4 years ago
Actually -3 stars....But Google won't allow it!
Actually -3 stars....But Google won't allow it!
I discovered my Blue Cross plan had been cancelled when I went to pick up my prescription on 1/5/18.
I contacted Blue Cross from the number on my card and was immediately told I needed to talk with Healthsource RI because they were the agency that I bought my insurance from. It was of course 9 pm on Friday. Healthsource works 8-6pm M-F. On Monday I checked, and there was no issue with my insurance from their end. The computer system between the two agencies does not communicate directly so I was advised to give it a few days . On January 8th I again tried to pick up my med and was told the same thing, no insurance. Contacted Healthsource, no issue. Contacted Blue Cross and was told they cancelled my policy in December for non payment. I told them that my account was up to date and my next premium wasn t due until 1/23. They referred me back to Healthsource. We determined that Blue Cross had cancelled ALL my policies when they terminated my 2017 insurance policy. Although my new policy didn t begin until AFTER the date of the cancellation, it was also cancelled. So we started a new plan immediately and paid the premium. Waited 2 days. Still no coverage. Contacted Blue Cross again. They were incredibly helpful and straightened out the issue with my policy not being active and everything looked ok. My meds were still declined. I ve now been without my medication for 7 days. My pharmacy did release 3 pills. But because Blue Cross doesn t seem to understand their own policies, I cannot get my medication filled without a denial/appeal/exemption/denial/appeal/exemption paperwork. I have spent a total of 8 hours on the phone just this week trying to get someone to actually do something. I was with another health insurer 2 years ago with the same medications and never once had an issue like this. Since coming to Blue Cross in 2016, my medication has been denied and filled late more times than is necessary. The layering of their pharmacy services through Walgreens, who then sub contracts to a 3rd party has been exceptionally confounding and has lead to me being without medication for days at a time. Terrible company. If you have a choice, don't choose Blue Cross. 1/23/2018 UPDATED...I am FED UP! I AM ANGRY!
FYI.... if you don't know.... I've got a diagnosis of Post concussion syndrome and Pseudobulbar Affect.... I'm on meds to keep me functioning...I'm off one of my medications because of the stupidity of our medical system. My main important med is called Nuedexta.... It's the only FDA drug approved for PSEUDOBULBAR.... It keeps me from crying all the time uncontrollably, without attachments.... It's not that I'm sad.... It's that some hidden switch is broken and I have no choice but to cry, weep, sob.... B a w l.... It's exhausting. I choose to take an antidepressant to keep me from listening to the little voice in my head that tells me that all is hopeless. My Nuedexta is INCOMPATIBLE WITH ALL ANTIDEPRESSANTS EXCEPT WELLBUTRIN! Now, maybe I'm just being overly sensitive.... But denying my antidepressant because you aren't able to cross check for interactions is negligent. Right? If you can't use a simple computer program... Or printed text.... You really, really aren't supposed to do the job that requires the use of printed words.... I am without my antidepressant, now, for 15..going on 16 days.... Because a subcontractor of a subcontractor to Blue Cross Blue Shield of RI is making decisions about medicine without the ability to read. Really.... They can't read. Apparently.... And there is no... NO.....recourse! Seriously! I just sent off this letter by fax with 9 pages of corroborated information from GOOGLE to the company that controls MY MEDICAL CARE.... because NO ONE CAN READ!