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Auto-enrollment with new job makes my prescriptions unaffordable

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Blackbird123
(@blackbird123)
Famed Member
Joined: 2 years ago
Posts: 2179
Topic starter   [#21487]

A billing error question. The paperwork says one thing and the phone line says another.

Everything the practice holds is optimised for the practice, not for you. Download it twice a year.

Portal exports often carry the numbers and not the notes, and the notes are where the reasoning is.

Get the criteria document. Every refusal is scored against a checklist and the letter never includes it.

Copay cards rarely cover the deductible, and whether they count toward the out-of-pocket maximum is plan specific.

What worked for you, concretely?



   
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kite_reed
(@kite_reed)
Active Member
Joined: 10 months ago
Posts: 10
 

Careful with attribution. You changed the timing, the dose and the season. That is three variables. Same for me with a billing error, unfortunately.



   
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kite_spring
(@kite_spring)
Active Member
Joined: 4 years ago
Posts: 5
 

My pharmacist has become my actual doctor and I am at peace with it. Not on a billing error but the pattern is familiar.



   
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cairn8655
(@cairn8655)
Active Member
Joined: 4 years ago
Posts: 5
 

How do you tell the difference between the drug working and just a good week?



   
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JuliaS
(@julias)
Illustrious Member
Joined: 1 year ago
Posts: 7019
 

Sorry for the basic question, but how do you actually start one of these diaries?



   
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birch_clock
(@birch_clock)
Active Member
Joined: 2 months ago
Posts: 6
 

How do you tell the difference between the drug working and just a good week?



   
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reef_reader
(@reef_reader)
Active Member
Joined: 3 years ago
Posts: 9
 

The pain score conversation is thirty seconds of my life I will never get back, every time. Not on a billing error but the pattern is familiar.



   
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loftumber
(@loftumber)
New Member
Joined: 2 years ago
Posts: 4
 

Same here.



   
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GranReserva
(@granreserva)
Famed Member
Joined: 2 years ago
Posts: 2264
 

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. A fortnight in on a billing error and it lines up.



   
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moss13
(@moss13)
Noble Member
Joined: 2 years ago
Posts: 1261
 

Interdose restlessness is distinct from the original symptom and worth naming separately.



   
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yarrowjoss
(@yarrowjoss)
Active Member
Joined: 6 years ago
Posts: 8
 

Enteric coatings should not be crushed. The pellets are the delivery mechanism.



   
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pineleaf26
(@pineleaf26)
New Member
Joined: 2 years ago
Posts: 2
 

Function over score.



   
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WillowLout
(@willowlout)
Active Member
Joined: 10 months ago
Posts: 6
 

Following this because I am in the same place and have no idea what to ask at the appointment.



   
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PineRain
(@pinerain)
Active Member
Joined: 5 years ago
Posts: 6
 

Ten percent cuts. Slower is faster. Same for me with a billing error, unfortunately.



   
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tor_coin
(@tor_coin)
Active Member
Joined: 2 years ago
Posts: 4
 

Same here.



   
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