I truly hope this is the last insurance hurdles anyway. Last night I received a promising phone call from Ashley, the supervisor from my pharmacy insurance assigned to my case. Here's the thing... Ashley can't see anything that I've sent to claims because the claims department is their own entity in which no one can speak to, email, contact, etc. even apparently inside the company. So, Ashley has been working "blindly" on my case with the faxes I originally sent that were processed and denied.
So last night the conversation goes something along the lines of:
First, the usual conversation about what dates and drugs I want reimbursed. This is literally the exact same conversation I have with everyone from insurance company and it's kind of getting super old.
Ashley: well, it seems they're requesting the National Drug Codes and Menopur was recently denied because... huh, well, um... because... (trying to figure it out)
Me: I've sent them the NDC numbers at least 3 times now. I'm not sure what more they want. First they wanted the NDC number with day supply. I sent that. Then they want the NDC number with strength and name. Now, they're saying they need the NDC number again. I'm super confused.
Ashley: Okay, so the NDC number needs to come directly from the insurance company, on the original invoice.
Me: Well, someone could've told me that 3 faxes ago.
Ashley: Yeah, I think this is why I was put on your case, I specialize in this and the rules just changed.
Me: Thanking her profusely. I also was denied because I used an out of network pharmacy, but I sent an appeal letter for that....
Ashley: I can push that through
So yay! This was the second most promising phone call I've had with the insurance company. She immediately contacted the pharmacy (who needs a release of information from me) and then requested me to send her directly all the faxes I've previously sent (okay, she actually didn't say all, I just faxed her 3 which was still more than she asked, but I'm so, so tired of dealing with this I'd rather her have more information than not enough). So this morning, I scanned everything in and emailed to the pharmacy and the insurance company. Hoping and praying that this is my last hoop, my last hurdle and reimbursement will be sent.
My next step is getting rid of all the medications that I have leftover. I need to dispose properly of some of them. Dispose properly of all the needles, the pen, etc. (how?) And then donate one of the medications that I didn't get to use since I didn't implant. That one is kind of hard to do. I want to hold out hope that I will still need that medicine, maybe there will be a miracle and I'll need the extra progesterone and estrogen to help my body keep the embryo. But I think I need to let go. I need to let go of this hope completely. I need to accept this so I can move on.
No comments:
Post a Comment