Friday message, after rounding in hospital: Insurance won't cover Very Necessary Can't Run Out type of med. Call patient. Med is only one of many legitimate concerns they would like to address on the phone. Call pharmacy. Long menu. Address multiple things + Very Important Med
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Insurance 1 won't cover because Insurance 2 exists. Insurance 2 wants a prior auth. Call insurance 2. Long menu. Long hold. Dig up ID number. Answer questions. Insurance 2 says no way, this is insurance 1s job.
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Call pharmacy. Long menu. Report back what I learned, discuss. Call Insurance 2. Very long menu, very long hold. Dig up other ID number. Answer questions.
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Person says it's not Insurance 1s fault, it's Pharmacy rejecting because this is approved. I explain. They are annoyed with me. Finally they explain that they somehow looked back on previous PA and approved it TODAY when someone else started the process. (?)
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Call pharmacy. Long menu. Report back. They run the med again. It's approved. Time elapsed: over an hour. Nothing that I did in this hour was necessary.
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This is just a tiny fraction of my inbox management, and just a taste of what healthcare workers are having to do. We do it because we want our patient's to have what they need, but talk about soul sucking.
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If you're looking for us at the bedside, maybe try checking the back room where the computer and phone are. You are more likely to find us there.
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It’s insane that anybody has to do that. But I can’t believe that you don’t have MAs or somebody else to do that for you. No doc can do that.
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Why not?
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Wow. That is ridiculous. Also, bless you! I wouldn’t go through that crap for myself.
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You would if you were diabetic, needed insulin to live and could not pay out of pocket. Or any number of life extending medications.
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