January, 13, 2017. First breakdown. OMG. Friday the 13th. Que the Jason music. What that day taught me was how important it is to talk to your insurance company before you prepare for IVF. Talk to your doctor about the medications you will be taking and go over them with your insurance company. Stay on top of your doctor, your insurance company and the pharmacy distributing your medications.
Insurance needs authorizations from your doctor and the pharmacy needs authorization from the insurance company. I was told after almost a week of my medications being ordered that my doctor uses a pharmacy that is not in my network. So, the release of my medications was held up because that pharmacy tried to get an override –without informing me — from my insurance company to be able to distribute the medications.
So all this time I’m thinking things are in motion. Otherwise, I would have told them not to worry about trying to get the override, I’d just go through my network pharmacy to avoid wasting time. My first cycle was to start Monday.
So today, the pharmacy calls to say they could not get the override and I’d have to go through the pharmacy the insurance uses. Fine. I call the network pharmacy, only to be told that they aren’t the pharmacy that handles fertility medications. I would have to use another pharmacy they use that distributes the necessary medications. Chile Smile.
Three pharmacies later, I get my order set up only to get a call later that day saying that one of the medications had not been authorized by my doctor for the insurance to approve. Ugggggh. Whyyyyyyyyyyy? But, despite my frustration I am on top of it y’all. Time is of the essence. I’m supposed to start Monday and I want to stay on track because we want lil boo boo to get here sooner than later.
Meanwhile through all of this I am emailing my nurse and my doctor — keeping them in the loop about everything. Then a little while later, the pharmacy informs me that because one of the medications had not been authorized that none of the medications in my order will ship!
I have been holding it together but I have been on the phone all day, emailing, writing notes, names and times. I have stickies everywhere. It’s getting late.
I call my insurance. Mind you everyone I’ve talked to has been so nice and working so hard to help but it’s so much they can do without the insurance company’s approval. So calls have been made, emails have been sent and by this time I’m telling my husband everything I’ve been through and here they come — the tears!!! I had to let it go. It was a challenging day to say the least. My husband comforts me. I take a deep breath — pull myself together and tell myself its all gonna be ok.
Come Monday, everything was just that.
I had an early morning appointment to get blood work and a sonogram. The doctor is aware of everything. When my medications will ship is still up in the air but they are able to find me some samples to start this evening just in case. After I leave the doctor I get on the horn to follow-up with the pharmacy. The medicine that was on hold for approval was approved and everything was all set to be delivered for Tuesday, which my doctor said was ok to start then.
Despite the challenges you face, have faith that everything will turn out ok. Even, if it doesn’t turn out exactly how you thought it would. Onward and upward!
PLEASE NOTE: THE IMAGE IN THIS POST IS A STOCK PHOTO. THIS IS A REPRESENTATION OF SOME OF THE MEDS I HAD TO INJECT/TAKE. I DID NOT HAVE TO TAKE THE QUANTITY OF MEDICATION REPRESENTED HERE BUT EVERYONE’S CASE WILL BE DIFFERENT.