Step right up folks, spin the wheel and win a new co-pay!
Disclaimer: This is purely a game of chance, no logic involved, and the house usually wins.
I am now on hubby's insurance, which is with United Healthcare (Medco for pharmacy). United (Medco) was also my previous insurance carrier, but this is a different plan/employer.
This all started when I went to the local pharmacy yesterday to pick up refills on my test strips and birth control pills. The test strips rang up with ZERO co-pay, which is a new but welcome phenomenon. The BC pills (same ones I have been taking for years), could not be filled because they needed "pre-authorization" from the doctor. Huh???? I wonder if the ins co would rather pay for a complex pregnancy for a Type 1 over 40 than BC pills.
So I decided to take the bull by the horns and call Medco. I'm convinced the first person I talked to was not really a person, but a trained parrot. When I asked why the BC pills required pre-authorization since the purpose was obvious, she just kept giving me the number for the doctor to call. Apparently they can answer who, what, when and where, but not why.
I then went through their automated system to get co-pays on Novolog, Cozmo Cartridges and Quick-Sets. The co-pay on Novolog was about $25 for 30 day supply locally -- OK, not too bad. And the co-pay on Cozmo Cartridges was ZERO for mail order from Medco -- GREAT, but really?? since I had been paying $125 before to for the same thing to Medco?
I couldn't get the automated system to recognize the Quick-Sets, so called back in for a live person. She confirmed that the Cartridges really are free, but that Medco no longer carries Quick-Sets and I will need to get those from my local pharmacy. Co-pay will be 30% of cost with a minimum of $20 and a max of $75. I didn't think local pharmacies carried infusion sets, and told the insurance rep that. She said that Wal-Mart, Walgreens, CVS, etc. do carry them. I thought "maybe something has changed since I tried that years ago", and called 3 local pharmacies. They don't carry them.
So I have left a message with the mail order diabetes supply house that I used previously (that is before Medco told me I had to order from Medco several years ago).
It's hard for me to trust a parrot, so a question for the OC....any of you getting Minimed Quicksets from Medco? I find it hard to believe they don't carry them anymore.
I wonder what the next spin of the wheel is going to yield. Oh well, so far I'm doing better than I did with the slot machines in Las Vegas.