Reply to nosey call from BCBS case manager

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[quote=Anonymous]Not related to pregnancy, but a specialty pharmacy called and left a message on a Friday saying they were calling on behalf of UHC (our insurer) about my son's Remicade.  Given that insurance companies are always looking to screw around with coverage of expensive meds like Remicade, I was a little concerned, so I called UHC to see what it was about (the specialty pharmacy was closed for the weekend by then).  UHC told me they'd have to talk to the specialty pharmacy to find out what the issue was, which makes no sense if the pharmacy's really calling on UHC's behalf.  When I finally got a hold of the pharmacy person on Monday, she started asking if my son had a prior authorization to get Remicade and a bunch of other questions.  I asked her why, if she was calling on behalf of UHC, she didn't already know the answers to her questions.  Turns out, she was basically snooping around to find out if the pharmacy could start doing home infusions for my son.

We've also had a UHC nurse call several to offer us "help" for my son's Crohn's.  I told her that what'd really help is for UHC to stop spending money on miscellaneous crap we don't want and pay people's claims without a ton of hassle.[/quote]

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