Anonymous
09/15/2025 18:14
Subject: Doctor and insurance diabetes medication issues
Anonymous wrote:OP here.
I met with my doctor again this afternoon. He complained that he doesn't get paid extra for filling out prior authorizations and that it takes too much of the staff's time.
I gave him the fax number to send the chart notes, so all he has to do is fax them over to my insurance company. I called my insurance company to verify.
Later in the afternoon, I received a message from a nurse at the doctor's office asking what medication it is that I want him to prescribe. This was disheartening because it has already been prescribed.
I am so frustrated. I don't know what to do. My blood glucose levels are in the mid-200s and spiked into the mid-300s this weekend. I was nauseous and sleepy.
I don't know what to do.
Are you the glucose level of 363 poster this weekend? I honestly don't believe you are T1. Metformin doesn't work on T1. Posters here gave you plenty of good information. Follow thru or ask questions if you are not sure.
Anonymous
09/15/2025 18:04
Subject: Doctor and insurance diabetes medication issues
OP here.
I met with my doctor again this afternoon. He complained that he doesn't get paid extra for filling out prior authorizations and that it takes too much of the staff's time.
I gave him the fax number to send the chart notes, so all he has to do is fax them over to my insurance company. I called my insurance company to verify.
Later in the afternoon, I received a message from a nurse at the doctor's office asking what medication it is that I want him to prescribe. This was disheartening because it has already been prescribed.
I am so frustrated. I don't know what to do. My blood glucose levels are in the mid-200s and spiked into the mid-300s this weekend. I was nauseous and sleepy.
I don't know what to do.
I met with my doctor again this afternoon. He complained that he doesn't get paid extra for filling out prior authorizations and that it takes too much of the staff's time.
I gave him the fax number to send the chart notes, so all he has to do is fax them over to my insurance company. I called my insurance company to verify.
Later in the afternoon, I received a message from a nurse at the doctor's office asking what medication it is that I want him to prescribe. This was disheartening because it has already been prescribed.
I am so frustrated. I don't know what to do. My blood glucose levels are in the mid-200s and spiked into the mid-300s this weekend. I was nauseous and sleepy.
I don't know what to do.
Anonymous
09/14/2025 09:26
Subject: Re:Doctor and insurance diabetes medication issues
Does your doctor not speak English? The note to you is horribly written. I agree he is not understanding that you have new insurance, they have not denied anything, and you simply need him to submit the information as it must come from a medical doctor.
Frankly, the frequent denials he refers to may be a result of his inability to fill out a chart and submit to insurance correctly.
Frankly, the frequent denials he refers to may be a result of his inability to fill out a chart and submit to insurance correctly.
Anonymous
09/13/2025 23:47
Subject: Doctor and insurance diabetes medication issues
Is this your PCP or an endocrinologist? You need to see an endocrinologist. Ask your doctor for a referral to a specialist immediately.
Anonymous
09/13/2025 23:46
Subject: Doctor and insurance diabetes medication issues
Anonymous wrote:Here’s what my doctor emailed me yesterday when I asked him to send the note and lab work to the new insurance company:
“As always mentioning before, this is extremely frustrating for patients (and we physicians) alike. Insurance companies repeatedly are telling patients that all we simply need to do is fill out paperwork, send them lab results, chart notes, etc. and these medications will be covered benefits. Repeatedly they have been denied for reasons we do not know
As I mentioned to you before, please bring this up with your insurance company and asked them "what criteria you need to meet for these to be approved". It does appear that these are approved benefits though if insurance continues to deny these despite efforts that they wish us to do, we simply have no control
Finally, you may wish to check and see if there are other GLP 1 weekly injection medications that are covered benefits. The 3 products on the prescription market would include Ozempic, Trulicity and Mounjaro
Good luck with your efforts here”
It appears that your doctor misunderstood your request. If you have confirmed with your insurance company that you are eligible for the medicine, then tell your doctor that you have confirmed this and here are the criteria. He will send the notes.
Don't waste his time without doing the homework.
Anonymous
09/13/2025 23:04
Subject: Doctor and insurance diabetes medication issues
Anonymous wrote:Look up LADA. You may be Type 1
THIS.
Please find a good endocrinologist that has experience with LADA. Metformin is generally very effective against Type II diabetes. The fact that it's not working for you should be a red flag to your doctor.
Anonymous
09/13/2025 17:01
Subject: Doctor and insurance diabetes medication issues
Switch doctors. This is unacceptable behavior.