Saturday, July 21, 2007

Argh!! Insurance company!

I leave on Monday for the BWCA. I am nearly ready.

The food pack is almost ready. I have packed all our meals in individual zip lock gallon bags. Each bag includes all the food and condiments needed for the individual meal, as well as a couple paper towels (for clean up) and handi-wipes. Breakfast is in one sack, lunch in another, and all the dinners in a third stuff sack. Snacks are in their own stuff sack.

The equipment pack is ready. It holds the tent, first aid kit, water filter, and small miscellaneous pieces of equipment. (duct tape, sun shower, rope, etc.)

We will have two personal packs. Two people will share each pack. These packs will include sleeping bags, headlamps, personal gear, clothes, diabetes supplies (in both packs for safe keeping) and entertainment. (Aka: the new Harry Potter book that will be read aloud each day)

I called my doctor for a glucagon refill. I went to pick it up early last week. (I wrote about it in my last entry) The short version is that is wasn’t covered by my insurance company because it is a “diagnostic aid.” My doctor filled out an exemption. I got a letter on Wednesday that said “…your claim is: denied. Reason: other.” I called the insurance company and asked what “other” meant. A rep. told me that glucagon is a diagnostic aid and their company does not cover diagnostic aids. I asked this man if he knew about the BWCA. He said yes. I said that it would be far more costly to have to pay for me having to be airlifted out of the wilderness than to cover the darn glucagon. (I know, I know, it wasn’t very nice to say…but I was really FRUSTRATED by that time) It seems so absurd. I have been getting glucagon prescriptions filled since I was six years old. Suddenly my insurance that covered it last year won’t cover it.

I looked up glucagon on the Eli Lilly site. I guess I never knew that it had another use other than for severe hypoglycemia.

This is listed on their site under indications for glucagon:

For use as a diagnostic aid:
Glucagon is indicated as a diagnostic aid in the radiologic examination of the stomach, duodenum, small bowel, and colon when diminished intestinal motility would be advantageous. Glucagon is as effective for this examination as are the anticholinergic

My doctor is making one more attempt to provide documentation that this prescription will be used for hypoglycemia and NOT as a diagnostic aid. She sent a new form on Thursday. As of today (Saturday) it is not covered.

I’m planning to take my old glucagon that expired in June 2007.

Here’s hoping that I won’t need it. Chances are good since I haven’t needed it for the last 19 years.

I can’t wait to leave.

Monday morning I’ll be off to the great NorthWoods. What a great way to spend your birthday. Mine is that day☺!


Dixie is all packed.

She has her pack full of food (I dehydrated meat patties for her to eat—a mixture of turkey, cooked brown rice, egg, baby food carrots, fish oil, and bone meal) She also has a bag of dehydrated chicken and cookies.

There are aspirin and benadryl in the first aid kit for her.

She will sleep in the tent on an old thermarest pad.

I have her lighted collar and back up leash.

She can’t wait to go.


Minnesota Nice said...

She probably knows something exciting is happening.
That Harry Potter book is mighty heavy - hope you take turns carrying it.
Have a fun, safe trip, and Happy Birthday.

Carol said...

Don't give up on your insurance company (when you get back). Mine recently declined to cover the birth control pills that I've been taking for years, even after a letter from my doc. Since I'm over 40 and a T1 diabetic, the risks from a pregnancy would be very high. So I wrote a letter myself and my doc wrote another one, and we got it approved. I threatened to refer it to the State Board of Ins if I did not get an approval or a specific reason for the denial that referenced the reasoning that my doc and I had provided.

Hope you have a great trip!

Scott K. Johnson said...

That is so damn frustrating. It makes me mad just thinking about it!

We have enough hoops to jump through on a daily basis without being hassled with this kind of crap.

I hope you had a great time (you'll be reading this when you get back I assume) and a great birthday!

Take care!

Bernard said...

Thanks for the warning, I see what happens when next I order Glucagon.

Have a wonderful time!

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Call me ASAP. 954-579-9447
It was nice to meet you.