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May 24th, 2012
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The vibration of my cell phone stirred me in my seat during a less than interactive physics class. Taking a look, I see it is my go-to pharmacy calling me up. This is not a surprise to me since they call to inform me I am out of refills every now and then or that it is too soon to place a refill on a script. I let it buzz away back in my pocket and waited for class to end. Working my way into the sunshine of the outside walkway, I dialed in to listen to the pharmacy’s voicemail. This was not the message I was expecting.

 

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About a year ago, my PCP's office decided I needed to make separate appointments to have my blood work drawn, a week before my PCP appointments, extorting an extra co-pay so that my doctor and I can have some meaningful interaction (my insurance requires the lab work to be sent out, with about a five- to seven-day turnaround). There's nothing unusual about the blood work -- just the standard glucose panel (with HbA1c), metabolic (liver function) panel, lipid panel (cholesterol), blood count, and urinalysis.

 

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I refilled two prescriptions this evening. My insurance works best through mail-order prescriptions. It allows me to order 3 months of supplies for a discounted co-pay. It also adds some convenience to this disease since it delivers to my door instead of forcing me to go to the pharmacy and stand in line. I definitely enjoy using a mail-order pharmacy.

 

As I was refilling the prescriptions, the online mail-order system calculated my costs. It totaled my co-pays ($60 for Humalog and $90 for strips). On top of that, it showed me the total costs for both the insulin and the strips. And I have to say that I was amazed. I know that all this is expensive, but it's been awhile since I've considered what my prescriptions actually cost (not my co-pay cost).

 

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Last Thursday, I checked the mail to find my latest test strip order in my box. At first, I wasn't even sure what the package was as it was more an envelope and felt extremely light. When I usually get strips, I receive a pretty good sized box.

 

As I opened it, I saw three OneTouch boxes smushed and open. Good thing that strips aren't fragile. Three boxes shocked me. Generally, I get six to eight boxes for my three month supply. I thought that the prescription was for one month at first.

 

Then I looked at it more closely and noticed that it'd been filled for "3 blood sugar checks per day" and I could reorder on March 16 (meaning I'd get the order early April). I couldn't believe it. I still can't really even though I've been dealing with it for a week now.

 

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Like most companies around the country, mine is in the middle of open enrollment. Which means that now is the time of year when we choose our benefits for the coming year.

 

Naturally, there are changes and cost increases. That's just the way it goes -- even in a good economy. I feel fortunate to work for a company that provides much of the premium costs for my health insurance. Just for premiums for me and the kids I'll pay around $350 per month. And I get that that's cheap considering other people's circumstances.

 

Anyway. One of the cool things is that our insurance pays preventive care at 100%. So annual physicals for me and the kids, my well woman exam, etc. don't require a co-pay. Which is pretty cool.

 

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Last night, No. 3 got bit by a dog. She’s fine. No major damage, no shots, no stitches, but a trip to the ER and some antibiotics.

 

The kids were playing outside and No. 3 was holding our teeny chihuahua when a neighbor’s dog that was on a leash started yapping at our dog. No. 3 got caught in the middle. The Mr. was inside and I wasn’t home, so we’re getting the story from a 5 year old and a 9 year old. In other words, the details are sketchy.

 

As I was discussing the incident with co-workers this morning, I mentioned that our ER co-pay has gone up to $200 from $100. Urgent care co-pays are only $75.

 

I get that ER care is likely more expensive, but I hate that often health-care choices are completely based on money.

 

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The new insurance kicks in tomorrow. I am a nervous wreck. I keep bolting up in the middle of the night (OK, not bolting, more like pissing and moaning when the baby wakes me and then unable to get back to sleep) with all these thoughts racing thru my brain. I don't think our state is one that excludes prior conditions, but I don't know if that applies if you've had a lapse in coverage. And does a month qualify as a lapse? Am I going to have to jump thru hoops to make sure Olivia's supplies are covered? Will we have to pay out of pocket for a year? Gaaaaaaaaaah! No wonder I'm so freakin' tired all the time.
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When I have checkups with my endo I typically don't have questions. Usually it's more or less an in-and-out-how-are-your-blood-sugars type appointment.

 

But things are chaning in the world of health insurance and I have tons of questions for my apointment next week. (Which is a follow up from barely two months ago when bloodwork showed that my thyroid had decided to take a vacation. We increased my thyroid meds; bloodwork this Wednesday; actual appointment next week.) I have received three letters in the last month or so from my insurance company telling me that the Novolog I use is now going to be a Tier 3 prescription (i.e, the highest co-pay) and that the number of test strips I can get will now be limited.

 

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The waiting room in endocrinology was like an assembly line of children with diabetes. Each time one child went in, another appeared. Then another and another and another. Very sad.

 

I zoomed in on a cute little girl with shoulder-length hair and a top with purple and red hearts as she buried her face into her father's shirt as he talked to the receptionist. Maybe just diagnosed? Don't know for sure. She had a sort of worry that should never be on a child's face.

 

I leaned over to Susanne to point out the girl, but she said "I know." 

 

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I'm an advocate for healthcare reform. I think our country desperately needs a change in how we manage both preventive and continued care. Insurance companies can often make illness much more stressful than necessary with their copays, denied coverage, and stringent rules.

 

I've been blessed with pretty decent insurance thanks to my father's previous job. I've almost always been able to see the doctors that I want to. I lucked into a no referral clinic that allows me to see any type of doctor at my own discretion. No pink referral slips to get me into the OBGYNs' or cardiologists' doors.

 

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Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

(Read More)
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