Thursday, December 12, 2024

What Hath Doc Wrought?

While at my doctor appointment on Tuesday, the doc NP was reviewing my medications, making sure I still used the same pharmacy. I mentioned how there's one drug that I pay for out of pocket, since it's a brand name version that insurance doesn't like to pay for.

"It's always been a fight, no matter what insurance. So I just paid outright for it. I haven't tried using insurance since I switched over to [Old People Insurance] last year."

"Oh. I can submit it. Want me to do that?"

"Sure. It's worth a try."

As The Universe's shady circumstances would have it, my pharmacy was just bottling up those heart-slower meds when I pulled up to the drive-thru to get the only prescription I had called in for refills the day before.

"Oh. I don't really need that one right now. My doctor just put it in to see if the current insurance would cover it."

"Okay. We can wait. But it's almost ready. They're working on it right now."

"Well, I can take it. Then I won't have to call it in so soon."

"Just a minute, and we'll run it through insurance to see what it is."

Funny how I pay $53.52 for it every month without insurance. But WITH using the insurance, it will cost me $61.22. No thank you. I'll go back to paying out of pocket. 

2 comments:

River said...

How can it possibly cost MORE with the insurance? Something's fishy there.

Hillbilly Mom said...

River,
Yeah, you pay a premium for the insurance, and then also have a higher cost for the medicine! Insurance is a racket. They don't want to pay for a brand name drug. I have tried the generic, with adverse results. I don't see why I should pay MORE for a drug because I have insurance.