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Old 01-24-2008, 04:06 PM #1
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Join Date: May 2007
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Default I love Express-Scripts/TriCare!!!!

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!
__________________
Cheryl
Dx: MS 2001 CRPS 2009




“When everything seems to be going against you, remember that the airplane takes off against the wind, not with it.” - Henry Ford
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