Why would my insurance denial pullmozyme for our son?

T

Terry

Guest
Our insurance company got a bug up their behind last year. They caused us a lot of problems for a couple of weeks with Marissa's meds. We still don't know exactly what happened, but the CF pharmacy wouldn't even send out her meds unless we sent them $7000.00 first. (She was on Tobi at the time, so it was that on top of her regular maintenance meds). I was so upset, we were out of somethings and running low on some others. I fought it for a week by myself with the insurance company standing their ground, and the pharmacy not giving in either. Marissa gets terrible diarrhea without her Ultrase, which I had three days worth left. It was then that I finally e-mailed my local, state, and federal government. Within an hour a lady from the state capital called me and asked permission to have an attorney call the insurance company and pharmacy. Within an hour of this conversation I got a call from the attorney saying I know longer owed anything and the pharmacy was shipping all her meds out overnight and that I was to call him if they weren't there by noon the next day. They came before noon, and not only that, we legitimately had a balance with the pharmacy that somehow went away. I'm not advocating getting out of what you owe, nor saying I feel exactly good about that part, but I am just saying that the people we elect are there to represent us in these cases. Hopefully you will be able to work this out by a phone call from your doctor, but if not don't be bullied. Your child deserves to be able to breath, eat, etc.

Good Luck!
Terry
 
T

Terry

Guest
Our insurance company got a bug up their behind last year. They caused us a lot of problems for a couple of weeks with Marissa's meds. We still don't know exactly what happened, but the CF pharmacy wouldn't even send out her meds unless we sent them $7000.00 first. (She was on Tobi at the time, so it was that on top of her regular maintenance meds). I was so upset, we were out of somethings and running low on some others. I fought it for a week by myself with the insurance company standing their ground, and the pharmacy not giving in either. Marissa gets terrible diarrhea without her Ultrase, which I had three days worth left. It was then that I finally e-mailed my local, state, and federal government. Within an hour a lady from the state capital called me and asked permission to have an attorney call the insurance company and pharmacy. Within an hour of this conversation I got a call from the attorney saying I know longer owed anything and the pharmacy was shipping all her meds out overnight and that I was to call him if they weren't there by noon the next day. They came before noon, and not only that, we legitimately had a balance with the pharmacy that somehow went away. I'm not advocating getting out of what you owe, nor saying I feel exactly good about that part, but I am just saying that the people we elect are there to represent us in these cases. Hopefully you will be able to work this out by a phone call from your doctor, but if not don't be bullied. Your child deserves to be able to breath, eat, etc.

Good Luck!
Terry
 
T

Terry

Guest
Our insurance company got a bug up their behind last year. They caused us a lot of problems for a couple of weeks with Marissa's meds. We still don't know exactly what happened, but the CF pharmacy wouldn't even send out her meds unless we sent them $7000.00 first. (She was on Tobi at the time, so it was that on top of her regular maintenance meds). I was so upset, we were out of somethings and running low on some others. I fought it for a week by myself with the insurance company standing their ground, and the pharmacy not giving in either. Marissa gets terrible diarrhea without her Ultrase, which I had three days worth left. It was then that I finally e-mailed my local, state, and federal government. Within an hour a lady from the state capital called me and asked permission to have an attorney call the insurance company and pharmacy. Within an hour of this conversation I got a call from the attorney saying I know longer owed anything and the pharmacy was shipping all her meds out overnight and that I was to call him if they weren't there by noon the next day. They came before noon, and not only that, we legitimately had a balance with the pharmacy that somehow went away. I'm not advocating getting out of what you owe, nor saying I feel exactly good about that part, but I am just saying that the people we elect are there to represent us in these cases. Hopefully you will be able to work this out by a phone call from your doctor, but if not don't be bullied. Your child deserves to be able to breath, eat, etc.

Good Luck!
Terry
 
T

Terry

Guest
Our insurance company got a bug up their behind last year. They caused us a lot of problems for a couple of weeks with Marissa's meds. We still don't know exactly what happened, but the CF pharmacy wouldn't even send out her meds unless we sent them $7000.00 first. (She was on Tobi at the time, so it was that on top of her regular maintenance meds). I was so upset, we were out of somethings and running low on some others. I fought it for a week by myself with the insurance company standing their ground, and the pharmacy not giving in either. Marissa gets terrible diarrhea without her Ultrase, which I had three days worth left. It was then that I finally e-mailed my local, state, and federal government. Within an hour a lady from the state capital called me and asked permission to have an attorney call the insurance company and pharmacy. Within an hour of this conversation I got a call from the attorney saying I know longer owed anything and the pharmacy was shipping all her meds out overnight and that I was to call him if they weren't there by noon the next day. They came before noon, and not only that, we legitimately had a balance with the pharmacy that somehow went away. I'm not advocating getting out of what you owe, nor saying I feel exactly good about that part, but I am just saying that the people we elect are there to represent us in these cases. Hopefully you will be able to work this out by a phone call from your doctor, but if not don't be bullied. Your child deserves to be able to breath, eat, etc.

Good Luck!
Terry
 
T

Terry

Guest
Our insurance company got a bug up their behind last year. They caused us a lot of problems for a couple of weeks with Marissa's meds. We still don't know exactly what happened, but the CF pharmacy wouldn't even send out her meds unless we sent them $7000.00 first. (She was on Tobi at the time, so it was that on top of her regular maintenance meds). I was so upset, we were out of somethings and running low on some others. I fought it for a week by myself with the insurance company standing their ground, and the pharmacy not giving in either. Marissa gets terrible diarrhea without her Ultrase, which I had three days worth left. It was then that I finally e-mailed my local, state, and federal government. Within an hour a lady from the state capital called me and asked permission to have an attorney call the insurance company and pharmacy. Within an hour of this conversation I got a call from the attorney saying I know longer owed anything and the pharmacy was shipping all her meds out overnight and that I was to call him if they weren't there by noon the next day. They came before noon, and not only that, we legitimately had a balance with the pharmacy that somehow went away. I'm not advocating getting out of what you owe, nor saying I feel exactly good about that part, but I am just saying that the people we elect are there to represent us in these cases. Hopefully you will be able to work this out by a phone call from your doctor, but if not don't be bullied. Your child deserves to be able to breath, eat, etc.
<br />
<br />Good Luck!
<br />Terry
 

SARAHSARAH253

New member
Thanks for calming me down last night..I had my doctors call the insurance company this morning...They have it resolved it should be in the mail tomorrow..thank you

Sarah
 

SARAHSARAH253

New member
Thanks for calming me down last night..I had my doctors call the insurance company this morning...They have it resolved it should be in the mail tomorrow..thank you

Sarah
 

SARAHSARAH253

New member
Thanks for calming me down last night..I had my doctors call the insurance company this morning...They have it resolved it should be in the mail tomorrow..thank you

Sarah
 

SARAHSARAH253

New member
Thanks for calming me down last night..I had my doctors call the insurance company this morning...They have it resolved it should be in the mail tomorrow..thank you

Sarah
 

SARAHSARAH253

New member
Thanks for calming me down last night..I had my doctors call the insurance company this morning...They have it resolved it should be in the mail tomorrow..thank you
<br />
<br />Sarah
 
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