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Episode 3 – Three Things to Do When Your Insurance Company Says No!

How insurance companies say no!

Insurance companies can say no in two different ways. One, they flat out say NO. Two, the cost of treatment or medication is so prohibitive you can’t afford it. We live in a crazy world when insurance companies can dictate what our doctors can do for us, on our behalf. It’s not always the best path forward, but I have a few ideas for you to navigate these emotions and find a solution for the treatment you need and want.

Dealing with the emotions

First, these are icky emotions to deal with when an insurance company is being restrictive. Acknowledge them and release them. Don’t continue to talk and share the problem with friends and family, this will keep the feelings there. Find a way to release the anger/pain/frustration and move forward.

Here are three scenarios that occurred from me along the way:

Scenario 1: Refusal of Service

My oncologist was concerned with symptoms I was having and wanted me to have a colonoscopy. My insurance said, “No, not under age of 50.” Then, my doctor tried reaching out to explain why, and insurance company again said No. I tried. Remember the agent that you talk to is not the decision maker. Be nice and help them help you. She told me to write an appeal, graphic and emotional to fully reflect my experience, to convince them why the service was necessary. Within 14 days I had the OK to have it done. (And everything was OK!)

Scenario 2: Expensive Medications

Five or six months after my diagnosis, I couldn’t swallow right. I had an upper GI test and discovered I had Barrett’s esophagus. They prescribed a medication with a cost that was prohibitive. I called my doctor, and he shared the medicine company offered scholarship. I applied, and the medicine company paid for my meds for four years, delivered to my doorstep!

If you are having problems with your care or affording medication, there is help available. Not only are there community resources, but also organizations like Rx Assist, HealthWell Foundation , and Aging and Disability Resource Center …You just need to ask.

Scenario 3: Addressing the Symptom Not the Issue

I have allergy induced asthma and was recently prescribed a contradictory medication to my others, and one with an astrological cost per month. When I called my doctor, they had a slew of options for me, including one that addressed the cause of my asthma, rather than the symptom!

The running tie among all these scenarios is how important it is to engage with your provider , talk with your medical team , tell them what’s going on. Be open and don’t slip into the rant about how awful things are. Help them to understand whats happening with you; then they can help you.

Feel the feelings , allow them to be present, talk about them to get them out, and then release them .

If you want a few meditations to help you release these feelings, please reach out. Take care for today .

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