All dressed up for a tea-party
We have new health insurance this year, and let me tell you, it's only February 1 and already it has been a full time job for me! Yesterday I spent the majority of rest time on the phone (when I was really hoping for a long hot shower and some peace and quiet ) calling the insurance, then the CF clinic, then the pharmacy, then the insurance again, then the doctor called me and I was introduced to a new pharmacy, who when I called had conveniently " closed early for inventory" Ahh....Dead end, back at it again this a.m.!
Along with this new insurance, (who promised no prescription co-pays would change, along with continuous coverage of the same things we had before)came a lot of " not covered" " needs prior authorizations" and " exceeds maximum coverage"...GREAT!
Lucky for Violet, her mama does not give up easily!
It's funny that when we had Aetna I wasn't thrilled, and I always thought that someday we'd get a new, better insurance. Ahh those days are gone! I remember (in my pre-baby days) paying a lot more for birth control pills then most of my friends. I bawked at some of the outrageous remarks the insurance made, and how they considered some things " not medically necessary" or " experimental" and footed us the entire bill. Yet after having two babies, I have to say our copays, pre-pays and even prescription coverage were reasonable.Still there had to be a better option out there.
Violet's daily regimen of enzymes, salt, Multivitamins, albuterol, and PediaSure
She takes 4 enzymes every time she eats anything, that's up to 24 pills a day
The grass isn't always greener, and so we are learning....
After our visit to the clinic this month I went to a local Pharmacy were I was told, by the insurance, and doctor's office that we could fill her 3 month supply of meds. No, they can only fill 1 month at a time ( Strike One), and that 1 month supply will cost almost as much as the 3 month supply was previously ( Strike 2) and if we did want to fill that 1 month supply we'd have to come back in 2 days because they had to order this " uncommon" medicine ( Ugh Strike 3, I'm outta here)
Luckily our clinic directed me to a Pharmacy that deals entirely with CF patients and their meds. Awesome. I call, I set up an account, I let the doc know and he faxes a script for a 3 mo supply, and then 3-5 business days later the meds will arrive at our house at a lot cheaper price then through our insurance. Fingers crossed it all works out this simply.
Nutella mustache
Here it is February 1, and between visits for the 4 of us, we are already well on our way to meeting our family deductible for the year. That can be good and bad news I suppose. It means once our deductible is met we only pay 10% of the services, co-pays etc, but not sure it'll even benefit us come prescriptions. That is a shame, and as bad as it may seem for us, I can't fathom what people with out any insurance have to endure. Worse yet, I can not even imagine the fights and pre-auths and such we will have to go through when Violet is old enough to start on Kalydeco.This important drug, is currently only available to kids and adults 6+. It will miraculously help reduce her symptoms. It is a miracle and a necessity. Did I mention the market price for Kalydeco is over $25,000 per month??
It's always princess time at our house!
Muah! Blowing kisses!!
Captain crazy hair
Trying to play Just Dance 4
Kylie is playing, and the little girls are probably more in the way then anything!!
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