If this wasn't already enough to make my head feel like exploding, then getting a bill from my former pharmacy company, PharmaCare, was.
Um, I owe you $1037.58? From JUNE? Not to mention, the forthcoming bills for drugs from July, August and September? I don't think so.
There is a reason why (and I know I'm lucky, here) that I have two insurances - its so I won't get unexpected bills.
It seems to me that I've never gotten a bill, after-the-fact, from CVS or Walgreens or the freakin' grocery store pharmacy for that matter... SIX MONTHS LATER. Its usually "here's my insurance cards," and then they tell me if the drugs require co-pays (never more than $7 each) and then I PAY the co-pays and then I get my drugs. Ever try to get prescriptions filled without paying for them in advance? Doesn't really work, does it?
According to PharmaCare it does. They apparently went on some "assumption" (WHAT?) that [Other Insurance Company] would pay for the dugs before they actually gave me the drugs. The Pharmacare rep said, "Well, I guess we thought [Other Insurance Company] was going to pay for the drugs when you got them in June, so that's why you only paid the co-pays then. We didn't know they weren't going to not pay for them, so that's why we have to bill you now."
YOU THOUGHT? I'm sorry I don't buy that. Not for a second. Sound fishy to you? Yeah.
What was even more unexpected was PharmaCare's answer to my questioning if they even BILLED Other Insurance Company: "[Other Insurance Company] won't pay the 20% for your anti-rejection drugs that Medicare doesn't cover..."
NO. They're wrong (at least according to Other Insurance Company, they're wrong) and I'm angry that I even had to listen to PharmaCare's stupid rep tell me that Other Insurance Company rejected their claim for payment. RIGHT! When I called Other Insurance Company (two different numbers, in two different departments, mind you) I was told that PharmaCare hadn't even billed them.
While I haven't had any problems with the local PharmaCare and in actually getting the medications from them... I have been REALLY disappointed that I allowed myself to even be talked into using them as a pharmacy to begin with. I've always used CVS pharmacy and never had any problems. However, when I was still in the hospital getting my transplant, I was 'informed' that I needed to use PharmaCare because they are a "specialty" pharmacy (BULL) that could handle my transplant drugs better than a "regular" pharmacy. Of course I've since figured out that, NO, I can still use my "regular" pharmacy, but damnit. Why did I get taken advantage of while I was in the hospital?
You'd think someone like me would've seen that coming.