Tuesday, June 26, 2012

#BCBSM Sucks!

If I'm going to have a Bully Pulpit then I'm going to dang well use it.

To make a long story short (too late!) I have had Fibromyalgia for over 24 years. In the past two years I have begun to get some relief from the pain. Due in part to my exhaustive efforts and a medication called Lyrica. Two years ago when a Pain Specialist prescribed it I was on my husband's company BCBSM health care coverage. We had spotty coverage and minimal customer service at best. Last year the company switched to a Health Plus plan. That was wonderful! They paid promptly and reported excellently. Even reduced the out of pocket cost on some of our prescriptions. In someone's infinite wisdom, my husband's company has decided to go back to BCBSM.

Well the first thing they did was screw up the number of member cards we need. We have two adult children on our plan. I don't take them to their Doctor's appointments but apparently BCBSM thinks I should.

Now back to the real reason for this rant. BCBSM has decided to do an evaluation of weather I "qualify" to be on Lyrica, after two successful years. When do they decide to do the eval? Right after I run out of my medicine. How long does the eval take? 7 to 10 days. That's right I am being forced to go with out the medicine that relieves my stiffness, reduces my exhaustion and eliminates my daily pain for going on 11 days now. With no indication of an approval.

It's a darn good thing I don't have diabetes or epilepsy I could be dead by now according to the BCBS policy. Oh and the"unhelp desk" says they have no way to speed the process or offer temporary relief. "Sorry...have a nice day..."

Once again I repeat BCBSM SUCKS!!!!!!!!!!!!!