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Joined 1 year ago
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Cake day: August 5th, 2023

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  • I spent 37.5 hours (I document EVERYTHING) on hold with Wellcare trying to get them to pay for Narcolepsy medication I’ve been on since 2021… “Has the patient tried this ADHD medication, as an alternate?” “No. I prescribed my patient the only FDA approved medication, in the United States that treats Narcolepsy and Cataplexy, and she needs to stay on it”. Luckily my doctor is wonderful.

    It’s draining, but I’ve learned that the trick is to tell each of the outsourced customer service reps that you have no problem staying on hold for however long it takes. I’m disabled and have that ability. My partner works from home, so I do the same for their Blue Cross. When the insurance companies realize you’re willing to fill out ALL their paperwork, appeal higher and higher up, so that well-paid people get involved, clog their phone lines, and keep documenting every step of the way, they’ll give you what you want… but it is a full time job. 😮‍💨