original message
7. Gosh I really sympathize..
Having gone through more than my fair shares of fights with insurance companies over meds..This is a new one though...I never had one try to FORCE me to do mail order...:hug:
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