I’m just waiting for a Class Action due to these exact situations. Malpractice by an Unlicensed Medical Professional should be thrown in as well, especially now that they KNOW that’s what they’re doing; the intent exists!
Dupixent is the only medication that’s worked to treat my mom’s eczema in 20years. Since being forced to go on Medicare, the co-pays have shot up to $1200 per injection as opposed to the $200 she was paying prior. All appeals were denied, and she’s exhausted all her options. She doesn’t qualify for any savings program either, and as a result, she itches 24/7, and has open areas prone to infection.
Im so sorry. That is inhumane😢💔That is insane, how does anyone afford that?!!! Even $200 is insanely expensive. I hope some relief of some sort and change happens for your mum and everyone else suffering omg I am so sorry it would be so stressful too adding to the illness with that stress with insurance and costs.. It seems the American medical system is scary bad.☮💜
My favorite is when they say they aren’t going to cover my asthma inhaler & then say it’s for my health so consequently I can’t breathe so yeah that’s healthy
This is what's happening with my diabetic medicine. My sugar levels fluctuate so bad, but this medicine has kept it leveled. It's jumped from 30 dollars to 866, tysm BCBS 😭
I love that too! I also love how there's no change in the insurance but they decide they won't cover a medication you've been on for years & it's actually working but they just decide to stop paying for that particular med! I'm a nurse & it's not only happened to my patients it's happened to me & my family members!
My schizophrenic manic depressive mother FINALLY got meds that worked and kept her sane and " normal" till insurance decided they won't pay no more.. back in the mental hospital again with a long episode. Aggravating , so maddening. .
As a chronic pain patient I now have real diagnosed medical PTSD because of the way I've been treated and every single month not knowing if my meds will be filled . Whether it be because the pharmacy just decides I don't need the drugs I've been on with zero incidents for over 10 years or the Dr. all the sudden decides its good idea to cut my already low does it half. All chronic pain patients know exactly what I'm talking about.
It's obscene the way people in pain are treated. They're now so afraid of addiction that they'll allow people to be in pain rather than make sure people are pain-free.
THIS!!! YES! Thank you. Between ins, pharmaceutical companies & SOME dr's, some people are lucky to be alive. I had a Dr (accredited specialist) tell me he "couldn't do anything else for me" AFTER he had me try a medication that... Contains ingredients/drugs I'm allergic too & don't work, have been banned and/or come with strong warning labels, & is on my genetics test as a "comprised medication" for several reasons. Sorry ya couldn't kill me doc but thanks for trying!!
Yep! Been CASH pay for a year - 400perMonth 4 BREO....now Medicaid and NOPE - gotta fail on 3 other COPD meds 1st. BTW I've done that, just not on medicaid. So now - I can barely get upstairs, let alone make it to my car! Totally STINKS and no recourse!!!! 😢
Insurance companies are straight up evil at this point. The amount of money and stress all from having a chronic illness and dealing with insurance…just awful.
Exactly! Only the patient knows what medicine works better in conjunction with the Dr's View point. Then before the Dr. can override the insurance decision,us as patients we have to proof to the insurance the why we should continue on the medication that it was working just fine with us. Well ..... there's only one answer to that SIDE EFFECTS with different medications. As individuals ......we all have different reactions.What might work for me might not work for someone else......as simple as that.
My insurance ALL the time. Husband had a margarine injection that was finally working for him, insurance decided they no longer wanted to cover it even with a prior auth, he now has a new one that only works half as well. I had a preventative migraine med that is the only thing that has ever worked for me. They came out with a generic which for some reason wasn’t working for me… went through weeks of fighting to get a prior auth and migraines to finally get my med approved again.
Cancer runs prevalent in maternal side of my family and physicians have recommended It have genetic testing completed; however, I fear this may end up as a, "preexisting," factor, at some point in time, when dealing with insurance companies. How very sad!
Yeah they claim it’s a preexisting condition and won’t cover. Some do after like 3 or 6 years, I believe. Insurance companies run off risk, and if they allow too much risk, premiums go up so they can cover the costs or drop you altogether. Lots of insurance companies aren’t approving high risk policies in general and it’s just a difficult market for everyone all around. Agents have been getting frustrated not being able to get quotes approved. Insured s are frustrated for not getting the best care possible, as soon and conveniently as possible. And doctors get frustrated because they need to get paid and don’t have the time and/or staff to to be dealing with the loopholes and/or of insurance. Insurance companies need to ensure they can cover claims/bills which is why they do the above. So it’s literally difficult for all parties involved. Built it’s the only system we got. ☹️
I fight with my insurance company all the time. I’m diabetic and my blood sugar drops frequently. I can’t tell when it’s dropping. I find out when I come to in the ER. It is usually in the 20’s when that happens. My endocrinologist and I had to fight for the Libre 2 sensors for at least 4 months. The comment that made them finally approve the sensors was “you can either approve the sensors or you can continue paying for ambulance and ER visits.” I finally have my sensors. I carry emergency injections all the time. Before they approved them their argument was type 2 diabetes does not qualify for the sensors. IDIOTS!!!
I’m not in the medical business outside of being a patient but it seems to me that insurance companies are far more problematic and cause a lot of what I see society being critical over than the medical professionals.
I didn’t even change insurances and this happened to me, I had my dr write a letter my my insurance explain why I needed to be on that medication … didn’t work. Then magically one day they covered it and it was cover till I changed insurances about 2 years later
Same thing happened to me recently. I switched insurance companies at the first of the year and now my new insurance company won’t cover the eyedrops that I have been using for the last three years. These are the only thing that has helped my severe dry eyes, and they don’t think that they are necessary for me because I haven’t been diagnosed with Sjogren’s disease.
My insurance just did this without notice the switch health plans. , now none of my surgeons are covered not my neurosurgeon not my surgical oncologist, Just none of them
WELL ONLY THING THAT CAN BE DONE AS A DOCTOR LIKE YOU CARING WOULD BRING IT BEFORE THE BOARD I TAKE MEDICATION FOR STAYING AWAKE AND THEY TELL ME THAT THEY DON'T HAVE ANY MORE OF WHAT I WAS ORIGINALLY TAKING SO THEY PUT YOU ON SOMETHING THAT A PLACEBO AND THINK THAT THEY'RE DOING SOMETHING AND NOTHING IS BEING DONE ON THE PERSON ONLY THEY'RE GETTING MONEY FOR SOMETHING THAT DOESN'T WORK I'M NOW 71 REALLY HATE IT! GRANNY
I was about to say I hope this is sarcasm. But hell it’s the same as any NEW DOCTORS taking over for doctors who retire and they feel the need to change the patients meds. My doctor retired and the new ‘doctor’ switched my meds cause of her opinion and fucked me up.
We just changed, the new insurance wont fill my steroid cream cause they say i dont need that big tube!!!?? But, they filled a new one thats stronger, same size & sends 3 tubes!! How does that make sense?? Grr!
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I’m just waiting for a Class Action due to these exact situations. Malpractice by an Unlicensed Medical Professional should be thrown in as well, especially now that they KNOW that’s what they’re doing; the intent exists!
YES!!!
I JUST posted a comment. Only this guy was licensed.
Thank you for being honest we need more like u God has a place for you amen
Hes being sarcastic
Love the sarcasm! Yup! Had to switch my asthma medicine. I love when they tell me there doctors will review it?? Who?
Dupixent is the only medication that’s worked to treat my mom’s eczema in 20years. Since being forced to go on Medicare, the co-pays have shot up to $1200 per injection as opposed to the $200 she was paying prior.
All appeals were denied, and she’s exhausted all her options. She doesn’t qualify for any savings program either, and as a result, she itches 24/7, and has open areas prone to infection.
Im so sorry. That is inhumane😢💔That is insane, how does anyone afford that?!!! Even $200 is insanely expensive. I hope some relief of some sort and change happens for your mum and everyone else suffering omg I am so sorry it would be so stressful too adding to the illness with that stress with insurance and costs..
It seems the American medical system is scary bad.☮💜
Does she qualify for medicaid?
@@alicewester1787 Nope. If she did, there wouldn’t be an issue. She would at least qualify for a drug assistance program in that case.
Very true statement. They would rather you die😢😢😢
It’s absolutely amazing.... as a disabled woman omg it’s my favorite
My favorite is when they say they aren’t going to cover my asthma inhaler & then say it’s for my health so consequently I can’t breathe so yeah that’s healthy
Same! Mine is COPD meds!
I JUST received a letter from my insurance stating this happening! I’ve been in tears all night.
This is what's happening with my diabetic medicine. My sugar levels fluctuate so bad, but this medicine has kept it leveled. It's jumped from 30 dollars to 866, tysm BCBS 😭
There's a new law that's passed that's suppose to make all diabetic insulin to $30-$35 each So nobody goes without. Check into this. It will help you!
What med do you need?
As patients we love it too!
I'm having that issue now I could die and now have to pay outta pocket
I love that too! I also love how there's no change in the insurance but they decide they won't cover a medication you've been on for years & it's actually working but they just decide to stop paying for that particular med! I'm a nurse & it's not only happened to my patients it's happened to me & my family members!
My schizophrenic manic depressive mother FINALLY got meds that worked and kept her sane and " normal" till insurance decided they won't pay no more.. back in the mental hospital again with a long episode. Aggravating , so maddening. .
As a pharmacy technician, it's a favorite of mine as well. I love getting yelled at for something that isn't my fault.
As a chronic pain patient I now have real diagnosed medical PTSD because of the way I've been treated and every single month not knowing if my meds will be filled . Whether it be because the pharmacy just decides I don't need the drugs I've been on with zero incidents for over 10 years or the Dr. all the sudden decides its good idea to cut my already low does it half. All chronic pain patients know exactly what I'm talking about.
TRUTH!
It's obscene the way people in pain are treated. They're now so afraid of addiction that they'll allow people to be in pain rather than make sure people are pain-free.
THIS!!!
YES! Thank you.
Between ins, pharmaceutical companies & SOME dr's, some people are lucky to be alive.
I had a Dr (accredited specialist) tell me he "couldn't do anything else for me" AFTER he had me try a medication that...
Contains ingredients/drugs I'm allergic too & don't work, have been banned and/or come with strong warning labels, & is on my genetics test as a "comprised medication" for several reasons.
Sorry ya couldn't kill me doc but thanks for trying!!
Finally a doctor that speaks it thank you so much!!!!!
See this is y I like u also. Ur real. Ty for sharing this. Isn't it a Shame? What a world we live in 😢
I totally agree. It happened to me in October. Thanks insurance you rock.🤯
Yep! Been CASH pay for a year - 400perMonth 4 BREO....now Medicaid and NOPE - gotta fail on 3 other COPD meds 1st. BTW I've done that, just not on medicaid. So now - I can barely get upstairs, let alone make it to my car! Totally STINKS and no recourse!!!! 😢
Insurance companies are straight up evil at this point. The amount of money and stress all from having a chronic illness and dealing with insurance…just awful.
Exactly! Only the patient knows what medicine works better in conjunction with the Dr's
View point.
Then before the Dr. can override the insurance decision,us as patients we have to proof to the insurance the why we should continue on the medication that it was working just fine with us.
Well ..... there's only one answer to that
SIDE EFFECTS with different medications. As individuals ......we all have different reactions.What might work for me might not work for someone else......as simple as that.
My insurance ALL the time. Husband had a margarine injection that was finally working for him, insurance decided they no longer wanted to cover it even with a prior auth, he now has a new one that only works half as well. I had a preventative migraine med that is the only thing that has ever worked for me. They came out with a generic which for some reason wasn’t working for me… went through weeks of fighting to get a prior auth and migraines to finally get my med approved again.
Cancer runs prevalent in maternal side of my family and physicians have recommended It have genetic testing completed; however, I fear this may end up as a, "preexisting," factor, at some point in time, when dealing with insurance companies. How very sad!
Insurance companies have way too much unchecked power! Especially in the U.S.
Yeah they claim it’s a preexisting condition and won’t cover. Some do after like 3 or 6 years, I believe. Insurance companies run off risk, and if they allow too much risk, premiums go up so they can cover the costs or drop you altogether. Lots of insurance companies aren’t approving high risk policies in general and it’s just a difficult market for everyone all around. Agents have been getting frustrated not being able to get quotes approved. Insured s are frustrated for not getting the best care possible, as soon and conveniently as possible. And doctors get frustrated because they need to get paid and don’t have the time and/or staff to to be dealing with the loopholes and/or of insurance. Insurance companies need to ensure they can cover claims/bills which is why they do the above. So it’s literally difficult for all parties involved. Built it’s the only system we got. ☹️
Insurance companies should stay in their lane…you didn’t go to medical school, so let the docs do their job…THEY went to medical school (for years!!!)
I love how suddenly one day after 17yrs on insulin they say oh we're not paying for that anymore! 🤦🏼♀️
I fight with my insurance company all the time.
I’m diabetic and my blood sugar drops frequently. I can’t tell when it’s dropping.
I find out when I come to in the ER.
It is usually in the 20’s when that happens.
My endocrinologist and I had to fight for the Libre 2 sensors for at least 4 months.
The comment that made them finally approve the sensors was “you can either approve the sensors or you can continue paying for ambulance and ER visits.”
I finally have my sensors.
I carry emergency injections all the time.
Before they approved them their argument was type 2 diabetes does not qualify for the sensors.
IDIOTS!!!
I’m not in the medical business outside of being a patient but it seems to me that insurance companies are far more problematic and cause a lot of what I see society being critical over than the medical professionals.
Socialised medicine is the only way to go.
They love when u pay and dont get sick much but when its a person has health problem and use insurance all the time they hate it
Bravo!!!! Nicely said! Oh so very true!!😢
You are so right!!!
My dad was halfway through his immune therapy treatment when for some reasons his insurance provider changed and his doctor doesn’t take his new one
I didn’t even change insurances and this happened to me, I had my dr write a letter my my insurance explain why I needed to be on that medication … didn’t work. Then magically one day they covered it and it was cover till I changed insurances about 2 years later
Same thing happened to me recently. I switched insurance companies at the first of the year and now my new insurance company won’t cover the eyedrops that I have been using for the last three years. These are the only thing that has helped my severe dry eyes, and they don’t think that they are necessary for me because I haven’t been diagnosed with Sjogren’s disease.
I've had that happen with my daughter.
Absolutely true. Very good point.
My insurance just did this without notice the switch health plans. , now none of my surgeons are covered not my neurosurgeon not my surgical oncologist, Just none of them
100% THIS!!
WELL ONLY THING THAT CAN BE DONE AS A DOCTOR LIKE YOU CARING WOULD BRING IT BEFORE THE BOARD I TAKE MEDICATION FOR STAYING AWAKE AND THEY TELL ME THAT THEY DON'T HAVE ANY MORE OF WHAT I WAS ORIGINALLY TAKING SO THEY PUT YOU ON SOMETHING THAT A PLACEBO AND THINK THAT THEY'RE DOING SOMETHING AND NOTHING IS BEING DONE ON THE PERSON ONLY THEY'RE GETTING MONEY FOR SOMETHING THAT DOESN'T WORK I'M NOW 71 REALLY HATE IT!
GRANNY
Same with the ones that choose who is approved for disability or not.
Michael Jackson said it. “They really care about us “.
😂😂😂exactly 💯 👏🏾
I was about to say I hope this is sarcasm. But hell it’s the same as any NEW DOCTORS taking over for doctors who retire and they feel the need to change the patients meds. My doctor retired and the new ‘doctor’ switched my meds cause of her opinion and fucked me up.
We just changed, the new insurance wont fill my steroid cream cause they say i dont need that big tube!!!?? But, they filled a new one thats stronger, same size & sends 3 tubes!! How does that make sense?? Grr!
That's so wild
I agree
Yes, it is a big fat scam
THIIIIIIIISSSSSSS!!!!!
American Greed at it’s finest
Ok feds lol
Hi please help