insurance comedy

[jbmaine]

Usually when dealing with insurance companies I get very frustrated and ticked off, however I got a laugh over this one.

 I got a call saying I had a prescription ready to be picked up but the cost was much more than normal. I asked why and was told it looked like my insurance had been deactivated, and they suggested I call my insurance company to find out what was going on.

 This is where I usually start getting ticked, but this time it was just down right funny.

I called the insurance company ( they cover my health care and prescription plan) and explained what had happened.

 I was told I was still covered and they had to call the company they use to administer the prescription plan, and would I stay on the phone with them incase I needed to provide more info. I said sure.

This is what I heard.

hello , I'm calling about XXXXX. he was told his prescription plan was no longer active, but according to our records it should still be active.

that's right

What's right?

it's no longer active

Why?

We never received the ##### update on his plan from you.

let me check..... according to our records we sent that to you three times last month.

Well according to OUR records we never received it!

Well WE sent it!

Well WE didn't get it! SEND IT AGAIN!

WE ALREADY SENT IT THREE TIMES!

YOU KNOW WHAT! I THINK YOU SHOULD TALK TO MY SUPERVISER!

YA, WELL YOU SHOULD TALK TO MINE!!!!!!!!!!

At this point one of them remembered I was still on the line.

Sir, are you still there?

My reply was " you do know the prescription I am calling about is my high blood pressure medication, and this isn't helping. Maybe you could use some?"

They both apologized and said they would look into it.

Later that day I got a call saying everything was straightened out.

Usually I'm the one getting ticked off at insurance companies. It was real funny seeing them getting ticked off at each other.

I wish I could say I made this up, but sadly it's all true.

[Sam]

Good story.

 

Seems someone at the pharmacy TPA failed to record the email information.

 

With so many people insured; computers doing the work; and employees who mean to do well all the time but don't; you can find yourself in your situation, easily.

 

Glad it worked out.

[Oregon Native]

OH.......MY......GOSH

[SDoolittle]

I get Metformin and insulin test strips for diabetes. For some reason, I could only get a 30 day supply even though I'll be using them for the rest of my life. Every month, I got the same runaround. The pharmacy says that they can't refill my prescription because I'm due for lab work. The doctor says I'm not due for lab work yet. Then, the pharmacy says that my insurance doesn't cover my brand of test strips. The doctor prescribes a new brand. The insurance says that they don't cover the new brand, but would have covered the original brand. This went on and on every month for almost a year. Refilling my prescription turned into a two or three day ordeal. Finally, I lost my cool and told them all that if I need to find a new doctor, pharmacist, and insurance company, I will, but I am not going to deal with this every 30 days for the rest of my life! The next day, I got a 90 day supply, and I've had no trouble since.

[haggard]

In cases like this, humor is the best medicine.

 

[Ratherbfishing]

SOMEONE failed to read the memo regarding the new TPS report cover sheets.