eftychia: Me in kilt and poofy shirt, facing away, playing acoustic guitar behind head (Default)
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posted by [personal profile] eftychia at 05:18pm on 2002-06-04
Things get scary, then they work out, then they get complicated again.

I went to pick up six prescriptons at my HMO. One had not been refilled -- it had no refills left, and the doctor who wrote it declined to authorize more. Okay, I should've asked my rheumatologist to write me a new prescription instead of coasting on the one from my internist in the first place.

But then the technician acting as cashier commented that one of my prescriptions was for $145!! My copayment is $15, so that just seemed wrong. We figured it out: my prescription drug benefit has a dollar limit, and I'd exceeded it! I don't have $145, much less the ability to spend that much on one drug. So I said, "If I put these three back, can we make this one be covered?", figuring I can squeeze out a few more doses of my athsma drugs but I really want the antihistamines (without which I'll definitely need the athsma drugs) and the painkiller that did get refilled. I was way upset.

Then it occurred to me to ask, "Does my drug benefit work on a calendar year, or a year based on the start of my plan?" They looked it up. I'd called in the refills 2002-05-28. The plan-year ended 2002-05-31 and the new year started 2002-06-01. So they cancelled the three that hadn't been covered under last year's plan and put them in again as if I'd just called them in, under this year's plan. *whew* Now to deal with getting the sixth one approved.

Well I also needed to call my rheumatologist to get a letter excusing me from jury duty, so I called his office. He's on vacation. Argh! But it turns out he gets back tomorrow, just at a different office. So I left a message at the place where he'll be tomorrow, explaining my situation. Now he hasn't seen me in a while because my car died just before my last appointment was scheduled and he's nowhere that I can get to by bus, and when I finally had wheels and could schedule a new appointment, the first available is 2002-06-28 -- the day I'm supposed to be All Moved Out of my house (no, I still don't have any clue where I'm moving to), and well after the fifteen days the jury comissioner gave me for obtaining that letter. Here's hoping he'll give me the letter anyhow. And that it arrives before the weekend so I can mail it before I go out of town.

(I was thinking, "Unless they find a cure for fibromyalgia, I'll need to be excused from jury duty permanently. Then I realized that all we need to do is manage to control the fibromyalgia well enough for me to be able to handle a full eight-hour day in order for me to be able to serve. That's unlikely given the lack of success I've had so far with attempts to treat it, but still well within the realm of possibility. And if that happens, I'll be happy enough about having the option to work full time -- oh the doors that'd open -- that taking a day out to do my duty to the court system wouldn't be all that big a nuisance.)

Stress. I got stress. Anybody need some? 'Cause I've got plenty to spare!

Oh, if anyone's curious, the tally was US$573 worth of drugs today; $75 out of my pocket. Which means I eay nothing but mac&cheese for a while, but at least it's money I had.
There is 1 comment on this entry. (Reply.)
 
posted by (anonymous) at 09:34pm on 2002-07-16
Hi Glenn (and anyone else who is peeking in),
I think I've probably drilled it in to you that there really is a cure for fibromyalgia and any residuals that remain can be controlled. As you know, it lies in the realm of myofascial release (www.myofascialrelease.com) and yet the process is deeper and perhaps more complex than one might suspect - and yet so simple and universal. I speak for myself and for others I have met. Most of the pain and suffering is unnecessary and if you dedicate yourself to a patient practice of yoga, meditation, and pranayama ("breathing") - it will happen. I've discovered a stress vacuum that just sucks it away in meditation and prana - especially with a good teacher. Especially for me, the yoga practice must be very mindful of mechanics and "plugged in" to grace. Rather than searching for something and analyzing what is wrong - look for the good and find ways to make it better. There is so much more to this - yoga is HUGE and EXPANSIVE. Try www.anusara.com for a taste.
Peace, Ruth

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