[polbilly]

So I feel horrible coming to you girls but i have been here for 2 years and i feel like this is where i can turn. and maybe im being totally hormomal from having a really bad day but i was just really insulted in the July DDC.

Ive been a member on these boards since OCT of 05. i come here daily, whether or not I post daily or not i still feel like this is my home my place for support.

Im going to post the post that i posted earlier in DDC


so when i had the little bit of brown spotting in the beginning the dr put my on vaginal premetrium (progesterone) suppositories I went in today to have a refill done and the insurance denied it they said that they dont cover it for "preterm labor" Im freaking out so im supposed to loose my baby because they dont want to pay for my script??? the dr already left for the the day and the nurses exact words to me were dr mcmillan is going to be pissed i dont want to be on the other end of the phone when he calls them tomorrow. what am i going to do. the nurse said that maybe there is another form of the progesterone to take and to ask the dr in the am have you guys heard of taken any other kind?? im so freaking out this isnt fair


some of the girls suggested maybe try to put it on credit or find other ways to pay out of pocket
which was totally great responses this was my next reply


they are denying it because they said that it isnt approved by the fda for use as perscribed. I cant charge it we just had a recent bankruptcy LONG story thanks to my husband before we got married but ill leave it at that so I have no extra money or credit so im hoping maybe one of the other options is fda approved

i cant lose this baby because of an insurance company

then this is what the next girl said to me


Blaming the insurance company is like saying you blame your DH for not being able to charge it, it's not their fault it isn't FDA approved. I would call and get a different form of prog. for you asap...ask your doc's office to call you insurance company and see what IS covered. I hope you get something quick and your lil bean is fine. Have you need progesterone before or if this the first time? Will you be able without it? Gosh, I hope you can get it if you need it!!!
Omg is it just me that feels this is offensive?
this is what i said


dont blame the insurance? they just filled the perscription 15 days ago and now they are refusing to. ya i do think that is a double standard to give my the 1st perscription and tell me i cant have my refill. and with all do respect. as far as my husband goes i didnt even know him when he ran up 25k of debt nor did he even tell me about it the 5yrs we were dating nor when we got married so yes i do blame him

im leaving it at that. This board is for support not to make me feel like crap when im already having a bad day


Im actually crying i dont ever say anything or post anything unless its nice and supportive. I just feel like my "safe" place to vent has been violated am i just being dumb and hormonal???

thanks girls for always being there for me melissa

[mary30]

I completly agreee with you. I can not believe she said that . It is not just you..... I am so sorry she said that to you.... You are right we are here to support not to judge ....

I hope you can find something else or get something worked out ....

[polbilly]

thank Goodness it isnt just me cause my feelings are really hurt

[..Jessica..]

I agree with you, and her. Not the part about blaming the insurance company though. Because it is their fault.

What I agree with her on, is you should get them to fax or mail or email something to you so you can see what IS covered by them, just so this doesn't happen again!

I really do pray they can get you the progesterone, Melissa!!!! I hope I didn't offend you, it wasn't meant.

[Danielley08]

Wow...what a low blow!

I agree with Jess...I hope they figure something out so you dont have to go too long without your prog!!



You want us to go beat her up?? j/k

[polbilly]

she did apologize sniff sniff. so i do feel better. and i wasnt offended at all by the second half of her post just the first

[KDD]

I'm sorry Melissa. What a crappy day you've had.

Since your Rx was covered 2 weeks ago, I'm wondering if maybe the pharmacy made a mistake? It wouldn't surprise me if this was all a clerical error. I would also ask the pharmacist if there is a generic version of the drug (actually any drug) as they cost less, are the same medication, and are mostly covered.

Good luck and more

[madmum_sarah]

oh sweetheart im sorry i didnt see your thread (to be honest i havent posted much there recently)
i think i would have been offended to hun.
sometimes i wish people would just not reply rather than saying something like that. i would love to slap a few people right now and i think another just joined my list!

xx

[BellaBellski]

uggh who says that?? I'm sorry she was such a ****** hun

I really hope that you get everything sorted out!!

[polbilly]

she just pm me and apologized again I think she knows that she really upset me and its for give and forget right or at least to do your best to right????? im still upset and it hurt my feelings but i feel much better now that she has apologized

[..Jessica..]

I'm glad to hear she apologized, that's very nice of her.

[*Bobbie*]

I am sorry your insurance company is being that way. I feel your pain. It's like you just want to scream at the top of your lungs at them to "Wake up people!!!!" The script would cost them less than a D&C if you lose the baby. Like when I was doing my injectable cycle. They wouldn't cover me for infertility because I *could* get pregnant. My losses cost them more than the darn drugs would have. I wish there was a way to reason with them. Oh well. I must say after all it has taken for me to get where I am....the money really fades into the distance very quickly. Even if you have to pay for the script on your own.... you will be shocked how quick you forget all about that once your baby is moving around in there If you end up paying for it...try freedom pharmacies. They may have it at a lower cost. I wish there was a way to donate stuff like that. So many people probably have that just sitting in their house and know just how vital it can be for someone who needs it but can't get it.

I would try and talk to your doctor about other options. Maybe they have some samples they can give you? It's worth asking.

More

[.H.e.a.t.h.e.r.]

If only they knew how expensive this drug is. I just picked up my rx for it for after my IUI..150 dollars for a months supply..YIKES.
I dont have any kind of prescription coverage either so that was a little christmas present for my uterus.