The first call was from my local CVS pharmacy, who called to tell me that my two SYMLIN pens were ready to be picked up and could be all mine for $163.32 - more than what my insulin costs per month.
Yes, I'm well aware that my insurance SUCKS.
I told the Pharmacist to sit tight on my order, because I needed to do some research before I could commit.
My second call was to my insurance company, who confirmed the price - and told me that my plan didn't cover mail order medicine purchases. They also told me that 50 % of non-generic RXs are covered under my plan.
It still didn't make sense- The prices quotes I found on-line regarding SYMLIN was $225 - BEFORE INSURANCE KICKED IN.
SInce my insurance company pays 50% for non-generic RXs - it should cost me $112.50 out of pocket. Not great, but much more affordable.
My insurance company then forwarded my call to CVSCaremark - the company who handles the prescriptions for my insurance. CVSCaremarkwho confirmed that $163.32 was indeed the price I had to pay. The nice lady on the other end of the line told me that my insurance was covering 50% of the cost, and that CVSCaremark rate for SYMLIN is $325 - BEFORE INSURANCE. The nice lady on the other end of the line really felt bad wanted to know if there was something else I could take in place of the SYMLIN.
Like I said: MY INSURANCE SUCKS! But for the love of God, where the hell does my insurance company come up with these inflated prescription rates?!
The irony isn't lost on me. I fought Dr.J on SYMLIN for years, but last week I finally agreed, and was looking forward to experiencing positive results.
Now, I seriously have to consider the our of pocket cost of using SYMLIN.
And the cost of my good health if I don't.
What's best for my health is always the winner in the end. Let's face it, we don't have a choice when it comes to our health.
But I'm angry that my insurance company is forcing me to once again cut back in other areas of my life in order to stay healthy. I didn't choose diabetes, diabetes chose me.
And I've made diabetes work in my life, I really have.
I do the work, I educate others, and I don't spend a lot of time wishing my diabetes weren't so. Diabetes has made me stronger, it's given me a passion, a career, friends, and a platform - and I'm incredibly grateful for all of those things.
But diabetes has taken away people that I loved, and diabetes has forced me to always be in fighter mode.
Insurance company Practitioners of Bull Sh*t; consider yourself warned - I'll continue to bitch, but more importantly - I'll continue to fight you in order to stay healthy.