little update

Most of what we have been dealing with this week is Misty's illness (a stomach virus combined with pneumonia) but I did want to update about Ricky.

On Saturday he had a rage at a baby shower we were at because of a misunderstanding. I managed to get him to the car and calm him down eventually. It didn't even require extra psych meds. But it was scary. And frustrating because it was the first rage in a LONG time.

And then there is MORE stupid insurance company BS. And I am going to call these jerks out by name in this blog entry so that anyone who is considering signing up for this company through Healthy Families will think twice.

Tonight Misty and I went to Walgreens to fill her antibiotic prescription (Amoxicillin) and pick up several of Ricky's prescriptions. Guess what? The insurance company decided to REVOKE or CANCEL the prior authorization for one of Ricky's psych meds, Seroquel 100mg, that was issued in March. They say he should only take 30 pills per month. He takes four per day. The insurance company (Anthem Blue Cross) is power crazy and out of their heads. The representative of Anthem Blue Cross told the pharmacist on the phone that they WOULD pay for 400mg tablets, since he takes 400mg per day. If only it were that simple! He takes 250mg in the morning, 150mg at noon, and 150mg at dinner. The 50mg each time is made up by two 25mg tabs that we also get. 400mg tabs would not work. And with the prior auth revoked, we have to jump through the same hoops we jumped through in March, all over again. That took three weeks. If it takes that long again I'm going to write to the California Department of Managed Care. No, screw that. I'm going to write to them anyway. This is ridiculous. And you know what else? We were never treated this way by Blue Cross when we had them through Dave's employer. I am just about convinced that all of the hoops they've made us jump through since January are because the kids are covered under a state-sponsored plan. In my eyes, that is discrimination, and it's a big load of BS.

I feel a lot better having gotten that off my chest. And now, it's bedtime.