You thought I was talking about going for the basket and having my shot blocked, didn’t you? No, Okay, well I tried to shed a bit of humor into this post. I spoke to the insurance company twice today, the first time in the morning where my prior authorization was still open. They needed some clinical questions answered, I told them to send the FAX to the Dr. office and I’ll call them and give them a heads up. This was at 9:30 AM. At 1:40 PM, I got a call that they denied the PA, due to not getting the questions answered. Um, what? You gave my Neuro 4 hours to answer the questions? So I called the Dr. and spoke to his assistant, and she said she got the questionnaire in the afternoon (12:43 was the time stamp). So they essentially killed my PA within an hour of sending it. I called MedCo/Express Scrips to ask why it was denied. After bitching (I felt sorry for the chick on the phone, I was not pleasant, but I’ve been waiting since the end of October), she called my Neuro and got the questions answered, spoke to a pharmacist, and then came back on the phone line. After holding for 10-13 minutes, I was told it’s denied because I hadn’t tried an injection medication yet.
So now, we are going to appeal it, and get on the Avonex (1x week inter-muscular shot). From what I’ve seen on their site, they will give me a month’s supply right away while the insurance company figures out the rest. So I could be on meds soon! Thankfully they have someone who will come out and teach me how to inject myself. If not I am sure my mother in law would do it for me, since she’s a nurse.
That’s the update! Oh and with all this insurance frustrations, I went to the gym to burn off the pent up frustrations. Woo! Knee brace worked well!!!!