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Infusion coming up the switch from Ocrevus to Rituxan

Infusion coming up the switch from Ocrevus to Rituxan

So my infusion is coming up and I’m waiting on authorization. I’m switching back to Rituxan hopefully because I personally feel slightly safer on the drug. However I can only imagine what this will do with the authorization of the drug. Ironically my last infusion my pharmacy had Rituxan on the approved list but not Ocrevus. It took my a while to get Ocrevus approved. Now that I’m switching again to a drug that is technically not approved for MS…

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A nurse assessment today

A nurse assessment today

Today my insurance company is sending in a nurse to do a six month review. This review dictates my aids hours and you just never know what is going to happen. I was changed to this plan back in July of 2018 when I became Medicare eligible. They continued with the same level I was currently receiving. My aids hours are actually covered through my secondary plan which is a Medicaid HMO plan. I have never had a problem with…

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Negativity and the ego

Negativity and the ego

I worked really hard to put up my long-term Medicaid page and I promoted it on Facebook. https://multipleexperiences.org/nys-long-term-community-medicaid/I’ve gotten a lot of negativity from people and it got very hard to remember why I did it. I didn’t do this to make a quick buck. When I used to consult for Medicaid, I used to get $200 for the consultation that was before I even touch the application. I set this up for the people that don’t understand Medicaid and…

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Another nursing assessment today

Another nursing assessment today

The assessment today though is important because it’s with my actual insurance company. I already spoke to my case manager who is so awesome and called me back on her private line. She explained to me if they try to give me less hours not to sign anything. This way the case goes into review and more than just this one nurse assessment has a say in my hours allocated. I’m not nervous because it is what it’s going to…

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2nd medical insurance assessment for home health services

2nd medical insurance assessment for home health services

My agency where my aid comes from that I been using for over a year is not acepting my insurance anymore. I have the option to change insurance companies and continue to use my agency or I just have to find a new agency. Right now with my current insurance, I receive five days a week, eight hours a day of home health aid services. I had an assessment last week and where they only offered me five days a…

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At doctor more insurance problems

At doctor more insurance problems

I fell last week and now I have a lump on my knee. It is bruised, warm to the touch and lightly throbbing. Wouldn’t be so bad but what a shock, I’m having issues with my secondary insurance. My card they say is for dental insurance. They don’t have me listed on the insurance website as active and my card is invalid. That means that the few places I have used my secondary insurance won’t get paid and I will…

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The never ending aggravation of insurance

The never ending aggravation of insurance

I’m gazing out the window, trying to decide what I want to write about, and I’m really looking at just a wall of white. There’s a very thick fog out there. I can’t see the ocean. My dog obviously sees something he keeps barking. I’m not in a happy mood today. I’ve got two things I’m dealing with insurance about, one for me, and one for my daughter and I’m just so fed up with this stuff. I got a…

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No Ocrevus infusion again more insurance issues

No Ocrevus infusion again more insurance issues

I have no words. I’m so frustrated that the only thing I could do was cry. My insurance made some error and terminated me on one of their systems. I knew about this since last week and I had an escalated adjustment that was being done. I didn’t find out until yesterday they didn’t do it by accident when I called for something else. However the kicker is that the error that terminated me, terminated me in my authorization department….

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Not a fun-day Sunday

Not a fun-day Sunday

Where I thought the high tides receded, there are pockets all over Freeport when I left the house at 11 o’clock in the morning. I was driving the wrong way down one-way streets. I was praying that my little car made it through some this tremendous puddles. It was like an obstacle course. Had a big a quick stop at my friends house and the main light by him was out. I had to go around to make a left…

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It never ends…Ocrevus infusion postponed continued

It never ends…Ocrevus infusion postponed continued

So yesterday morning I’m sitting here and I get a call from my insurance that the expedited review for ancillary services, a.k.a. the infusion, has not been deemed necessary. Therefore the review will be conducted at the usual standard time as per policy. WTF???? I thought the problem was they didn’t order the drug? Turns out they never got authorization to get the drug or to administer it. Authorizations have to go to my doctor. My first step started when…

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