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Old 01-22-2012, 06:57 AM   #1
gja1000
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Quote:
Originally Posted by Blueyes View Post
*Waving my hand in the air* I KNOW, I KNOW just what you are going through!! We don't have Medicare to deal with, but we have Caremark!! They have decided that they won't send Mike's insulin injections like he usually gets, and they want him to use a different brand of blood thinner injections than Lovenox..there aren't many choices

Mike has had lots of weird things wrong with him lately, but it was just determined that he has extremely low testosterone. Of course they can't give him testosterone because it may cause blood clots. Now just let your minds go here a moment... I live with a MAN that has big hot flashes, cold chills, can't concentrate on anything AND has estrogen filled mood swings!

I think we may just need to send them to the woods together, Gayle!!!!
Oh Betsi! You are dealing with this idiocracy too!!! I know there is all kinds of fraud that makes insurance companies want to be so strict. And I also know they are looking out for their bottom line (why they want to change Mike's blood thinner injections). But that just makes it harder for those of who are just trying to do everything we can to keep our loved ones healthy enough to enjoy life. I know the reason Gary's insulin doesn't show up is because they don't want to pay for the type of insulin he has been taking. Yes, we can change back to a less expensive insulin, but the one he is currently taking is better for his blood sugar. OK OK, I can compromise but all this drama of getting the damned prescription to be available to him is just NUTS!
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Old 01-22-2012, 08:09 AM   #2
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Give me their phone number, Gayle! I will have it out with all of these "pass the buck" rules! It does sound like you found the right supervisor though. I hope you wrote down the name. This is a life or death situation, and they are worrying about Medicare paying???? I wonder if you called the insulin manufacturer, they would send you a batch?

Betsi, I am so sorry for Mike, but I am still laughing at your post! You really should hide in the cellar when his hot flashes and mood swings get out of hand! My SIL has the same problem, but he can take testosterone as soon as he gets to the endocrinologist to begin. He really needs testosterone. He certainly has not "manned up" as far as working is concerned.

I called my dental insurance company, and FINALLY, they do not need any more paperwork!!!! They will now review it. The young woman I spoke to rold me that I will be getting a check, but I will believe it when I see it!

Now...onto Medicare and my new drug company.
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Old 01-23-2012, 09:26 AM   #3
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Oh Gayle......You need a BIG hug!!! Dealing with all of this.....AND.....Joyce!!! I'm surprised that I haven't heard screams of fustration all the way up here!!! You certainly deserve "The Wife of the Year" Award!!!!

Betsi, I don't know how you do it either!!! I'm not sure how I would handle an emotional man that's dealing with hot flashes and other stuff!!!

You two should go and just have a weekend together with lots of fun and laughter!! You both deserve it!!!
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Old 01-23-2012, 11:14 AM   #4
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Sounds like a great idea
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Old 01-23-2012, 02:09 PM   #5
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Yes!!
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Old 01-25-2012, 08:04 AM   #6
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I called the drug company, my union, and some other Human Resource place involved with the Dept of Ed retirees re Medicare. I also went to my doctor, who told me that next time I come in, he will have to do a physical, and some other stuff. He told me not to worry about anything. They know what has to be done, and will do it.

WOW!!! So far, so good! I got this thick booklet about Medicare, which I definitely don't want to read. I will look through it though, just so that I am familiar with what I can expect and what I am entitled to.

Now, to wait for the dental insurance check!!!
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Old 01-25-2012, 08:29 AM   #7
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Wow I can't believe all the stuff you need to go through!!!
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