Well, I ran across the street to CVS and they filled the Lyrica prescription, but not without drama. The technician said that they insurance company denied covering the drug, and I said that I needed it, so she should fill it, even though it would cost around $300, and I got on the phone with Oxford. They said that they would cover two retail fills for this prescription, but after that, I would need to buy the drug my mail order and that CVS should have gotten a rejection message with an override code. CVS showed me the their rejection message, and it didn’t say anything about overriding. So, I got back on the phone with Oxford, and they said that CVS would have to call them. Oh, Brother! The technician said that she would not be able to call for a while, but then I think she saw the panic and frustration in my face, and took pity on me, and said she would take care of it, and I should come back in 20 minutes. When I went back, it was there.
Had a nice visit from Jackie and hope to see more folks over the weekend, if the weather is nice for walking. I called Metropolitan Jewish Home Services (MJHS) who have been breathing down my neck for over a month, waiting for David to be released so they can pick up our business, and after being assured by the Jewish Home and MJHS reps that the day after David was released, someone would come by and make an assessment of his needs, and service would start the next day. I left a message yesterday and this morning, and then called again in the afternoon to try to arrange for the visit, and the person I spoke with said that they were having trouble getting in touch with Oxford, and wouldn’t be able to come out until sometime next week!! I told her that I had been on the phone with Oxford three times this morning. I then sent a note to the lovely lady who came to me over a month ago to see if she could help expedite this or I would begin looking for a company that would be more responsive. Haven’t quite decided whether this was really just bluffing, or if I have the energy to start calling providers on the list from Oxford. I could, naturally, believe that there might be a delay because of the weather, but that wasn’t the reason that I was given.
Anyway, this brings me to how exhausted (not to mention dirty and smelly from no hot water!) I am. I hate to sound like I am complaining, but. . . it ain’t easy!! This is the first time, now that I put David to sleep, that I have sat down for some time for myself, and on top of everything, a flare-up of tendonitis in my knee. It is a perfect storm – Sandy, no heat or hot water, no home care, my limping around, pharmacies, insurance companies – it has got to get better!
Here’s to better days!!