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I'm new to the Forum and this is my first post, so, forgive me if I don't, quite, get everything right.
I've had a terrible time since purchasing my Health Ins for this year. We could , only, afford 1 plan and it all seemed great to begin with. Unbelievably, there was not a p mgmnt dr within a 100 mile radius who took my insurance, but, here comes the good part, an out of network team was allocated to deal with my case so that I could continue with my current Dr, and they would just continue to bill the new company. ( using same medical codes). Seemed great to me. Not so!!! In Jan ( while my husband was overseas) my intrathecal pain pump ran out of medicine). This happened on a Friday, so , despite a visit to the ER , and getting THAT look!!!!!, I was forced to suffer withdrawal for 31/2 days. BTW, this was sue to a miscalculation by the Dr, when he titrated the pump. My , actual, appt was 5 days later. My husband would be home, everything would be fine. As expected, he called for me and asked if they would, please, fit me in Monday morning ( as a matter of urgency) The office mgr , who was hired 2 months previously, was not happy when he became a little harrased. This was understandable, but she became irate when he pointed out that it was their mistake in the first place!!! I went down for my , begrudged , appt at 9pm. At this point, I was asked for a , fairly substantial, sum of money. I said that I only had a small amount as I was expecting hubby home and not expecting this, emergency, appt. There was rather a fuss ( very embarrassing) with other patients hearing everything. However, the Dr did see me. Moving on from Jan, at my NEXT appt , I was forced to pay this, substantial, sum before I could see the dr, and have my pump refilled!! The office mgr , clearly, had taken a dislike to us. From that point on, instead of billing the ins co, as previously arranged , no bills have been submittex, prescriptions have been wrong , late. Pain pump ran out early AGAIN. My nerves are , completely, shot. Its, definitely, become a harassment campaign.
Well, the final straw cane last week , when I received a registered letter telling me " I could no longer be a patient as it was too difficult to work with my insurance co"
I went to the Drs office to make my final appt, which I was denied. I'm wondering if anyone knows 1 is it legal to deny a patient an appt when they still have a month from the date on the letter ( as stated)
2/ After chasing for 3 days ( my oral meds had run out 3 days prior, again) the Dr said an e script was being sent
3/ The script was TAPERING my meds ( he's seen fit to have me on the sane amount of oral medication for 2 years. The TAPER turned out to be " over 4 weeks, from 6 tablets every day, week 1. 5 tabs a day . Week 2 , 4 tabs a day. Week 3, 3 tabs a day, week 4, 2 tabs a day
4/ An addendum from the office manager. Exact words " it's not our fault if the script doesn't fill. We're not doing any more prior authorizations for you.
So, I'm very sorry if my first post is too long, but I tried to put all of the valid points in. This woman has made life miserable, single handedly turned me into a jelly ( nervous wreck ), who doesn't want to leave the house. I feel like there's nothing I can do. This has all been a vindictive campaign, none of which was necessary. I've been a good patient for 2 years. I've sat the,obligatory, 2 to 3 hours in the waiting room when we've all been triple booked .
I'm a nice person, but I feel helpless and just had to vent!!! Has anyone else experienced ANYTHING like this??
Again, I know this is miles long, but I wanted to include everything . I'm excited to be able to talk to other people suffering from chronic pain. Also, to give my friends and family ( but mostly my poor husband) a break from my , endless, complaining about how unfair the world is.