Thread: Insurance in the US is a joke
09-28-2023, 01:55 PM
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#1
- ZyraThornrise
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- ZyraThornrise
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Insurance in the US is a joke
Been on the phone with this company for 3 hours because they keep denying my medication
Tell them I'll just pay the entire amount
Nope, can't get a prescription filled if you have insurance and they deny it
This is after my doctor sent 3 prior authorizations and a week of being completely out
Now I'm sitting on hold to wait for one of their teams doctors to have a consultation with me
Honestly wish I was poor AF and on state insurance at this point
Tell them I'll just pay the entire amount
Nope, can't get a prescription filled if you have insurance and they deny it
This is after my doctor sent 3 prior authorizations and a week of being completely out
Now I'm sitting on hold to wait for one of their teams doctors to have a consultation with me
Honestly wish I was poor AF and on state insurance at this point
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09-28-2023, 02:24 PM
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#2
- TBO1313
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Since when do they not let you pay cash if insurance denies it? Health insurance is a pain in the azz but this sounds more like a pharmacy issue
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09-28-2023, 02:24 PM
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#3
09-28-2023, 02:25 PM
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Lol @ paying for healthcare
09-28-2023, 02:27 PM
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- IlChosenOne
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Originally Posted By ZyraThornrise⏩
YeahBeen on the phone with this company for 3 hours because they keep denying my medication
Tell them I'll just pay the entire amount
Nope, can't get a prescription filled if you have insurance and they deny it
This is after my doctor sent 3 prior authorizations and a week of being completely out
Now I'm sitting on hold to wait for one of their teams doctors to have a consultation with me
Honestly wish I was poor AF and on state insurance at this point
Tell them I'll just pay the entire amount
Nope, can't get a prescription filled if you have insurance and they deny it
This is after my doctor sent 3 prior authorizations and a week of being completely out
Now I'm sitting on hold to wait for one of their teams doctors to have a consultation with me
Honestly wish I was poor AF and on state insurance at this point
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09-28-2023, 02:27 PM
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#6
- ZyraThornrise
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Originally Posted By TBO1313⏩
That's what I'm trying to figure outSince when do they not let you pay cash if insurance denies it? Health insurance is a pain in the azz but this sounds more like a pharmacy issue
I've never had an issue before just paying it in cash, but apparently the prescription doesn't even get sent to the pharmacy if the insurance denies it? I'm still on hold with them and I'm not understanding why I can't just go get my medications.
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09-28-2023, 02:28 PM
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#7
- shmobin
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Originally Posted By ZyraThornrise⏩
Tell your employer to bitch at the broker. They will make things move.That's what I'm trying to figure out
I've never had an issue before just paying it in cash, but apparently the prescription doesn't even get sent to the pharmacy if the insurance denies it? I'm still on hold with them and I'm not understanding why I can't just go get my medications.
I've never had an issue before just paying it in cash, but apparently the prescription doesn't even get sent to the pharmacy if the insurance denies it? I'm still on hold with them and I'm not understanding why I can't just go get my medications.
09-28-2023, 02:28 PM
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#8
- MustardTiger17
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Everything in this country is a scam. Just scam better
Not in the AM
09-28-2023, 02:29 PM
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#9
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not true, if the doc writes it and you pay"out of pocket" that is your right.
then when the refill date comes, they submit it again..... to see if anything has changed.
then when the refill date comes, they submit it again..... to see if anything has changed.
There is an unspoken thing, we are iron brothers and sisters, we are to support each other and...It is our duty to support our brothers and sisters in the iron game!
09-28-2023, 02:30 PM
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#10
- ZyraThornrise
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Originally Posted By shmobin⏩
Naw, my insurance is considered pretty God-tier. No copays and medications are usually less than a dollar to fillHas ****ty insurance.
Wishes he had even ****tier state sponsored insurance which is actually the same insurance.
Wishes he had even ****tier state sponsored insurance which is actually the same insurance.
But they've done this like 4 times despite it being the same medications every time
When I was on state insurance years ago they didn't even question controlled meds.
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09-28-2023, 02:32 PM
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#11
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Originally Posted By ZyraThornrise⏩
That is because every plan has their own approved medications and the list changes daily.Naw, my insurance is considered pretty God-tier. No copays and medications are usually less than a dollar to fill
But they've done this like 4 times despite it being the same medications every time
When I was on state insurance years ago they didn't even question controlled meds.
But they've done this like 4 times despite it being the same medications every time
When I was on state insurance years ago they didn't even question controlled meds.
09-28-2023, 02:32 PM
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#12
- ZyraThornrise
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Originally Posted By shmobin⏩
I didn't even think of this but definitely slacking HR asapTell your employer to bitch at the broker. They will make things move.
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09-28-2023, 02:32 PM
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#13
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Originally Posted By ZyraThornrise⏩
If it's not a controlled substance just call the doctor's office and have them fax it over to the pharmacy. If it is go pick up the rx from the doctor's office and take it to the pharmacy.That's what I'm trying to figure out
I've never had an issue before just paying it in cash, but apparently the prescription doesn't even get sent to the pharmacy if the insurance denies it? I'm still on hold with them and I'm not understanding why I can't just go get my medications.
I've never had an issue before just paying it in cash, but apparently the prescription doesn't even get sent to the pharmacy if the insurance denies it? I'm still on hold with them and I'm not understanding why I can't just go get my medications.
Here is what I think is happening. The doctor knew it would get rejected so they didn't even bother to send it to the pharmacy just sent it in to insurance and were done with it. Also a lot of doctors don't even try with those prior authorizations. It looks like a 2nd grader wrote some of them. Ded srs
Every major health insurance carrier in my state sucks balls so I'm not trying to carry water for those azzholes but the doctors are also to blame for the current chit show
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OHP-205 Bench- 245 Squat - 405 C&J - 245
2021 Spring cut: 195lbs starting weight
09-28-2023, 02:35 PM
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#14
09-28-2023, 02:39 PM
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#15
09-28-2023, 02:41 PM
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#16
- gixxer0.6g
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Thanks Obama. Srs
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09-28-2023, 02:41 PM
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#17
- ZyraThornrise
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Originally Posted By TBO1313⏩
One is a controlled substance, the other two are heart medicationsIf it's not a controlled substance just call the doctor's office and have them fax it over to the pharmacy. If it is go pick up the rx from the doctor's office and take it to the pharmacy.
Here is what I think is happening. The doctor knew it would get rejected so they didn't even bother to send it to the pharmacy just sent it in to insurance and were done with it. Also a lot of doctors don't even try with those prior authorizations. It looks like a 2nd grader wrote some of them. Ded srs
Every major health insurance carrier in my state sucks balls so I'm not trying to carry water for those azzholes but the doctors are also to blame for the current chit show
Here is what I think is happening. The doctor knew it would get rejected so they didn't even bother to send it to the pharmacy just sent it in to insurance and were done with it. Also a lot of doctors don't even try with those prior authorizations. It looks like a 2nd grader wrote some of them. Ded srs
Every major health insurance carrier in my state sucks balls so I'm not trying to carry water for those azzholes but the doctors are also to blame for the current chit show
They won't fill any of them
Four different pharmacies keep telling me that because I have an active insurance plan I'm unable to fill without it running through the insurance, first
The guy I'm talking to at the insurance company said the same, so I'm not really sure wtf to think
BrosefMengele is my #1 fan.
09-28-2023, 02:43 PM
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#18
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back to onlyfans
and 4k pics of your dark
pale Ghosty anus, your butthol
will force me to work my ass, so i can get into
an insurance company...to deny your application.
ps:you should look into
other options?!
if you will spend your
own cash,look around srs.
and 4k pics of your dark
pale Ghosty anus, your butthol
will force me to work my ass, so i can get into
an insurance company...to deny your application.
ps:you should look into
other options?!
if you will spend your
own cash,look around srs.
09-28-2023, 02:43 PM
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#19
- ZyraThornrise
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Originally Posted By OGfrom06⏩
This is such an awesome program but they don't have any of my meds available
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09-28-2023, 02:44 PM
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#20
09-28-2023, 02:47 PM
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#21
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That's amazing you would bother with insurance in the first place if you were rolling in money like Scrooge McDuck like you claim
Reminds me of a saying
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Hello Everyone, I'm Ron. I want to explain how
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and in three days Jesus rose from the dead so
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A little more like mercy
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Don't gotta be somebody when
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Got nothing to prove anymore
There's nothing to lose anymore
You're gonna keep on loving me for more
than just the things that I do
God of wonders
Beyond our galaxy
You are holy, holy
The universe declares Your majesty
You are holy, holy
Lord of Heaven and Earth
Death could not hold You
The veil tore before You
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The praise of Your glory
For You are raised to life again
You have no rival
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Now and forever God You reign
Yours is the Kingdom
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What a powerful Name it is
Nothing can stand against
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The Name of Jesus
Reminds me of a saying
Message from Ron
Souls Matter
Have you heard how simple it is to end up in Heaven instead of hellfire?
Hello Everyone, I'm Ron. I want to explain how
simple it is to end up in Heaven after we die.
God sent his perfect Son, the Lord Jesus Christ,
into the world to save our souls. Jesus paid for
our wrongdoing with his blood, dying on a cross†,
and in three days Jesus rose from the dead so
that we could be forgiven and so that our souls
could go to Heaven after our life ends. The Lord
Jesus Christ is very kind-hearted. God describes
Heaven as a very beautiful and eternally joyful
place for those who believe Jesus Christ is the
Son of God and what he did for them. If anyone
of you who will believe Jesus Christ is the Son
of God and what he did for you, SAY, Praise the
Lord Jesus. Praise the Lord Jesus❣️ You may copy
and share this message with others so they can
have a chance to be saved. Search for Andrew
Farley on youtube when you have time to do so.
Copy and email it to everyone you can think of, so they can learn the truth about salvation.
Thanks!
A little more like mercy
A little more like grace
A little more like kindness
And goodness, love and faith
A little more like patience
A little more like peace
A little more like Jesus
A little less like me
Don't gotta be somebody when
I'm already somebody to You
Got nothing to prove anymore
There's nothing to lose anymore
You're gonna keep on loving me for more
than just the things that I do
God of wonders
Beyond our galaxy
You are holy, holy
The universe declares Your majesty
You are holy, holy
Lord of Heaven and Earth
Death could not hold You
The veil tore before You
You silenced the boast of sin and grave
The heavens are roaring
The praise of Your glory
For You are raised to life again
You have no rival
You have no equal
Now and forever God You reign
Yours is the Kingdom
Yours is the glory
Yours is the Name above all names
What a powerful Name it is
Nothing can stand against
What a powerful Name it is
The Name of Jesus
09-28-2023, 02:56 PM
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#22
- ZyraThornrise
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Lol
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09-28-2023, 02:58 PM
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#23
Is the medication for a yeast infection?
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09-28-2023, 03:00 PM
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#24
- ZyraThornrise
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Originally Posted By taskmob⏩
Tafimidis, metropolol and modafinilIs the medication for a yeast infection?
They're basically the most powerful meds you can get for raging yeasties
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09-28-2023, 03:15 PM
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#25
- ZyraThornrise
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This thread went without any responses and made it to the 3rd page before Ron, DP and the spammer kept bumping it
Thanks guys
Thanks guys
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09-28-2023, 03:16 PM
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#26
Originally Posted By ZyraThornrise⏩
Do you have to tell them you have insurance? If you walk in with a paper prescription and hand it over, say "no insurance", then they should just fill it, yes?One is a controlled substance, the other two are heart medications
They won't fill any of them
Four different pharmacies keep telling me that because I have an active insurance plan I'm unable to fill without it running through the insurance, first
The guy I'm talking to at the insurance company said the same, so I'm not really sure wtf to think
They won't fill any of them
Four different pharmacies keep telling me that because I have an active insurance plan I'm unable to fill without it running through the insurance, first
The guy I'm talking to at the insurance company said the same, so I'm not really sure wtf to think
ETA: No insurance here and I use Costco for prescriptions.
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09-28-2023, 03:21 PM
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#27
- ZyraThornrise
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Originally Posted By katya422⏩
As far as I'm aware, my state's pharmacies are all connectedDo you have to tell them you have insurance? If you walk in with a paper prescription and hand it over, say "no insurance", then they should just fill it, yes?
ETA: No insurance here and I use Costco for prescriptions.
ETA: No insurance here and I use Costco for prescriptions.
I've gone to a brand new pharmacy and they already had my information
So, more than likely it's some new crap the governor decided to change regarding our healthcare
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09-28-2023, 03:21 PM
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#28
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As a first gen naturalized immigrant I’m 100% America baby, but even I gotta admit the healthcare here is trash.
The only reason it’s so bad are the absolutely useless insurance companies. They offer no value, no service, nothing. Why some nepotism hire in a suit can override a doctors recommendation is legal is as confusing as how lobbying (bribery) can be legal.
The only reason it’s so bad are the absolutely useless insurance companies. They offer no value, no service, nothing. Why some nepotism hire in a suit can override a doctors recommendation is legal is as confusing as how lobbying (bribery) can be legal.
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09-28-2023, 03:30 PM
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#29
09-28-2023, 03:39 PM
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#30
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Thanks Ron!
Message from Ron
Some friendly advice for everyone. Choose the Lord Jesus Christ and avoid eternal hellfire after death.
I want to share how simple it is to receive salvation.
Hi Everyone! The greatest privilege to have
is salvation, and you can have it right now.
You can get saved right now and be sure that
your soul will go to be with God someday. God
sent his perfect Son, the Lord Jesus Christ,
into the world to save our souls. Jesus paid
for our wrongdoing with his blood, dying on
a cross†, and in three days Jesus rose from
the dead so that we could be forgiven and so
that our souls could go to Heaven after our
life ends. Jesus Christ is very kind-hearted.
God describes Heaven as a very beautiful and
eternally joyful place for those who believe
Jesus Christ is the Son of God and what he did
for them. If anyone of you who will believe
Jesus Christ is the Son of God and what he did
for you, SAY, Praise the Lord Jesus. Praise the
Lord Jesus❣️ You may copy and share this message
with others so they can have a chance to be saved.
Copy and email it to everyone you can think of, so they can learn the truth about salvation.
Thanks!
Please send bobs and vagene bby
Message from Ron
Some friendly advice for everyone. Choose the Lord Jesus Christ and avoid eternal hellfire after death.
I want to share how simple it is to receive salvation.
Hi Everyone! The greatest privilege to have
is salvation, and you can have it right now.
You can get saved right now and be sure that
your soul will go to be with God someday. God
sent his perfect Son, the Lord Jesus Christ,
into the world to save our souls. Jesus paid
for our wrongdoing with his blood, dying on
a cross†, and in three days Jesus rose from
the dead so that we could be forgiven and so
that our souls could go to Heaven after our
life ends. Jesus Christ is very kind-hearted.
God describes Heaven as a very beautiful and
eternally joyful place for those who believe
Jesus Christ is the Son of God and what he did
for them. If anyone of you who will believe
Jesus Christ is the Son of God and what he did
for you, SAY, Praise the Lord Jesus. Praise the
Lord Jesus❣️ You may copy and share this message
with others so they can have a chance to be saved.
Copy and email it to everyone you can think of, so they can learn the truth about salvation.
Thanks!
Please send bobs and vagene bby
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