Since my mom found out she has cancer my sister and I have done all of the heavy lifting. I’m retired so I can take her to appointments, chemo and to see her friends. My sister works and has an active family but still takes care of her on the weekends and so much more.
I took my mom to the pharmacy to get a refill on her nausea medication. The chemo causes terrible nausea and this offers some relief. I went in and it was nearly$35 for fifteen pills. This seemed excessive to me and I asked how much it would be without her insurance and they said they didn’t bill her insurance. Instead the gave her 10% off via a discount card. I asked why they didn’t bill her insurance and they said it needed to be pre-approved.
She has been taking this medication for months and overpaying for it all this time. They never bothered to tell her this.
I took her straight to her doctor. There I was told that her oncologist would have to deal with it since she is on long term care. I called her oncologist and said that the pharmacy had to call the doctor to give them information. This was becoming Orwellian and I lost my patience. Finally the woman said she would take care of it. She called back later and confirmed that they got it approved, got a larger dosage so she could it less often and thirty instead of fifteen. This helps incredibly.
My mother is 82 and has cancer. My sister and I are advocates and she was still overpaying. There needs to be a change in health care in this country. We need national health care that manages all of this. It’s too complicated and bureaucratic for the layman.
UPDATE: Went to the pharmacy today and it was rejected by the insurance because it wasn’t pre-approved. They said they sent a fax to her oncologist. I called the oncologist but they were at lunch. I tried later and was told they hadn’t received a fax. They are looking into it for me.
FINAL UPDATE: It was finally pre-approved. She was paying $34 every four or five days for Now she is paying $7 for a month’s supply. It isn’t right. The pharmacy should have called the doctor but instead my mom overpaid for months.