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Magnate
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Join Date: May 2007
Location: Heah!
Posts: 2,921
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Magnate
Join Date: May 2007
Location: Heah!
Posts: 2,921
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Quote:
Originally Posted by Av8rgirl
Some of you may remember my rant about Medco Mail order and the problems I had with them at the end of the year getting my Provigil refilled...well...
We cancelled United Health Care as of 12/31/07 and now only have TriCare/TriWest as our health insurance. It's what, Jan 24, 2008, and I am in love with them...I cannot believe the difference in attitude, care, and concern that the Patient Care Advocates take and the time they spend with ME on the phone to solve a simple glitch in the system....what a breath of fresh air!!!
All my prescriptions -- 10 of them, have been transferred over to Express-Scripts Mail order. 3 were sent in on the same form, which was unfortunate. They were sent in with plenty of lead time, but the Provigil required pre-auth which held up the other 2 by a few days. I called them to have the rx's separated which they said they would do.
Well, it didn't get done. I am now into my "emergency" stash of Topamax and have called them twice to find out where the order is. I told them I would pay for next day shipping. That was on the 19th. Still no meds. 
I called yesterday and the PCA said they were shipped. Checked today...no shipment.
I just got off the phone with another PCA and this guy was wonderful. He said, hmmm...there seems to be a problem that is ours, not yours. Let me put you on hold for a couple of minutes and check it out.
He came back and said that all my meds had been shipped out this morning, next day air, no expense to me, and I should have them tomorrow!! He apologized for the error and said that they should have been shipped on the 21st as I was told, and he doesn't know why.
Now for the good part - the Provigil pre-auth was approved for one year, I didn't have to talk to anyone, neither did my doc! She filled out the form, sent it in...bingo! Approved! No arguing, no appeal...nothing!! Geez, what a relief!!! I am amazed!!! Shocked...And the cost savings is incredible!!!
Good part number two -- when the request was sent in for an out of network approval for the ENT specialist, it was approved on the spot!
This is TriCare/TriWest...why didn't we change to them a long time ago. Why have we been paying $1300-$1500 a month for crappy ol' United Health Care and stressing with them and their expensive coverage and co-pay?????
I am so thrilled!!! Oh what a relief!!!
FG is happy! Sick, but happy!  |
Flygirl!
You lucky woman! So glad they are working out for you! Sounds like you hit the jackpot with ExpressScript and Tricare! I loved them when my Dad was sick. They always answered all my questions and worked to ensure that he got all his drugs delivered safely and securely, and that was a MUST!
He never paid a penny for anything. When he died, I went through all his bills and payments that he had saved throughout the whole illness, and whatever Medicare didn't or wouldn't pay for, Tricare took care of. I added everything up and the sum was horrific. There is NO way he would have been able to manage all of it and I truly don't believe he would have lived as long as he did if he'd had to worry about the cost of his health care.
Now...will you get better already!! 
__________________
I know the sound the river makes, by dawn, by night, by day. But can it stay me through tomorrows that find me far away?
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I have this mental picture in my mind of you all, shaking bones and bells and charms, muttering prayers and voodoo curses, dancing around in a circle of salt, with leetle glasses and tiny bottles of cheer in the middle...myyyyyy friends!
diagnosed 09/03/2004
scheduled to start Tysabri 03/05
Tysabri withdrawn from market 02/28/05
Copaxone 05/05-12/06
Tysabri returned to market 06/05/06
Found a new neuro 04/07
Tysabri 05/25/07-present
Medical Marijuana legally 12/03/09
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Negative for JC virus antibodies!
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I'm doing alright and making good grades,
The future's so bright, I gotta wear shades!
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