Got an interesting sounding letter from Medicare yesterday. 🧐 You know how I often have a hard time getting my workers comp insurance to authorize payments for the related medications when they are due? Well, sometimes (in order to not go without) I have to use my Medicare Part D as backup insurance… and it (along with my co-pay) will cover the costs so I can pick things up when I’m supposed to, and until WC finally does authorize the charge. At that point the pharmacy issues a refund to me and (I assume) to Medicare – and everything ends up the way it should have been in the first place.
The letter doesn’t seem too concerning yet. It basically says that they’ve noticed incidents where they have been charged for something that they know should be covered by my workers comp insurance, and that they’re trying to get to the bottom of it. 😯😃 It even says that I don’t have to do anything, and that they’re just letting me know that they’re going to be investigating to determine what’s exactly happening.
So one of two things seem likely. 🤔 The first possibility is that the pharmacy is sometimes forgetting to do the refund and re-charge to my WC insurance once the charge has been authorized. 😕 The second possibility is that there may have been a few times where the WC insurance never authorized a particular prescription, leaving Medicare holding the bill. Both of those are just guesses, ‘cuz this all comes as news to me, but it seems like one of those two could be a likely cause for any red flags going off at Medicare. 🤷🏻♂️
I’m obviously hoping that my second guess is right, because it would be nice to know that the government is getting as annoyed as me – when for one reason or another, the medications that I’m legally entitled to through workers comp are either delayed or possibly not even approved at all on some occasions. But like I said, I’m just making assumptions, so who really knows what the truth is yet. After so many instances though, of course it starts to feel personal and a bit sinister… even though every “issue” I go through is probably actually triggered by a wonky insurance algorithm that doesn’t quite know what it’s doing. 🙄🤦🏻♂️
Not the worst thing to happen throughout the crappy day yesterday, but medical stuff is always on the list of unwanted annoyances. In better news, Bubba’s flea treatment seems to be working, as I’m not even seeing any of them on her anymore… but that hasn’t stopped her from coming up to me on the regular, lookin’ for some more brushin’ and combing. 😏 Cripes… it’s almost 4am already. I mean, I plan on hiding from the ridiculous heat again today anyway, but I suppose I should hit the sack now that the adulting is done.