this post was submitted on 12 Dec 2024
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Technology

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[–] Firebirdie713@lemmy.blahaj.zone 107 points 2 weeks ago (2 children)

I am sitting here, in incredible pain from a combined sinus and ear infection, waiting for the antibiotics I need to be shipped to me in 3-5 business days because my insurance will only provide prescription coverage through Express Scripts and not a retail pharmacy.

This same insurance company has also denied to cover a surgery they have prior auth for, denied coverage for routine lab work that is expressly covered, waited months to review disputed charges and gotten them sent to collections, and forced me into a lower tier of coverage twice due to premium increases.

The kicker? I work in the health insurance industry. But I'm not an exec, just a support worker.

They can try to stop the online support all they want, but they should know that the active censorship will only cause people to go elsewhere. This issue is uniting everyone who watches the evening news, and they can't risk not covering the story because they are hoping to make an example of him.

[–] Drusas@fedia.io 17 points 2 weeks ago

I fucking hate the push to use Express Scripts. You can't rely on receiving a medication that you need in a timely fashion using them.

I've been fortunate that I've been able to opt out of them, but insurance did push back, and I still get emails and mail from them as though I use them at all ever. I report it as spam every time, but it doesn't make a difference.

[–] UltraGiGaGigantic@lemmy.ml 11 points 2 weeks ago (1 children)

Damn, I hope your infection doesn't progress. Stay strong

[–] Firebirdie713@lemmy.blahaj.zone 6 points 2 weeks ago

Thankfully it won't, but I had to deal with more of their shenanigans.

Did you know that they refuse to transfer a prescription if they haven't filled it at least once? I had to call the urgent care clinic back and have them transfer it instead.

Bless the retail pharmacy worker who walked me through how to get everything in order and got me discount coupons. It took them 30 minutes to fill and cost me a total of $15. So I will be okay, but in spite of Express Scripts, who gave me an ETA of the 17th, more than a week after the script was ordered.