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| | Good Luck Marie | |
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nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| | | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| Subject: Re: Good Luck Marie Tue 14 Jun 2011, 1:27 pm | |
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Thanks Dee, I'm dressed and ready to go. I'm a wreck....
I'm praying this is going to work out especially the meds. If all goes well I'll probably need to sleep from all this stress. Better yet,I'd love to do something fun and not think about this. Slim chance of that though.
You'll be the first to know how it goes. Please keep me in your prayers.
Love, Marie
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| | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| Subject: Re: Good Luck Marie Tue 14 Jun 2011, 4:20 pm | |
| It's ok Marie, Your going to do fine. I know you are. Take a deep breath and remember, you are the patient and you choose who your provider will be. That puts you in the driver seat. I'll be waiting to hear back from you. Good luck! | |
| | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| Subject: Re: Good Luck Marie Tue 14 Jun 2011, 6:41 pm | |
| OMG,you will not believe the nightmare I just went thru. I went to the office of a new Dr. and waited b/c she was not there. I called her and she said she thought I cancelled my appt. She'd be right over. She comes and a few other ppl come in as well. I give her 200.00. She tells me she has NO receipts. After waiting 2 hours I thought I could trust her. Right. I went to the Pharmacy and they said the Dr. had been sanctioned. I didn't know what that meant and neither did the Pharmist.
I come home and call the Ins. and they tell me she is under investigation and will not cover my meds. She is red flagged.
I can not even believe this.
I'm trying to call her back. I want my money back.
Now,I have a appt. with the quack that put everyone back a week for tomorrow. I don't know if he will keep me since I've seen other Dr.'s. He will take my Ins. and that "might" buy me some time to find someone else. Or he might tell me to take a hike. I could tell him my reasons for trying to find another Dr. but I'm not sure what he will do.
I had to buy a few strips. Once again spending money that I don't have.
Any suggestions?
Marie
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| | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| | | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| | | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| | | | bfye
Number of posts : 695 Age : 48 Humor : There is no room in your heart for anger when you are filled with gratitude. Registration date : 2008-11-20
| Subject: Re: Good Luck Marie Wed 15 Jun 2011, 11:48 am | |
| Oh Marie... I don't even know what to say. Or rather say first for that matter! It sounds to me like this woman is an outright crook!!! It makes me sick to my stomach to read your post about what happened at your appointment & very mad!! What about a doctors oath to "do no harm" to their patients? I agree with the above statements about you getting better treatment from the corner crack dealer than what you received from this "doctor!" My personal opinion is that she has no receipts BC she is not claiming that upfront money to the IRS- just cash in her pocket. Thank YOU very much for making her $200 richer!! (that was dripping with angry sarcasm!) I'm sorry to say that I have no clue how you could go about getting that money back from her or your insurance company. I am hoping that Dee has some ideas up her sleeve about that part of it BC this woman seemed to just completely scam you! She really does need to be reported, but it sounds as if she already has been & obviously more than once if she is sanctioned with that red flag! I called my own pharmacy this morning & asked them what it meant when a doctor was sanctioned & red flagged. My pharmacist told me that it's basically the very same as a patient being red flagged for various reasons such as, doctor shopping, prescription fraud, etc. But with her being the doctor, it means that she has been reported for inappropriate practices before & is more than likely being watched by the DEA for her actions. It sounds as if by being sanctioned that means that they took away her privileges to even prescribe to patients any longer or at least for the time being. That is the information that I have obtained by my pharmacy, but I also want to let you know that they were surprised that she was still even able to practice or even see patients while under these restrictions. Then I got even more confused BC why would she be able to see other patients who are NOT on Humana, but cannot see those who are? It sounds as if she is trying to run a strictly cash basis type of operation to bypass the "red" tape. Almost trying to get around the sanctions that have been placed upon her. I wouldn't be surprised if she ends up in some serious legal trouble if she continues on practicing in this fashion. I know that I have mentioned this to you before, but I have been through the mill with trying to locate a good provider & this reminds me of one that I saw that I went in & paid for my visit, talked to the doctor for all of about 5 minutes (tops!) & then he prescribed me the Suboxone, Valium & Zoloft with NO questions asked except what milligrams I needed for these scripts. I basically could've written the scripts myself as he didn't tell me what he thought that I needed, but asked what I wanted. I left his office & went to the pharmacy to fill them only to find out that he had NO IDEA that he had to have a seperate DEA # & certification to even be able to write the prescription for the Suboxone. Another doctor who was happy to take my money, but not even being able to fill the script!! I truly DO understand the frustration that you are going through & it makes me so angry that I felt like hitting the wall & then curling up in a little ball to cry it out! As you said, they have NO problems writing the prescriptions for the narcotics & the insurance companies have NO problem in paying for them either, but when you decide that you want to go into recovery- they make you jump through hoops, with cash in hand, to try to obtain that type of help! It is not even close to being morally right! Of course there are good providers out there, but like you, I have had the hardest time trying to locate that good one! Throughout 3 years of attempting to locate a good provider, I have only found one who actually seemed to care & now he has moved away. I tried for a year to continue to see him, but he is now 4 hours away from my home, thus making it an 8 hour drive for an appointment & it made it very difficult to see him, especially throughout the winter months. We decided that I needed to find a Provider closer to home in case I needed his help more often & to be monitored more closely. I think that the practice that he joined was opposed to him not being able to keep a better eye on me as well as he is one of only two doctors in that area that actually are certified to write the Suboxone & he had patients scheduled out for several months trying to get in to see him. Anyways, sorry about that, I just was reminded of previous providers that I have seen & have been completely disappointed by doing so. And now I am on the hunt for yet another new provider & am dreading the process of starting over once again! All I can keep in mind is that if we want it badly enough, we will get to where we need to be through our own persistence. But enough about yesterday for the time being as you have today to go try again! I pray that this doctor will be able to actually help you out & be someone that you are able to rely on through the good times & bad! Now, just to make sure, is this the same doctor that had your script ready for you the last time before you even saw him & it was not enough to cover you throughout the month, despite him telling you that you could take more, but never made the notation & would not get you the rest of the amount that you needed for the month? If so, I know that he left a bad taste in your mouth from your previous experience with him, but hopefully when you are able to see him face to face, you could try to explain your situation to him & maybe, just maybe, he will actually hear you! I am sure that you are very stressed right about now & I encourage you to write down anything that you want to bring up with him BC sometimes when doctors do see that you have a list of questions, then they will actually take the time to make sure that they DO get answered. Also, that helps when you feel nervous & put on the spot & may possibly forget something that you wanted to say to him or ask him about- you'll then have that piece of paper with YOUR concerns written out & he may take you a bit more seriously. In my own personal opinion, I would try to be as honest as possible with him about why you HAVE been seeking out other doctors, but saying it in a manner of something along the lines of not going in angry for the spot that he left you in this past month, but "how can we fix it this time?" Just so that he doesn't get defensive with you BC you do want him on your side more than anything! If it is not the same doctor, then I still encourage you to have your list along with you for the very same reasons & I would try to be completely honest about what you have been currently enduring with locating a provider & what you have been going through BC of it. I wish you the best of luck today & will continue to keep you in my prayers for a good outcome from a bad situation!
Please let us know how it all turns out & try to keep as positive of an attitude as possible, as trying as that may be at the moment. I will be looking for your post later on today.
Good luck my friend & chin up! You are doing just what you need to be doing to get to where you want to be & that is staying persistent & remaining on the road to recovery!
Much Strength & Big Hugs, Beth
**when I went to send this, it notified me that someone else had posted to you while I was writing this out & I see that it was Dee & I completely agree with her response, especially about trying to reduce your stress level before going in for the appointment. Deep breaths & the "Serenity Prayer" usually help me the very most... Good luck my friend!** | |
| | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| Subject: Re: Good Luck Marie Wed 15 Jun 2011, 2:02 pm | |
| [b][i] Beth and Dee, I've not read your posts yet I wanted to tell you what happened before I get on the phone with the Ins. and totally loose it on them.. I go to the Dr. and wait and wait. He comes in with no script and closes the door. I knew,he knew. I spilled it all out and begged him to give me another chance. I waited another 45 nin. He comes back and said he will keep me and give me another chance. he wants me in theraphy IMMED. I went to where he wanted me to go to show proof of the appt. and had to bring it back to him. Get this,he increassed my dose. Which this is what this was all about. He said I should have come to his office. I told him how I've tried to call MANY times. He said next time to come there. I hope there won't be no next time. So,I go to the Pharmacy knowing this is going to be a fight. And it was. They said i can't go over 90 pills in 23 day period...Say what?????? I'm going to get on the phone in a minute but I needed to come tell you what is going on first. I might have to have another PA since he increased my dose. Whatever the reason when i call I feel bad already for the person that answers at the Ins. Co. I'm so sick of fighting them over the same damn thing over and over with. And what do they mean 23 days. That would leave a entire week out. At first they told the Pharnacist they filled and paid for the false Dr. yesterday. Does anybody know how to do there job? GEEZ Dee please do tell me what you know about the other Dr. I'm trying to get in touch with her now. I'll be back shortly. Love Marie | |
| | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| Subject: Re: Good Luck Marie Wed 15 Jun 2011, 3:20 pm | |
| Marie, when an insurance company does a prior authorization the do it for a certain amount of the medication. Some companies have a limit set as to what they will approve. Mine says they will only fill a 14 day supply at a time at 2 tablets (16mg) per day. And yours is saying they only pay for a 23 day supply. What do they mean the pharmacy filled a prescription for a false doctor. The doctor is under investigation but that doesn't mean she is false. In your defense they need to show or tell you something.
I did go the the Medical Board for your state and checked out the doctor. They don't publish on going investigations only past investigations and those results. This afternoon I did find another address along with the one you gave me for her with the same phone number though.
That doctor still has her license until April of 2012. I sent you the link to the page in the PM. I didn't want to put her name out here on the site if there was still a chance that you had to have any dealings with her.
Since the insurance company did not in fact pay for that prescription yesterday they should pay for this new one. You still have your cash receipt don't you. When you call see if you can talk to the Prior Authorization Department. That is who I talked to the day that I called. Maybe that will help. I'm still digging. | |
| | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| Subject: Re: Good Luck Marie Wed 15 Jun 2011, 10:20 pm | |
| [b][i] I guess me saying a False Dr. is not the correct wording. I'm meaning since she is under some sort of investigation and Im calling her false. Wrong choice of words...My Bad I did get in touch with her this afternoon. She said she would not mail it to me but I could come to her office on Friday evening and get it. She said she wanted the script back. I told her I paid for a few but the Pharmacy had the script. She said she would call and cancel it. I had already told them to hold it or cancel it but to please be sure it was under "her" name. I would not want them to accidently put her name on a refill from the Dr. I'm seeing now. He would flip out. So,would I. She obviously,does not want any paper trail since she doesn't want to mail it back. Now,this is a one hour drive to get my money back but it's 200.00 so I have to go get it. The guy from the Ins. Co. told me to bring my receipts to the Pharmacy that I was paying cash for my meds before I was approved and they would give me the money back. They would then file for it. I'm not so sure about that. I'll call in the morning. After today and hanging on the phone with the Ins. for 2 hours this afternoon,I can't think anymore. I guess I'll be back to going to the Dr. office everyday,AGAIN. To get them for that PA and hopefully they don't deny it. I know I'm making some progress but untill I start seeing some money come back in i'm not going to feel comfortable. It would be great to be able to go get my meds filled one of these times and have no problem. I look forward to the day that all I have to be concerned about is making my once monthly Dr. appt. This has been one hell of a ride..... Thanks for all the time you have spent helping me Dee. You are very much appreciated... Love Marie | |
| | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
| | | | cajunmeme
Number of posts : 187 Age : 71 Humor : Good,love people Registration date : 2009-02-20
| Subject: Re: Good Luck Marie Thu 16 Jun 2011, 2:55 am | |
| [b][i]
I was having some trouble sleepin although I'm so tired. You said something that was such a nice compliment and maybe it's true. I'm not good with taking a compliment. You said that I've done the work. For me since I've tried to get clean so many times it often came easy for me to get help. I always think of myself as a screw up. I was told it half my life but that's another story. This time I've had to fight for it. Perhaps this is what i needed to do. It was time for me to fight for myself. Often when things come to easy we tend to not appreciate it as much.
I've made such a mess for so many years trying to get clean. The up and down the vicious fight of fighting for the next pill. At least now I'm fighting for the right reasons now. God does do things in strange ways.
Last night I felt like I couldn't take anymore. I wrote in my God Box and I felt a feeling of peace. I was going to just really give it uup and let God have His way. I felt calmer about the whole thing this morning. I was weary of what was going to happen but I was ready for whatever the day brought.
Tomorrow I will be seeing a Counselor. Thing is I'll be seeing 2 different ones for the first 2 visits. I think it's going to be more of a Evaluation. The person i want to see will be gone for 2 weeks. I've been putting off going and with this Dr. making m e go is probably just what I need. I know it's what I need.
I'm going to try to get some sleep. I still have some things to do with the Ins. and other things that's needed here. My grandson is coming back tomorrow as well.
You may not have been here physically but knowing you were trying to help me has made things much easier. Beth this goes for you as well.
Now,if I can get past the Dr.'s front office "bull dogs" to get this PA.
Also,I knew what you meant about the Dr. I just didn't want any Dr. to think I'm attacking another Dr. if one was to come by. Sometimes things don't come out the way I'm trying to say it.
Good Night/Morning.
Beth how are you doing,hun?
Much Love To You Both
Marie | |
| | | nannamom Admin
Number of posts : 2210 Age : 65 Humor : Once you choose hope, anything’s possible. -Christopher Reeve Registration date : 2008-11-09
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