Showing posts with label Humana. Show all posts
Showing posts with label Humana. Show all posts

Wednesday, April 25, 2018

FED UP WITH PHarmacies, and them "not doing what the doctors tell them to do!" This means YOU HUMANA!!!


FED UP WITH HUMANA SPECIALTY PHARMACY! They have SCREWED UP 3 WEEKS IN A ROW, & I STILL DO NOT HAVE MY RA MEDICATION!!!!!


I'VE BEEN ON THE PHONE WITH THEM AT LEAST 5 OR 6 TIMES! EACH time they have "a different" reason, and I told them I am fed up and this is why I DESPISE USING A MAIL ORDER PHARMACY! You "never get a straight" story" as you do when you can see the pharmacist face to face!

I got so mad this morning after weeks of them "making every excuse" when basically THEY WANT TO TELL MY DOCTOR WHAT I CAN AND CAN'T TAKE! WHICH IS BULL! But, I "chewed her out" and hung up... the woman on the phone, was already being a bit "rude" and that just make me more upset, so I told her off, (but I did not say any curse words() LOL although I wanted to! And just hung up on her, THEY ALWAYS TRY TO BLAME IT ON THE DOCTORS! When it is THEM THAT HAVE SCREWED UP!!!!!

They always want to "say the doctors office is messed up" when it is usually THEM THAT ARE MAKING THE MISTAKES! Plus now they as I said on Facebook, want to "tell our doctors" what they "can and can't do"....

It is none OF THEIR BUSINESS OTHER THAN TO FILL THE MEDICATIONS AND GET THEM TO THE PATIENTS!!!
They are causing me needless pain, needless wasting of my time on the phone again and again. They are WASTING THE DOCTORS TIME, with Paperwork"

Wednesday, August 9, 2017

SICK and TIRED of the "stigma" placed on so many of us with Chronic Pain and just how horribly it effects our lives, I feel it's time for me to step up and also state my feelings on the subject!

For a long time, I've kept my "mouth shut" when it comes to the business over those who want to make EVERYONE, with Chronic Pain and Chronic Illnesses, look like a bunch of junkies! But, I am just too fed up with it! It's gotten to the place that rather than focus on other countries who could destroy our nation with bombs, or talk about how to "help" those with pain problems, or use their talk to make available more research dollars, funding to help those who are ill, rather than make us all feel as if we are doing something wrong. 

As I use the example of someone with Diabetes, would you take away their insulin? A person with high blood pressure would you deny them medications to lower their blood pressure? I've been thru just about every type of other "pain reliever" you can imagine. chiropractors, injections into my spine and occipital nerves in my neck, injections into just about every joint on my body, I am on several medications for the Lupus and RA, yet some other medications that I had MANY SIDE EFFECTS FROM, that were supposed to help with chronic pain, I have every surgery that is a promise to help my pain, I walk daily, I don't stay sedentary, I try and do all I can to ease my pain. I've gone through NSAIDS that can cause me to have another heart attack. 

My 2nd MI partially was caused from chronic pain, and after the fractures to my hip, my pain level increased, due to many things such as the change of my gait, my neck in such bad shape, that he has to "stretch" it 2 INCHES, because I lost that much disc space... So, I KNOW ABOUT ALL F THE alternatives. Some of which work wonderfully for some people. I am thrilled that some find relief from things such as Gabapentin, which caused me to "hallucinate" even on a small dose. So, after going through SO MANY YEARS, of every type of other treatment available, what "works" for me, may not be what works for someone else. "Chronic Pain" in itself is extremely complicated. Due to having SO MANY CONDITIONS, that can cause this type of pain, it's taken an "army of physicians", medications, treatments, surgeries, injections, therapy, you name it, I've done it to find "what works" for me, with the least amount of side effects possible. 

So it just "burns my butt" to hear the crude and down right stupid remarks some say about us patients, that live with pain daily. I give a good example. I had NO CLUE, HOW PAINFUL, a fractured hip was, UNTIL IT HAPPENED TO ME! That was one of the most excruciating times in my life, as far as pain goes. OMG, kidney stones are horrible and unrelenting at times. But those two fractures of my right hip.... were almost unbearable. Every tiny movement caused me so much pain, I thought I would go into convulsions. Even being put on the stretcher and taken over my lawn to the ambulance, I was literally screaming, crying and probably cursing so badly and loudly, all of my neighbors heard me! I even waited over 2 HOURS, before calling the ambulance.
  


I wanted to "make sure" I had a fracture, and not just a "bruised hip" before calling the ambulance. Then them trying to do an X-ray or moving me in any way, I shook and screamed in so much pain. And those things are "acute pain" issues. So, you take some of those and put them with someone often daily or many times in a month's time, and see how well they would function in life for very long. I tend to be one of those people who try and not "show my pain" or illnesses in public. But, believe me just because I am not limping or using a cane, or whining and moaning in pain, does NOT mean that it's not there. So, some of you may get sick and tired of seeing me post about all of this ridiculous uproar over this so called "crisis", but I intend to keep on getting the word out as much as I can, and supporting EACH OF US, who would be "lifeless" if we had to withstand chronic pain and illnesses without any type of relief. 

The LONG LIST of illnesses that can cause relentless pain are endless. You can have "diabetic neuropathy", many different types of arthritic illnesses, autoimmune illnesses and syndromes, nerve pain from degeneration of the joints, of bones, of the spine, migraines of many types now, TMJ, FM, torn muscles and ligaments, surgeries sometimes can cause pain, "neuralgia" comes from so many types of illnesses, whether sciatic nerve pain, from a lower back issue, or pain in the arms, wrists, fingers, from a cervical neck problem, or from problems with diseases causing bone pain, cancers of many types, all types of "myalgia's", torn muscles, chronic sprains, cartilage gone in joints, certain types of chronic bladder problems, certain intestinal chronic health problems, and the list goes on and on about health conditions that can cause or contribute to chronic pain and chronic illnesses. 

I've decided that I am going to "fight" as much as I can online, with petitions, letters and such the ridiculous claims that "everyone" who takes a pain medication is "addicted" or an abuser. Whether it be governmental bodies, the DEA, the FDA, or the President, (HOW CAN any of those people who have NEVER HAD A SEVERE AND CHRONIC PAIN DISEASE POSSIBLY UNDERSTAND OR KNOW ALL OF WHAT WE GO THROUGH IN A SINGLE WEEK?" ALSO, I am SICK OF the health insurance companies "calling" constantly, wanting to "go over" your medications "over the phone" when NOW THEY DON'T EVEN SAY WHO THEY ARE ON CALLER ID! Now rather than saying the name of the company, Caller ID usually say "1-800" number calling... how do I KNOW THEY ARE WHOM THEY SAY THEY ARE? Why do I want to "discuss" something that honestly, is NONE OF THEIR BUSINESS! That is between MYSELF, MY PHYSICIANS, and if I NEED HELP, MY OWN PHARMACISTS? It is insane how many calls I get from so called health insurance, wanting to discuss, "this, that or the other" about my "health".... I HAVE A LIFE TOO, and I don't care to sit on the phone for an hour telling a person I don't know and have no earthly idea who they are about my medications or anything else for that matter!!!!! 


We are WARNED AND WARNED ABOUT NOT GIVING OUT PRIVATE information over the phone to those we don't know.... so this is a prime example of what irritates the hell out of me!



I got a call earlier in the week, from a "guy" who I didn't even "understand" asking for me? He never said where he was from, or whom he worked for, and then when he mentions my medications, I got irritated and told him I was NOT at that time discussing it with him. In the first place, THE MAJORITY OF THE TIME, THOSE PEOPLE EITHER CANNOT SPELL 

MY MEDICATIONS, OR THEY HAVE NO CLUE WHAT THEY ARE FOR! Why should I have to "explain" those things over the phone to anyone????



So, some of you may get sick and tired of my ranting on the subject, but enough is enough!













Friday, February 3, 2017

MORE BULL FROM OUR HEALTH INSURANCE COMPANIES (managed care bull) & spending OUR money on something silly rather than pay CLAIMS BETTER!

I've just about had it with Humana... they called my house at least 15 times while I was in the hospital. they can find MORE WAYS to spend our premiums and waste the money rather than pay our bills better. Now they have this "stupid program" for some of us. where they want to have a so-called "nurse" come into your home, and try and tell you how to run your life basically. After I came home, it was only a few days, and I got a call from them. Telling me this "nurse" would call and set up an appt. to see me.


Well, in the 1st place I DO NOT NEED any of their so-called snooping people coming to my house. I understand for those who may not take medications properly, or elderly and may not go to their doctors right, or not eat properly and so forth. For those, it may be a good thing. But, as for myself, I've just gotten home, my house is a "wreck" because I was right in the middle of taking out a couple of my older large area rugs from my living room and office, and ordered new ones. Then I had ordered a "new sofa" which was here before I fell, it is still sitting in the box, in my hallway.

But, I needed to get the old rugs out, get the floors and stuff cleaned, put in the new rugs, and then put in the new sofa-like type of futon I bought. BUT, I TOLD THEM DO NOT TRY AND HAVE SOMEONE COME BY FOR AT LEAST A MONTH!! I EXPLAINED I JUST cam home, my house was a mess of course with me being out for almost 6 weeks or so. I needed to get myself and my home in order so I would feel much better, and knew I would have follow up doctors appts, and now PT on my foot etc... BUT, THIS WITCH began calling me almost immediately. And she CANNOT get it through her THICK SKULL FIRST OF ALL, I DO NOT need them in my home. It is upsetting for me, especially with my house not in order yet, AMAZON LOST MY RUG FOR THE OFFICE! It should have been here ON MONDAY! THEY TRIED TO SHIP A DANGED 8 1/2 FOOT x 10 FOOT RUG through the POST OFFICE! So, I KNEW it would not get here. SURE ENOUGH, 1ST IT WAS DELAYED. I GOT so upset that I sent them an email chewing them out, because I just DECIDED TO TAKE THEIR PRIME SHIPPING FOR A MONTH, AND the 2nd thing I order THEY LOSE!

So, NOW my office is torn apart, stuff sitting everywhere, because until the rug comes in I cannot put stuff back and get it on my desk, and weigh it down, then I would never get the rug in how it needs to be. It's been this way now all week long, and supposedly the rug is coming in tomorrow on Saturday via UPS! HOW it should have been sent in the FIRST PLACE!! ANYWAY, this woman will not listen. I asked her to leave me alone, until after the 1st of March, so I can get my home in order, I am going to have to go to outpt PT on my foot a couple of times a week, and I am trying to get things all in order for the new puppy, before I bring him home. BUT oh hell no!

She is just insistent that by golly she needs to come NOW! So, I told her to leave me alone and again she insists on coming THIS MORNING, MY DAY I PAY BILLS, at 10AM! I swear I feel like not even answering the door! this is ridiculous! I went through this with them a couple of years ago, and told them off then. They wanted my pharmacist who had been filling my medications the same person for years to have me COME IN and "check my" medications! Well hell, for what??? He checks everything out each time he fills them!!! BECAUSE THESE PEOPLE GET MONEY FROM HUMANA FOR BUGGING US ABOUT CRAP THEY SHOULD KEEP THEIR NOSES OUT OF! LOL!!! I told my son that I may go to jail today, because I may push the witch off my front porch... of course I am kidding, but damned why drive people nuts SO THEY CAN MAKE MONEY, JUST LIKE SALES PEOPLE OFF OF US RATHER THAN PAY MORE ON OUR CLAIMS!!!

Friday, March 4, 2016

DOCTORS WHO TAKE MONEY FROM PATIENTS UNDER THEIR OWN LOOPHOLES....

This is so "long" to go into but get this... MY "orthopedic surgeon" who did the surgery on my neck, and "was" supposed to do the other next week, is ONE MY INSURANCE AS A PREFERRED IN-NETWORK PROVIDER, UNDER HIS BUSINESS NAME (DALLAS BONE AND JOINT CLINIC)... So, for TWO weeks I hAVE BEEN FIGHTING WITH HIS ASSISTANT because they keep saying they are NOT a preferred provider... I HAD PROOF FROM HUMANA, I HAD REFERENCE NUMBERS, I CALLED THEM MANY TIMES YESTERDAY I WAS ON THE PHONE WITH HUMANA FOR OVER 3 HOURS.... AND FINALLY FOUND OUT HE 'GETS' BY with saying he is "not in network" BY FILING UNDER HIS OWN TAX ID NUMBER rather than THE BUSINESS NAME WHICH IS AN IN NETWORK PREFERRED PROVIDER!!!! So, that means rather than me pay $325.00 FOR MY SURGERY... 

they want OVER $1,200.00!!!! They want the deductible which ONLY APPLIES ON OUT OF NETWORK PROVIDERS AND THEN FOR ME TO PAY 40% of the bill!!!!! I KNOW THAT HAS TO BE SOME KIND OF A RIP OFF.... HOW CAN HE BE UNDER THEM AND IT IS HIS BUSINESS... ALL OF HIS PAPERWORK READS DALLAS BONE AND JOINT CLINIC AT HIS ADDRESSES, AND I THINK HE AND ONLY ONE OTHER DOCTOR IS THERE... SO HOW CAN HE HAVE "TWO" TAX ID business NUMBERS, AND IT BE LEGITIMATE NO ONE ELSE WOULD HAVE TRACED IT DOWN LIKE ME!!!!!! 

Everyone else would have just PAID OVER 1,000.00 and went on so he MAKES A LOT MORE FROM THE PATIENT IN HIS POCKET!!!! I am GOING TO SEND AN EMAIL TO MY CONGRESSMAN, AND WHOMEVER I NEED TO... I THINK THIS IS TOTALLY WRONG, AND HE IS A GREEDY ASS, WHO DOES NOT DESERVE TO TAKE PEOPLE'S MONEY IN ORDER TO MAKE HIS MORE RICH... I NEED THIS SURGERY, BUT HELL I CAN BARELY AFFORD 325.00!!!! HOW THE HELL AM I SUPPOSED TO COUGH UP 1,200.00 because he is a greedy selfish miser.... I CRIED YESTERDAY AFTERNOON, ALL EVENING... I AM SO MAD, BECAUSE US LITTLE GUYS ARE THE ONES THAT SUFFER AT THE HANDS OF THE RICH!!!!!

Thursday, February 25, 2016

Eldery parents,caretakers,your own illnesses,surgery,family matters, Humana and insurance,doctors offices and issues, and more...

 Life is not always  BED OF ROSES... but I would settle for a few soft petals for now...




I am so excited - My NEW CORDLESS Weed Eater Came in yesterday! No more trying to pull those heavy cords around the yard, and I can take this out into the "back forty" also. Plus it is really almost lighter in weight than the corded one, and certainly lighter than the "gas" one. I can't weed eat for any long length of time, but I did discover, as long as I take it slow, and take breaks fairly quickly in between, then I can do lots with it. I can't start my darned lawnmower, because I do not have enough strength in my arms anymore to pull it quickly enough for it to start. It sucks, because I just put almost everything new on it last summer. I put the new pull cord device on it, a new air filter, changed the oil, a new spark plug, and fixed the "baffle" on it that deflects the grass. So, I am hoping my neighbor who used to mow the lawn will still do so, and he can see if i did a good job in the "overhaul" I guess when it plays out on me, I may have to get one that is "push button" for starting or something. I no longer can pull the cord quickly enough to start those kind. Anyway, right now I hope "nothing else" breaks or needs replacing around here. 

I've got the surgery to pay for, a doctors visit tomorrow that will have to be paid in full right now by me... he is my PCP and the ONLY doctor NOT on my "preferred provider list"... Hopefully since Aetna bought Humana, (they are on Aetna's plan) finally it will come together and they also will be on Humana's also... it is so odd, Humana used to carry them as a preferred provider for years.... anyway, I am having HELL with the surgeon's assistant that is doing my neck surgery. I go through hell with them on insurance every time... I FOUND THEM AND CALLED NOW 3 TIMES to make sure his clinic is on the "preferred provider list"... and I have seen it and they told me AGAIN ON THE PHONE YESTERDAY, that they are on Humana's "preferred providers list".... BUT the doctors office said the insurance said that they are not... well the issue is they have it listed under their "clinic name" which Humana tells me that means "the doctor" is covered... and I even got a special number on the phone yesterday as a confirmation that he is a preferred provider that I faxed to the doctors office... anyway, I have a 750.00 deductible on any "non preferred" provider then the insurance will pay 60% of the bill anyway, and then I pay 40%... so if it comes down to it, once that 750 is met, I would owe 40% of whatever, office visits, etc... and sometimes that 40% is actually "cheaper" than the co-pay which now is 20.00 for a PCP and a specialist is 45.00 in co-pay.... anyway, between that, trying to get Mom all figured out as far as her medications, and so forth, making sure I have someone to get me back and forth to the surgery next week on my neck and I think my son will be able to, he has to check with his work, then I will be in a neck brace for about 4 to 6 weeks...

 I will be able to drive after a week or so, but being in that neck brace makes it a bit more difficult, plus my pain pump has to be refilled around the 18th or so.... gosh always something... I won't be able to bend over, so I will have to get "creative" in changing the dogs paper and feeding/watering them... the little one is so full of "pee and vinegar" as the old saying goes, LOL, I will have to be extra careful with him after surgery so he does not trip me, or make me do something to "injure" my neck for the first couple of weeks... anyway we have all of that going on, and some others things, with family going on... I think all of us are more stressed out than we can almost handle... keep your thoughts and prayers with all of us right now.... I know my family will appreciate it for sure... 


My daughter and her family are under a great amount of stress due to jobs issues... things are so up in the air with the oil and has industry, and her husband, my son-in-law has worked with that type of thing now for over 10 years... yet with the extreme drop in oil and gas prices, of course it is taking a toll on so many of the companies that have anything to do with oil and gas right now... It is wonderful for us when we go to the gas station, but a nightmare for so many who may lose their jobs, and so forth. Talk about a double edged sword... so I have her and her family in my heart and am concerned for them, as I know this is a difficult time for them also. He does not really know from one day to the next if he will have a job with the company or not, and after having that security, benefits, insurance and so forth for over 10 years, that is difficult to deal with.