[Diabetes-talk] update on Denial of Insulin Coverage
cheryl echevarria
cherylandmaxx at hotmail.com
Sun Oct 31 16:11:03 UTC 2010
I didn't say you were quarreling with me.
Well they are saying that they are informing other patients of the change of drugs. So even if I did get the letter or notice, I would have probably had issues with it, especially since they are saying well we are allowing the Lantus but not in the way of the pen that is one.
The insurance company is playing the blame game over the fact that they are saying it is another companies fault for me not to have received it, especially the insurance companies decided what they will offer that month over the other.
Basically the decide whether or not to offer something based on the kick backs that they are getting from the manufacturer of the drug, and not the actual drug. Lantus is probably not giving them extra money for offering the pens over the vials, so the insurance company is saying it is to much for us to cover and we aren't getting anything from Lantus to make it worth our while so we wont let the customer have it.
So yes in the case of everyone not being able to get the lantus pens sighted and blind are not going to be able to get it under this plan.
But no we are not getting it in accessible format that we need over the insurance companies, and this includes the monthly statements from Medicare or whenever you go to the dr, etc (meaning the EOB's or Explanation of Benefits)
The biggest compliment you can pay me is to recommend my services!
Cheryl Echevarria
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----- Original Message -----
From: Mike Freeman<mailto:k7uij at panix.com>
To: Diabetes Talk for the Blind<mailto:diabetes-talk at nfbnet.org>
Sent: Sunday, October 31, 2010 10:38 AM
Subject: Re: [Diabetes-talk] update on Denial of Insulin Coverage
Cheryl:
I'm not quarreling over whether or not we should be informed just as are
sighted persons. Nor am I quarreling with you when you say if sighted
persons have choices, the blind should also. My question was what should be
our position were the exact same thing to happen to both a sighted person
and to a blind person, i.e., the insurance company would no longer cover
pens. Is this a matter of blindness or is it a matter of
less-than-enlightened policies of insurance companies for *everyone.*
Just for the record, the Count-a-dose also clicks.
Like you, I prefer pens and if, for some reason, you find the Count-a-dose
clicks less discernible than those on a pen, we may need to look into this.
Nor do I take issue with your contesting the decision of the insurance
company. I am merely asking if this is really a blindness problem or if it
is not a case of an irresistible force meeting an immovable object.
Mike Freeman
----- Original Message -----
From: "cheryl echevarria" <cherylandmaxx at hotmail.com<mailto:cherylandmaxx at hotmail.com>>
To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org>>
Sent: Sunday, October 31, 2010 7:28 AM
Subject: Re: [Diabetes-talk] update on Denial of Insulin Coverage
> Well I had switched to the pens 3 years ago when I overdosed on Humalog
> instead of my lantus, and I believe at the time that Robert Stigle and ss
> if I spelled last name wrong. In California, they trying to change the
> government or the insurance companies to change the bottles so it is
> indicated.
>
> I myself find the pens accessible, I hear the clicks on the pens for the
> units, it is easier for me to screw on the needle rather than trying to
> figure out how to use the syringes.
>
> Plus, it is not like the insurance company wasn't covering the Lantus,
> they were not covering the pens of the Lantus to different issues.
>
> I mean you may like the vials okay fine.
>
> But suppose it wasn't insulin and another drug, why can't we be informed
> prior to this happens.
>
> I am one of those people because of my transplant I cannot take other
> drugs and have to take a certain drug like lantus over another insulin.
>
> We should have the choice Michael, just like the sighted community,
> whether it be this or any other issues. Accessibility to it, and not say
> oh we sent it out in the mail months ago, well they didn't, whether I can
> read it or not, Nelson is sighted and can read it as well.
>
> The biggest compliment you can pay me is to recommend my services!
>
> Cheryl Echevarria
> http://Echevarriatravel.com<http://echevarriatravel.com/<http://echevarriatravel.com%3chttp//echevarriatravel.com/>>
> 1-866-580-5574
> Reservations at echevarriatravel.com<mailto:Reservations at echevarriatravel.com<mailto:Reservations at echevarriatravel.com%3Cmailto:Reservations at echevarriatravel.com>>
>
> Affiliated as an Independent Contractor with Montrose Travel
> CST-1018299-10
> Affiliated as an Independent Contractor with Absolute Cruise and Travel
> Inc.
>
> join my yahoogroup
> echevarriatravel-subscribe at yahoogroups.com<mailto:echevarriatravel-subscribe at yahoogroups.com<mailto:echevarriatravel-subscribe at yahoogroups.com%3Cmailto:echevarriatravel-subscribe at yahoogroups.com>>
> ----- Original Message -----
> From: Mike Freeman<mailto:k7uij at panix.com<mailto:k7uij at panix.com>>
> To: Diabetes Talk for the Blind<mailto:diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org>>
> Sent: Sunday, October 31, 2010 10:16 AM
> Subject: Re: [Diabetes-talk] update on Denial of Insulin Coverage
>
>
> Cheryl:
>
> I'm glad you were able to get your lantus in the SoloStar pens you
> prefer.
> Do you have any idea whether or not your pesky insurance company would
> have
> paid for the cartridge lantus pen whose name escapes me at the moment
> made
> by Sanofi-Aventis?
>
> This gives rise to a question -- and I wish to publicly assure you that
> in
> posing it I mean no criticism: what should our stand be in light of NFB
> philosophy if an insurance company refuses to cover the pen one likes?
> Should we insist that we *need* (as opposed to preferring) that pen in
> light
> of the fact that the Count-a-dose exists again? Put another way, is this
> really a matter of blindness or is it merely a matter of preference and
> blindness is a convenient leverage point? I honestly don't know the
> anser
> myself as I use, like and prefer insulin pens. But I bought a
> Count-a-dose
> some time back in case Regence BlueCross got upity. (smile) There may
> indeed be no set answer.
>
> Let the discussion begin.
>
> Again, I'm glad you were able to get an override and I agree with you
> that
> email on some subjects but not others strains the imagination a bit.
>
> Warmly,
>
> Mike Freeman
>
> ----- Original Message -----
> From: "cheryl echevarria"
> <cherylandmaxx at hotmail.com<mailto:cherylandmaxx at hotmail.com<mailto:cherylandmaxx at hotmail.com%3Cmailto:cherylandmaxx at hotmail.com>>>
> To: "Diabetes Talk for the Blind"
> <diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org%3Cmailto:diabetes-talk at nfbnet.org>>>
> Sent: Sunday, October 31, 2010 6:55 AM
> Subject: [Diabetes-talk] update on Denial of Insulin Coverage
>
>
> >I finally got my insulin. not to the help of the insurance company, who
> is
> >not raising the premiums on my husband's insurance coverage at his
> company.
> >
> > My doctor had to call the insurance company and put in an over ride to
> the
> > right department because the insurance company gave me the wrong one
> and
> > then they had to contact my mail order pharmacy company and do this as
> > well.
> >
> > I finally got my insulin Friday, I had to forego a few days of my
> lantus,
> > making my readings reach over 300 some mornings.
> >
> > I am writing this up for the New York State Affiliate and work on this
> > with our local government and see what happens. All depends on what
> > happens after November 2nd, 2010 elections.
> >
> > I do have a case work with Congressman Steve Israel's office but
> haven't
> > heard a word from them, I will call on Monday and find out what is
> > happening on there end. I realize that I got my medication, but at the
> > same time HIP is saying that the durable Medical supply company here on
> > long island sent out this in the mail.
> >
> > Explaining to them, I don't get my durable medical supplies from that
> > company since my primary insurance is Medicare. I also informed them
> that
> > they sent out each month or every 3 months via e-mail when I need to
> > refill a certain prescription but they cannot send me an e-mail that
> they
> > are no longer covering a drug.
> >
> > That makes no sense.
> >
> >
> > The biggest compliment you can pay me is to recommend my services!
> >
> > Cheryl Echevarria
> >
> http://Echevarriatravel.com<http://echevarriatravel.com/<http://echevarriatravel.com%3chttp//echevarriatravel.com/<http://echevarriatravel.com%3chttp//echevarriatravel.com/%3Chttp://echevarriatravel.com%3chttp//echevarriatravel.com/>>>
> > 1-866-580-5574
> >
> Reservations at echevarriatravel.com<mailto:Reservations at echevarriatravel.com<mailto:Reservations at echevarriatravel.com%3Cmailto:Reservations at echevarriatravel.com<mailto:Reservations at echevarriatravel.com%3Cmailto:Reservations at echevarriatravel.com%3Cmailto:Reservations at echevarriatravel.com%3Cmailto:Reservations at echevarriatravel.com>>>
> >
> > Affiliated as an Independent Contractor with Montrose Travel
> > CST-1018299-10
> > Affiliated as an Independent Contractor with Absolute Cruise and Travel
> > Inc.
> >
> > join my yahoogroup
> >
> echevarriatravel-subscribe at yahoogroups.com<mailto:echevarriatravel-subscribe at yahoogroups.com<mailto:echevarriatravel-subscribe at yahoogroups.com%3Cmailto:echevarriatravel-subscribe at yahoogroups.com<mailto:echevarriatravel-subscribe at yahoogroups.com%3Cmailto:echevarriatravel-subscribe at yahoogroups.com%3Cmailto:echevarriatravel-subscribe at yahoogroups.com%3Cmailto:echevarriatravel-subscribe at yahoogroups.com>>>
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