Not covered

WELL spoke to my insurance and OF COURSE this isn’t covered- JUST great. There is a generic that IS covered at $10 a month BUT my doctor doesn’t want to give me more than 3 months worth because it can be addicting. I get that- but I’m not using this for leisure- I mean it’s MADE for people with sleep apnea and narcolepsy. That’s like telling a cancer patient- well I’ll give you treatment but only 3 months… After that you are on your own. It’s like WHAT?!

I’m hoping as the weight keeps coming down the sleep apnea will lessen or go away. I didn’t have sleep apnea till I hit over 190 lbs, so I’m hoping to get re-evaluated at 180 lbs to see if I still need a CPAP. Hopefully the answer is no.

My coworker says just don’t take it anymore and I’m like you don’t understand- I am DEAD most days- exhausted- falling asleep by 9 on Fridays, waking up at 9 the next morning. Then throughout the day STILL tired- that’s NOT normal and for the first time in almost 5 years I feel normal- I don’t want to lose this feeling and since I can’t afford $350 a month then I’ll have to go elsewhere.

I’m really disgusted that I pay like $450 a month for insurance and not to mention my copays and so on and yet I can’t get what I need and then when insurance APPROVES a generic my doctor says she doesn’t want to give it to me- wtf is that? I plan on switching doctors and before I make a permanent switch ask them how they feel about the generic- if one says they have no issue continuing to prescribe it to me then I’ll go to them. I’m going to try that route first FOR SURE before considering an online pharmacy.

*sigh* sorry I had to rant cuz I’m that mad… grrr…

5 Comments so far

  1. marbear24 on October 30th, 2009

    Aw :( Have you had your tonsils removed? One of my best friends had really bad sleep apnea and they took her tonisl out and poof! She was better.

  2. incontrol2day on October 30th, 2009

    I’m sorry to hear about that =/
    Don’t get me started on insurance and doctors…

    Makes me mad how many hidden costs and hoops you have to jump through before you can even get close to being happy with your treatment…

    Good luck and I HOPE you have sweet dreams!

  3. Fat Pants on October 30th, 2009

    That really sucks, I definitely wouldn’t rule out the generic OR that losing weight might have a significant improvement for the apnea. Maybe you can do a little preliminary research on the generic version to see if it’s worth taking and what the potential is for becoming addicted to it.

  4. lindat on October 30th, 2009

    Can you get three months of the ggeneric WHILE you are looking for a new doctor , perhaps? Did you doctor say he didn’t wnt to give you more than 3 months.. or more than 3 months at a time? Maybe he wants to reevaluate your need every 3 months?
    In 3 months time, he might give you another three months.. or you may not need it if you lose more weight.

  5. beerab on October 30th, 2009

    I will take the three months- she says she will ONLY give me three months PERIOD because it’s an addictive substance. But to me that doesn’t make sense because I’m using it to help treat my condition- not for kicks, I doubt I’d ever “abuse” the substance because it doesn’t give me a high- it just makes me feel normal and not exhausted for a change.

    I have looked into our new insurance for 2010 and she’s not listed anymore so I’ll be looking for a new doctor within the next two weeks- I will find one that doesn’t have issues giving her patients medication!

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