Emergency rooms and insurance companies

Last night was quite an interesting experience. Five hours in a crowded (26 people ahead of us when we arrived and no beds) emergency room isn’t my idea of a nice relaxing evening. And to think - if my insurance company would have been a little flexible, we never would have gone.

That’s right - the folks we all know and love (insurance companies) put my wife in this dangerous situation. Yes, that sounds a little harsh but I really believe its true. Y’see, the wife has been taking a wonder drug called Zofran for her extreme morning sickness (nothing else works). She started out taking 4mg twice a day, but when that wasn’t working our OB recommended bumping the dose up to three times a day and combining with Promethazine if needed. He also wrote a script for an 8mg dose of Zofran in case the thrice-daily 4mg didn’t do the trick.

All well and good, except: when Joanna went to refill her perscription on Saturday, the Pharmacist told her our insrance company will only allow a certain number of Zofran pills to be dispensed per month, and she’d have to wait an entire wee before they would cover our prescription costs. Of course, being the non-complainer of the family, Joanna didn’t tell me of this development until 8AM Tuesday morning as I was headed to work. She had been feeling sick most of the evening (which is typical) and mentioned her predicament as if it weren’t a big deal. Ten hours and eight vomit-sessions later, my office phone rang. It was Joanna.

“Shawn, I need you to come home. Something’s wrong. Please hurry.”

These are words no father-to-be wants to hear. Ever.

So, after 3 hours in the waiting room Joanna was poked and prodded and given sailene to replenish her fluids. Oh, and did I mention the doctor gave her the exact same drug she was denied by our insurance company to ease the nausea? Guess what? A hour after getting the fluids and the Zofran, Jo walked out of the ER feeling fine with a new script for Zofran in hand.

We immediately went to CVS to fill this new prescription. Surely they’ll fill a prescription from an ER doctor! Um, no. We were told the same thing Joanna was told a few days ago - no dice. We were given the option to buy a day’s worth of Zofran for $95 on our own if we wanted to. I’m going this evening to take them up on the offer - Jo can’t handle this any more.
So, we’ve spent today calling around trying to figure out what to do. Meanwhile, Jo’s still vomiting from time to time (not nearly as bad as yesterday but come on) as we wait, and she hasn’t kept a meal down in over two days. Here’s hoping we hear from someone soon.

3 Responses to “Emergency rooms and insurance companies”

  1. Brandy
    11/16/06

    I’m glad she’s had a little break, everyone here at work is thinking about her…

  2. Jason
    11/16/06

    Jesus. Best healthcare system in the world, my ass. Glad to hear she’s doing better now.

  3. shawn.plew
    11/17/06

    UPDATE!

    After a few calls to our OB and their subsequent discussions with our insurance company, a package filled with 60 pills of 8mg Zofran arrived on our doorstep yesterday morning. Of course, this was after one seriously shitty night.

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