COBRA

Grrr….Argh!

COBRA – Consolidated Omnibus Budget Reconciliation Act – very useful option for those of us finding ourselves suddenly out of benefits, but…. the details!  OK, so my (former) employer sends me at least 5 different packets on my COBRA options, only one of which contains the amount and due dates for signing up and sending in payment.  Several sheets in each packet appear to be duplicates.  Not the entire packet, mind you, as if accidentally sent twice, but each packet a separate piece of the COBRA puzzle, with some redundant pieces thrown in for confusion.  I confess I skimmed through all the pages, looking for relevant, non-repeated information.  However, they give you a great big 1-800-call for information about your benefits hotline, so really, do the details on those pieces of paper matter?  Apparently so, although I still haven’t found the detail that has caused me the most immediate grief.

I called several weeks ago about my benefits and find out that I need to have a pin number sent to me that I can use to access my account.  Great.  Wait for that.  After I have all the information, DH & I debate over dental insurance.  Well, it’s $75/mo by COBRA and if we haven’t done anything about our teeth in the past two years at $12/mo why should we spend $75/mo on insurance we probably won’t use?  So we get that settled and I sign up online for health only.  Done.  I wait 10 days… no money has been taken out of my account.  Well, I need prescriptions.  So I call and verify that I have coverage.  Yes, but it takes 14 business days to notify the insurance company. OK, fine, I can wait another week for my scripts.

Fast forward to this week.  I need my scripts now.  The pharmacy says I don’t have insurance.  I say, fill them anyway.  I’m out of choices.  I call the glorious 1-800 # back and ask them what is going on.  They say, oh, well, we don’t notify the insurance company until you send in a payment.  WTF?  That isn’t what you told me last time.  What you told me last time was that I only had to sign up for it.  So now what do I do?

I had signed up for direct deposit to make my life easier, and that won’t start until June 1, which is still in my 45 day time frame for payment.  That’s all good and well, except that until then, I have to pay for all of my own medical and then try to get reimbursed from the insurance company after the back-dated insurance kicks in.  No, I’m sending a check in on Monday.  Well, you don’t have to, the benefits support specialist says, your account will be direct debited on June 1.  While true, that’s an extra two-three weeks worth of doctor appointments and medication juggling I have to do before payment all becomes automatic and life goes back to simple co-pays.  What land do they live in that I can spare all this up-front cash and trust the insurance company to reimburse me?

Meanwhile, I only picked up two of my three medications.  The third, generic Lipitor, was going to cost me $111 out of pocket.  With my high deductible health plan, this normally costs me $0.  I said no.  My PC is going to kill me if my cholesterol numbers are too high when I get tested on Monday, but she will understand once I explain at my next visit.  A lot of doctors today are sympathetic when it comes to insurance companies.  It’s not that I don’t have insurance, it’s that it’s currently inactive. It will be back-dated once it’s activated.  However, I can’t afford to be filling my psych meds without active insurance.  I need this ASAP.  I’m half tempted to send the check overnight.  It seems to take them two weeks to do anything.  Two weeks to send out the paperwork, two weeks to process, two weeks to notify the insurance carrier.  I don’t even know if I will get new insurance cards.  I should have asked, but it might have taken me two weeks and three tries to get the correct answer.

Well, that’s enough crabbing for today.  I am going to try to get back on the creativity wagon now.  It helps to keep me sane during this unemployment period.  Finding a job is a lot of work, and very depressing, so I have to find ways of balancing that out.  Photography seems to help.  I need to go out on a shoot somewhere soon.  The simple act of taking a photo is an art in and of itself.  And I need a little art in my life.

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4 thoughts on “COBRA

  1. Awww sweetie! I know what that’s like when there’s no insurance and too many visits and medicine. One time, I was in a lapse of insurance and I went to try to get Lamictal. $400! I was only on 75mg at the time, and I was about to say screw it. Finally, I found a pharmacy that was willing to help me out.

    C.S. and I have been going on and on lately about how screwed up the insurance systems are here in the US. I’m disgusted at how they profit over people’s misery, they give everyone a hard time, like we’re supposed to know how it works, and just generally treat everyone like a case or a number.

    Ugh.

    I hope you can hang in there. I really do. And I’m sorry I haven’t gotten back to your email. If you want to email me, I’m still getting emails to my phone and stuff. (Actually, I was a completely bonehead and deleted the email response instead of sending it. And I got distracted. You get it.)

    HUGS!

    • I’m hanging in there. My life feels really busy right now, considering that I don’t have a job at the moment. You can email me too. 🙂

  2. The price of some generics are outrageous. I heard that the Lipitor pricing had something to do with there being only one manufacturer at present. Hopefully when more companies get in there to produce the generic, we’ll see that price come down. Hang in there!

    • Lipitor is new to the generic market and hopefully it will come down soon. The current price range is $4-$12/pill, so I should be glad that it’s on the $4 end. Once I get my insurance working, it won’t cost me anything and I can switch to the mail order 3-month supply as well. Keep your fingers crossed that all this paperwork goes smoothly from here on out! 🙂

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