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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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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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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'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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Yeah, I know. Duh, right?

I was just reading a post over at Diabetes Daily by Bernard Farrell. He was discussing the astronomical cost of test strips. It is ridiculous that they cost $1 a piece. On an average day, Olivia tests 8 - 10 times. When she's sick, it's even more frequent. That's $10 a day, just in test strips.

The insurance company's answer to this, usually, is "Well, test less frequently." Yeah, you know where you can shove that statement, bucko. Get lost.

But why aren't the insurance companies pushing back on this? Why are they content to let manufacturers charge so freakin' much for test strips? I don't understand it.

I've done this before, but I think it's time to break down what diabetes costs us every month.

-- Approximately $750 for health insurance. Per month. Yeah. Ouch.
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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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It's Election Day. As the polls are continuing to count their votes, I'm watching the news coverage mostly unaffected. I know that whomever takes the country this year is going to bring big change for all of us. It's that kind of year. Even if it isn't a presidential election.

 

The votes are coming in with an overwhelming Republican projected sweep. Generally, I would vote Republican because I tend to be more conservative when it comes to taxes, gun control, et cetera. Yet I'm a moderate which means that I don't side with either party. I'm the kind of voter that would much rather pick and choose topics rather than parties. Let me vote yes or no for the "don't ask, don't tell" act. Or choose how the healthcare reform should be handled. Don't make me pick a party.

 

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I wonder if there is a better way. I have been using the same pharmacy for two years now and they have done a perfectly good job for me. But the rigmarole involved seems a bit much, even with all the modern conveniences involved. Every month before my Novolog and test strip stronghold runs out I go to the Longs Pharmacy website and plunk in my prescription numbers, store pick-up number, name, e-mail, phone number, and check a couple of boxes to get my online refill request sent off. Then a day or two later when I am sure they are ready for pick-up, I drive over to the pharmacy being actively aware of when they close because I inevitably need the Novolog by now, do the in-line wait, and fork over some money. (READ MORE)


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I called my endocrinologist today for my lab results. One of his nurses got on the phone to tell me that my lab results were "stable" and "a letter had been mailed on the 2nd." She also went on to say that the doctor wanted me to see the diabetes nurse educator. The moment she uttered those words, I could tell that she was done and wanted to hang up the phone. But I wasn't.

 

I asked what my A1c was, not caring about the potassium and other kidney function tests. I didn't want to wait another week to receive the envelope in the mail. She hesitantly replied that it was 7.4%. As if teaching a child, she responded that it was okay although we should be aiming for under 7%. I didn't want to say that last week, the very MD had told me that a 7.2/7.3 is FINE! Okay, I did want to say it. But I didn't.

 

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Additional considerations. Lately, they're making me crazy. Diabetes serves up a plate load of them. Every. Day.
The insulin pump at my hip - and how to keep it dry. The insulin that goes in the pump - and how to keep it cold. My hip-hopping bloodsugar - and how to make it sit somewhat still. The food I eat - and how to keep it from sending my bloodsugar levels soaring. And all the medicine and supplies - and how to pay for them all.
That last is a big deal. A really big deal. (READ MORE)


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George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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