Tue 14 Aug 2007
Fighting with insurance companies
Posted by sandi under real life
I had a fight with a health insurance company before it was even 8:30 this morning–and that is NOT a good way to start a day, let me tell you. If you’re thinking of taking that up for yourself–say to get your adrenaline pumping early in the day–I don’t advise it.
The thing is, you can’t win in a fight with an insurance company. They have all the cards.
It started with a prescription for birth control pills. I wanted three months’ worth and paid for that; they sent one month and claimed that the doctor had written the prescription to be refilled monthly instead of four times a year.
“Okay,” I said reasonably, “but I paid you $60, which is what I’ve always paid for three months. So…the next two months should be free.”
FREE is not a word that insurance companies can hear without laughing.
“No, no, no,” said the Customer Service representative who was no doubt taping this call, as threatened, so she and the other representatives could laugh about it on their lunch hour. “You have a flat rate of $60 for any prescription, whether it’s one month or three months.”
WHAT?!
So if my doctor writes a prescription for, say, some drug that actually costs about $10 and I send it away to the mail order prescription place, it’s gonna cost me SIXTY DOLLARS?
“Yes, ma’am, that is correct.”
I then went through all their appeal channels–which is lots of fun–and even though it was still way before breakfast and even before tea, I managed to get nicer and nicer with each subsequent level of employee. I figured they weren’t going to respond to me at all if I became the raving lunatic I could feel myself edging toward.
In the end, though, they got me. At one point, I blurted out, “But this is just ridiculous! This is a scam, charging the same price for one month as three months!”
“Ma’am, I don’t have to tolerate that kind of language,” the woman said. “That is just not helpful to the situation.”
So I am now writing a letter, the last refuge of people who are disgruntled. The thing with fighting with these companies is that you don’t have one single thing you can punish them with. You can’t even frighten them.
I’m going to cancel my policy with you?
I’m going to tell everyone I know that you are wicked and bad?
I’m going to never let you furnish drugs for us again?
I know! You can’t come to my birthday party!
8 Responses to “ Fighting with insurance companies ”
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Pingback from I won the insurance battle! I won! I won! » Sandi Kahn Shelton
August 26th, 2007 at 10:27 pm[...] was the issue, which I wrote about here: the doctor had innocently written the prescription the wrong way, saying that I was to [...]





August 15th, 2007 at 6:56 am
Hi, Sandi. Keep up the good fight. You can win! Just keep working your way up to the top of management. My theory, from battling insurance companies for the last 10 years (Chris is a diabetic) is that eventually it will become less profitable for them to keep talking to you than it will be for them to fill your prescription.
Also, if it seems like you’re just being passed from idiot to idiot, you probably are. It’s worth it to hang up the phone and just try again, hoping that this time you’ll get someone who has worked there for more than 2 days.
If customer service reps start saying “I don’t have to take this” when you’re just trying to get a situation figured out, then you know you’ve got a really bad rep who is just putting in time to get another job. These people are supposed to be polite at all times, no matter what you say (short of threatening to come kill them and feed them to your pets). So just hang up and try again.
You can win!
August 15th, 2007 at 11:58 am
Well, at least they’re filling it I suppose. I went to walmart the other day to fill mine, and the nice doctor guy said, sorry, your insurance company seems to have canceled your policy. Thankfully, I had gone a couple of days early and had some time to put up a fuss - ends up someone at the insurance company ACCIDENTALLY hit the wrong key and deleted a good 50 accounts from their records. The best this lady could say to me was, sorry and try filling it again in 5-10 days when the problems is fixed in their office.
August 15th, 2007 at 12:17 pm
Jenny: Thank you! You have given me hope here. I am going to hang in there. And let’s hope it doesn’t come to me threatening to come kill them and feed them to my pets. I can see it coming close…
August 15th, 2007 at 12:19 pm
Kat: Oh my God! So in the meantime, while you wait the 5-10 days for them to refile your insurance, let’s just hope you don’t get pregnant. If so, maybe you can name the baby after that lady who accidentally deleted your account. Ha ha!
August 16th, 2007 at 10:25 am
HAHAHA Nah it happened a year ago - I actually went back to the WalMart Pharmacy and cried to the nice pharmacy man until he gave me the prescription. LOL.
August 17th, 2007 at 1:08 pm
Actually, I am just impressed that you still need birth control pills!
On two levels –
1. That you think that you could still get pregnant
2. That you still have sex
August 24th, 2007 at 9:48 am
I know exactly how you feel, really. We have several insurance policies with the same company and a few months ago we cancelled one. ONE, not two as the Insurance company insists we did. As a result of the extra cancellation I had a lapse in coverage on my current vehicle, a problem the helpful folks in the office insist is my fault, and mine alone. Do you know what the state of North Carolina decided the best way to reprimand me might be? Why, revoking my license plate for 30 days of course, a vehicle timeout if you will. Oy. That’s all I can say.
By the way I have read and reread “You Might As Well Laugh” over and over again, I love it, after becoming a mother I have a whole new appreciation for sock bumps!